HomeMy WebLinkAbout0085 PEPPERCORN LANE - Health 85 PEPPERCORN LANE, COTUIT
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MAILING LIST FOR 106 FALMOUTH ROAD SITE-MASHPEE,MASSACHUSETTS
DATE: FILE�� FILE NO. 7S
DOCUMENT•
ADDRESSEE "reg.cc:" "blind cc:" VIA SENT
Massachusetts Dept.of Environmental Protection
Southeast Regional Office
20 Riverside Drive
Lakeville,,Massachusetts 02347
n: Mr.Gerard Martin,Acting Chief
Attn: Mr.Mark Wood,Project Manager
Massachusetts Department of Public Health
Environmental Health Assessment
250 Washington Street,r Floor
Boston,Massachusetts 02108
Attn: Ms.Elaine Kroueger,Chief,Environmental
Toxicology
Mashpee Board of Health
16 Great Neck Road
Mashpee,Massachusetts 02649
Attn: Mr.Elias McQuaid,Chairperson
Mashpee Board of Selectmen
P.O.Box 1108
16.Great Neck Road
Mashpee,Massachusetts 02649
Attn: Ms.Judith Mills,Chairperson
Mashpee Water District
P.O.Box 1543
Mashpee,Massachusetts 02649
Attn: Mr.Dave Rich
Mashpee Public Library
P.O.Box 657
Mashpee,Massachusetts 02649
Barnstable County Dept.of Health and the Environment
Superior Court House
P.O.Box 427
Barnstable,Massachusetts 02630
Attn: Mr.Stetson Hall
Barnstable Board of Health
Attn:
Thomas&Betts Corporation
452 John Dietsch Blvd.
Attleboro Falls,Massachusetts 02763 /y
Attn:Mr.William Frigon
Thomas&Betts Corporation /
1555 L��``nnfield Road
Mem6his,Tennessee 38119 r/ Kilic-
tV� Attn:Mr.Om Chopra /y
Hale&Dorr
1455 Pennsylvania Avenue n
Washington,DC 20004
Attn: Mr.Jeffrey J.Davidson,Esq.
Willowbend Development Corporation
130 Willowbend Drive
Mashpee,Massachusetts 02649
Attn: Mr.Bruce A.Besse,Jr.,V.P.
IN-HOUSE COPIES
Michael A.Powers,P.E.,LSP
Hilary Downes Fortune,P.G.
File Copy
Y w t°
j:jobslenvl31751-1.mapladres-3.doc �k,`?
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COTUIT WELL SAMPLING PROGRAM
This well sampling work plan was prepared by GZA GeoEnvironmental, Inc. for the
Thomas & Betts Corporation (T&B). The plan was prepared to describe how certain
residential wells in Cotuit, Massachusetts will be tested for Volatile Organic Compounds
G� (VOCs). The program is part of an ongoing study being conducted pursuant to the
Massachusetts Contingency Plan ("MCP") and in coordination with the Massachusetts
Department of Environmental Protection ("DEP"), and is designed to meet all applicable
state standards.
PURPOSE
The purpose of this sampling program is to provide additional information related to
groundwater contamination associated with the former Augat manufacturing facility in
Mashpee. The specific purpose of this work plan is to describe: (1) how wells were
selected for sampling; (2) how samples will be collected and transported; (3) how samples
will be analyzed;and (4) how the results of the testing will be documented and reported.
The testing program is intended to provide information which will identify an
unanticipated condition. Beyond this sampling program, ongoing and additional studies
will be aimed at better defining the discharge location of the contaminated groundwater
which is found beneath portions of the 106 Falmouth Road Site in Mashpee, and will help
establish the long-term monitoring program required to confirm the identified discharge
location(s).
BACKGROUND
Groundwater contaminated with volatile organic compounds (VOCs), primarily
trichloroethene (TCE), tetrachloroethene (PCE), 1,1,1-trichloroethane (TCA), and
associated degradation products, was found at the 106 Falmouth Road Site in Mashpee,
Massachusetts in 1997. T&B has assumed responsibility for compliance with MCP
procedures with respect to that contamination. The vertical and horizontal extent of that
groundwater contamination has been well delineated from just south of Falmouth Road
(Route 28) to the edge of Shoestring Bay.
Based on the geometry of the aquifer and the Bay, and well-established geohydrological
principles, it was initially estimated that the contaminated groundwater discharged to
Shoestring Bay in the immediate vicinity of Bryant's- Point. Subsequent detailed
piezometric studies found that the groundwater discharge mechanism is more complex.
Based on measured hydraulic heads and inferred hydraulic parameters, we now believe that
the VOCs are discharging, or will discharge, to Shoestring Bay at locations more distant
from shore than originally estimated. Although very unlikely, there is a possibility that at
least a portion of the groundwater flow beneath Shoestring Bay also flows beneath Cotuit.
Page 1 of 3
Because the discharge location has not yet been fully defined, and based on technical
discussions with the DEP, T&B has elected to undertake a one-time testing of certain
residential water supply wells in Cotuit for VOCs. This work plan describes that sampling
and analysis program.
It is noted that, because of the observed geohydrological conditions, the distances of the
subject wells from the Site, and the earliest possible date of a release of VOCs, it is highly
unlikely that Site-related VOCs will be found in groundwater beneath Cotuit. We also
GZX emphasize.that the sampling and analysis program detailed in this work plan is only a part
of T&B's ongoing effort to be sure historical releases of VOCs pose no unacceptable risk
to human health or the environment. Additional tasks to better delineate.the discharge
location of Site-related VOCs continue to be performed as part of an evaluation of the
Site's Class C Response Action Outcome (RAO).
SELECTION OF RESIDENTIAL WELLS
Based on published geologic information', the identified groundwater flow path at the 106
Falmouth Road Site, and topographic features in Cotuit, it is evident that if groundwater
from the Site passes beneath Shoestring Bay to beneath Cotuit, it does so in the vicinity of
Fullers Marsh. We selected 20 residences which utilize private drinking water wells in the
area of Fullers'Marsh from a map depicting properties serviced by the Cotuit Water
Company2. It is our intent to sample and test all 20 of these wells.
SAMPLE COLLECTION
We will make good faith efforts to contact owners at each of the identified 20 properties.
With the permission of the owner, we will draw a sample of water from a cold water tap
within the home. To the extent practical, we will observe the plumbing system so that
samples are collected before any water treatment systems, and we will obtain whatever
information the owner has on the construction of the well. The water will be run
vigorously for a minimum of 15 minutes or until two volumes of any holding tank are
withdrawn. This is to help ensure that the sampled water has not been in residence in the
house's plumbing system for an extended duration.
The sample will be collected by running the water gently (without an aerator) into new 40
ml glass vials, preserved with hydrochloric acid to a pH <2, and sealed with caps equipped
with a teflon septum. The vials will be uniquely labeled, in the field, using a project code,
placed on ice, and transported to the selected laboratory under chain-of-custody within 48
hours of collection. A trip blank will be transported in each cooler, and provided to- the
Use of Particle tracking to Improve Numerical Model Calibration and to Analyze Groundwater Flow and
Contaminant Migration,Massachusetts Military Reservation,Western Cape Cod,Massachusetts. USGS
Open-File Report 96-214, 1996.
2 Map of Parcels with Connections to the Cotuit Water Company in the Poponessett Bay Area. Barnstable
G.I.S. Unit G.M.C. 1/21/98.
Page 2 of 3
o
laboratory for testing. Additional QA/QC procedures will include the collection of two or
more samples for analysis as blind duplicates.
SAMPLE ANALYSES
Samples will be analyzed by EPA Method 524.2 by an independent laboratory certified in
Massachusetts using contract laboratory procedures.
G� REPORTING
GZA will compile the analytical results in a table, identifying each constituent found above
its laboratory method detection limit. We will also compare these data to those compounds
which have been found at the 106 Falmouth Road Site. The table will be supplemented
with a brief report which will describe the sampling procedures and provide complete
copies of the actual laboratory Certificates of Analysis.
Each homeowner will be provided a copy of the Certificate of Analysis and a letter
providing an appropriate description of the laboratory's analysis of the sample collected
from their well.
SCHEDULE
Contingent upon homeowners' availability, the sampling will be-'conducted over a period
of three days, from March 27 to March 30, 1998. The distribution of results to
homeowners will occur within a week of sampling. The final report will be provided to the
DEP, local officials and homeowners on or before April 10, 1998.
gAjobs\env\31751-1..map\cotuit\workplan.doc
1
Page 3 of 3
Ca`r.i� C,60 -Et j,-%k'-.e" flit, We Thomas&Betts Corporation
P.O.452 John ie sch Blvd.
.O.Box
Attleboro Falls, MA 02763
(508)699-9800
Facsimile(508)695-8111
Yhomas6 ffelft
March 20, 1998 MAR 23 1998
S
e4, TOWN OFBARNSTABLE
® HEALTH DEPT. "
i
B aj
Dear(Homeowner): 8
Just over a year ago,Thomas & Betts acquired Augat Inc. which operated a manufacturing
facility in your neighboring town of Mashpee. Augat conducted manufacturing operations at its
facility, located at 106 Falmouth Road, from the late 1960's until the plant was retired in
December 1996. Upon closing the plant, Augat began a standard assessment of their property to
determine if there was any historical industrial contamination at the site. Groundwater at the
facility was found to be contaminated with volatile organic compounds associated with the use of
industrial cleaning solvents. Since then, Augat, and subsequently Thomas &Betts, have been
conducting a full technical investigation to resolve any potential environmental issues.
As an extension of this investigation,Thomas &Betts is now requesting your permission to take
a sample of water from your well at (address). That sample will be analyzed for volatile organic
compounds. If you agree to participate, you will be provided with a copy of the laboratory results
within roughly a week of the sampling. Obviously, this testing will be done at no charge to you.
The purpose of this testing is to provide additional information for the on-going study related to
the groundwater contamination that was found at the former Augat facility in Mashpee.
Based upon the current facts and the professional opinion of our Licensed Site Professional and
our engineering consultants, Thomas &Betts believes that the contamination originating at the
former Augat facility has or will discharge into Shoestring Bay. The quantities of contaminants
released to the Bay are expected to be so small that they will present no significant risk to the
Bay or the environment. However, although very unlikely, there is also a possibility that at least
a portion of the groundwater flowing beneath Shoestring Bay may also flow beneath Cotuit.
Therefore, as a precautionary measure and as part of our complete hydrogeological assessment,
Thomas & Betts, in coordination with the state Department of Environmental Protection, would
like to sample certain residential wells including your own. Of course, if this data suggests any
need for concern or follow-up action, we will icrunediately contact you directly. A more detailed
description of the sampling program which we have outlined to the state DEP is attached.
Page Two
k
A representative of Thomas &Betts.will be calling you in the next few days to further answer
any questions and hopefully to schedule a convenient time to take the water sample. In the
meantime, should you wish to contact us,please call Tom McShane at(508) 699-9820.
Thank you in advance for your cooperation.
Sincerely, r
l
William O. Frigon
Manager Corporate Environmental,Health & Safety
Attachments: Well Sampling Work Plan- Area Map
cc: Massachusetts Department of Environmental Protection
f
GZA Engineers and Principals:
GeoEnvironmental,Inc. scientists John P.Hartley,
District Office Manager
Michael A.Powers,P.E.,L.S.P.
David R.Carchedi,Ph.D.,P.E.
John J.Spirito,P.E.,L.S.P.
Philip P.Virgadamo,P.E.,L.S.P.
March 20, 1998 Russell J.Morgan,P.E.
File No. 31751.1
. a
Mr. Mark Wood 2
Department of Environmental Protection 1 3
20 Riverside Drive
G�
Lakeville, Massachusetts 02347 RECEIVE
Re: Immediate Response Action Work Plan '~ MAR 2 6 1998
106 Falmouth Road Site TOWN OF BAR NSTT gq
O HEALTH DEPT.
Mashpee, Massachusetts(RTN 4-11904)
140 Broadway
Providence Dear Mr.Wood: �-, 8
Rhode Island 02903
401-4214140
FAX 401-751-8613 GZA GeoEnvironmental, Inc. prepared the attached Immediate Response Action (IRA) work
plan for the 106 Falmouth Road Site in Mashpee, Massachusetts. We are submitting this
document on behalf of our client, the Thomas & Betts Corporation (T&B), in accordance
with 310 CMR 40.0420.
We believe this document provides the information you require. If you have any questions,
please do not hesitate to call us at(401)421-4140.
Very truly yours,
GZA GEOENVIRONMENTAL,INC.
Hilary Do nes Fortune, P.G. Mi ael A. Powers, P.E.,LSP
Seni oject Manager Se for Principal
A Subsidiary of GZA
GeoEnvironmental
Technologies,Inc. Attachments: BWSC-105: IRA Transmittal Form
IRA Work Plan
cc: Town of Mashpee Board of Health
Town of Mashpee Board of Selectmen
Mashpee Public Library
Barnstable County Department of Health
,/Town of Barnstable Board of Health
Cotuit Water Company
William Frigon,T&B
l
J:V OBS\ENV�31751-I.MAPICOTUrMA-LET.DOC
An Equal Opportunity Employer M/FNIH
IMMEDIATE RESPONSE ACTION (IRA) WORK PLAN
This document is an Immediate Response Action (IRA) Work Plan. It was prepared by
GZA GeoEnvironmental, Inc. for the Thomas & Betts Corporation (T&B).
PURPOSE
The purpose of this IRA is to provide additional information related to groundwater
contamination associated with the 106 Falmouth Road Site (the Site) in Mashpee,
Massachusetts. The specific purpose of this work plan is to describe: (1) how wells were
selected for sampling; (2) how samples will be collected and transported; (3) how samples
will be analyzed; and (4) how the results of the testing will be documented and reported.
The testing program is intended to provide information which will identify an
unanticipated condition. Additional studies will be aimed at better defining the discharge
location of the contaminated groundwater which is found beneath portions of the 106
Falmouth Road Site, and will help establish the long-term monitoring program required to
confirm the identified discharge location(s).
BACKGROUND
Groundwater contaminated with volatile organic compounds (VOCs), primarily
trichloroethene (TCE), 'tetrachloroethene (PCE), 1,1,1-trichloroethane (TCA), and
associated degradation products, was found at the 106 Falmouth Road Site in Mashpee,
Massachusetts. T&B has assumed responsibility for compliance with MCP procedures
with respect to that contamination. The vertical and horizontal extent of that groundwater
contamination has been well delineated from just south of Falmouth Road (Route 28) to
the edge of Shoestring Bay.
Based on the geometry of the aquifer and the Bay, and well-established geohydrological
principles, it was initially estimated that the contaminated groundwater discharged to
Shoestring Bay in the immediate vicinity of Bryant's Point. Subsequent detailed
piezometric studies found that the groundwater discharge mechanism is more complex.
Based on measured hydraulic heads and inferred hydraulic parameters, we now believe that
the Site VOCs are discharging, or will discharge, to Shoestring Bay at locations more
distant from shore than originally estimated. Although very unlikely, there is a possibility
that at least a portion of the groundwater flow beneath Shoestring Bay also flows beneath
Cotuit.
Because the discharge location has not yet been fully defined, and based on technical
discussions with the DEP, T&B has elected to undertake a one-time testing of certain
residential water supply wells in Cotuit for VOCs. This IRA work plan describes that
sampling and analysis program.
Page 1 of 3
f
It is noted that, because of the observed geohydrological conditions, the distances of the
subject wells from the Site, and the earliest possible date of a release of VOCs, it is highly
unlikely that Site-related VOCs will be found in groundwater beneath Cotuit. We also
emphasize that the sampling and analysis program detailed in this work plan is only a part
of T&B's ongoing effort to be sure historical releases of VOCs pose no unacceptable risk
to human health or the environment. Additional tasks to better delineate the discharge
location of Site-related VOCs will be performed as part of an evaluation of the Site's Class
C RAO.
r
SELECTION OF RESIDENTIAL WELLS
Based on published geologic informationt the identified groundwater flow path at the 106
Falmouth Road Site, and topographic features in Cotuit, it is evident that if groundwater
from the Site passes beneath Shoestring Bay to beneath Cotuit, it does so in the vicinity of
Fullers Marsh. We selected 20 residences which utilize private drinking water wells in the
area of Fullers Marsh from a map depicting properties serviced by the Cotuit Water
Company2. It is our intent to sample and test these 20 wells.
SAMPLE COLLECTION
We will make good faith efforts to contact owners at each of the identified 20 properties.
With the permission of the owner, we will draw a sample of water from a cold water tap
within the home. To the extent practical, we will observe the plumbing system so that
samples are collected before any water treatment systems, and we. will obtain whatever
information the owner has on the construction of the well. The water will be run
vigorously for a minimum of 15 minutes or until two volumes of any holding tank are
withdrawn. This is to help ensure that the sampled water has not been in residence in the
house's plumbing system for an extended duration.
The sample will be collected by running the water gently (without an aerator) into new 40
ml glass vials, preserved with hydrochloric acid to a pH <2, and sealed with caps equipped
with a teflon septum. The vials will be uniquely labeled, in the field, using a project code,
placed on ice, and transported to the selected laboratory under chain-of-custody within-480
hours of collection. A trip blank will be transported in each cooler, and provided to the
laboratory for testing. Additional QA/QC procedures will include the collection of two or
more samples for analysis as blind duplicates.
SAMPLE ANALYSES
Samples will be analyzed by EPA Method 524.2 by a laboratory certified in Massachusetts
using contract laboratory procedures.
Use of Particle tracking to Improve Numerical Model Calibration and to Analyze Groundwater Flow and
Contaminant Migration Massachusetts Military Reservation Western Cape Cod,Massachusetts. USGS
Open-File Report 96-214, 1996.
2 Map of Parcels with Connections to the Cotuit Water Company in the Poponessett Bay Area. Barnstable
G.I.S. Unit G.M.C. 1/21/98.
Page 2 of 3
I
REPORTING
GZA will compile the analytical results in a table, identifying each constituent found above
laboratory method detection. Samples will be identified so that, with the aid of a separate
key, the DEP will be able to identify which sample came from each residential well. We
will also identify, on that table, which compounds, if any, have also been found at the 106
Falmouth Road Site. The table will be supplemented with a brief report which will
describe the sampling procedures and provide copies of the laboratory Certificates of
Analysis.
Each homeowner will. be provided a copy of the Certificate of Analysis and a letter
providing an appropriate description of the laboratory's analysis of the sample collected
from their well.
SCHEDULE .
Contingent upon homeowners' availability, the sampling will be conducted over a period
of three days, from March 27 to March 30, 1998. The distribution of results to
homeowners will occur within a week of sampling. The final report will be provided to the
DEP, local officials and homeowners on or before April 10, 1998.
gAjobs\env\3175I-I..map\cotuit\ira-3.doc
Page 3of3
TABLET
COTUIT PROPERTIES SELECTED FOR RESIDENTIAL WELL SAMPLING
IMMEDIATE RESPONSE ACTION PLAN
106 Falmouth Road Site -Mashpee, Massachusetts
WELL ID;, PLAT MAP: 1rOT ADDRESS
1 6 48 750 Santuit Road
2 5 68 122 Pin uickset Cove Road
3 5 69 144 Pin uickset Cove Road
4 5 70 160 Pin uickset Cove Road
5 5 71 180 Pin uickset Cove Road
6 5 72 190 Pin uickset Cove Road
7 5 73 189 Pin uickset Cove Road .
8 4 6 167 Pin uickset Cove Road
9 4 7 1617 Main Street
Pin uickset Cove Road
10 4 8 1619 Main Street
(Peppercorn Lane
11 4 9-1 114 Peppercorn Lane
4 9-2 120 Peppercorn Lane
4 10 144 Peppercorn Lane
4 11 160 Peppercorn Lane
4 12 N/A
12 6 10 12 Clamshell Cove Road
13 6 26 605 Popponesset Road
14 5 18 off Santuit Road conservation land
15 16 32 85 Peppercorn Lane
16 15 7 315 Vineyard Road
17 3 4 42 Bailey Road
18 6 63 312 Pine Ridge Road
19 5 35 72 Cotuit Cove Road
20 5 3 262 Clarnshell Cove Road
t .
G:VOBS\ENV\31751-INARCOTUFRCotuit•i.xls Page I of 1 3/20/98
f
Bureau of Waste Site Cleanup
' ease . '
IMMEDIATE RESPONSE ACTION (IRA) Rel Trading Number
k TRANSMITTAL FORM Pursuant to 310 CMR 40.0424-40.0427(Subpart D) - 11904
A. RELEASE OR THREAT OF RELEASE LOCATION:
Release Name:(optlaml) E
Street 106 Falmouth Road Location Aid: west of Boni n_Road
Cityfrown: Masbpee LP Code: 02649
❑ Check here If a Tier Clasaification Submittal has been provided to DEP forthis Release Tracking Number.
❑ Check here If this location is Adequately Regulated,pursuant to 310 CMR 40.0110-0114.
Sped fy Program:❑ CERCLA ❑ HSWA Corrective Anion ❑ Solid Waste Management ❑ RCRA State Program(21 C Fadoties)
Related Release Trading Numbers That This IRA Addresses:
B.THIS FORM IS BEING USED TO: (cam ad that apply)
[� Submit as IRA Plan(complete Sections A,B,C,D,E,H,I,J and Iq.
❑ Check here if this IRA Plan is an update or modification of a previously approved written IRA Plan. Date Submitted: , 1
❑ Submit an kmdnent Hazard EvalwM m(complete Sections A,B.C,F.H,I,J and 19.
❑ Submit an IRA Status Report(complete Sections A,B,C,I~H,I,J and 19. I
❑ Submit a Request to Term hude an Active Rernedlal System and/or Terminate a Continuing Response Adlon(s)Taken to Address an
krardrment Hazard(conpiete Sections A,B,C,D,E,H,1,J and Iq.
❑ Submit an IRA Completion StMterment(complete Sedkma A.B,C,D,E,G,H,1,J and IQ.
You taut attach all supporting doaunenfatkm required for each use of form indicated,including copies of
any Legal Notices and Notices to Pubk Officials required by 310 CMR 40.1400.
C. RELEASE OR THREAT OF RELEASE CONDITIONS THAT WARRANT IRA:
Identity Media and Receptors Affected: (dw ck an that apply) ❑ Air FL] Groundwater ❑ Swface Water ❑ Sediments ❑ Soo
❑ Welia d ❑ Storm Drain ❑ Paved Surface ❑ Private wee ❑, Puboc water Supply ❑ zone 2 ❑ Residence
❑ Sdwd ❑ Unknown ❑ Other Spur.
Identify Conditions That Require IRA,Purstwd to 310 CMR 40.0412: (check d that apply) ❑ 2 Harr Reputing Corditiom(s)
❑ 72 Hour Reporfhng Corditlon(s) ❑ Substantial Release Migration ® Other Cordition(s)
Describe: while very Ln 1 i kp-1:gp_t here is a potent;al for vronndva _ r
to migratp beneath a =nrtinn of Cotuit.
Identity Oos and Hazardous Materials Rekasad:• (check ao that apply) ❑ Oita ® Chlorinated SoNemts ❑ Heavy Metals s
❑ Others spew..
D. DESCRIPTION OF RESPONSE ACTIONS: (check all that apply)
Assessment and/or Mordwing Only ❑ Dep6yment of Absorbent or CowWrmm xd Md risis.' ;
❑ Excavation of Cortfaminated Sons ❑ Temporary Covers or Caps ,
❑ Re-use,Recykdng or Treaknent x, , ,� ❑ Biorarrmetiistiorm { ,a �, •, E: �,�- t,Y.. ,.
O On Site O Off Site Est.Vol.: . cubic yards ❑ Soo Vapor Exbaction
Describe: t 0 Structure Venting System
❑ Store O On Site O Off Site Est.Vol.: cubic yards ❑ Product or NAPL Recovery
❑ Landfill Q Cover O Disposal Est.Vol.: cubic yards ❑ Groundwater Treatment Systems t
• . A
❑ Removal of Drums,Tanks or Containers ❑ Air Sparging
Describe: ❑ Temporary Water Supplies
SECTION D IS CONTINUED ON THE NEXT PAGE
Revised 224195 Supersedes Forms BWSC-005, 006, 010(n part)and 011 Page 1 of 3
Do Not Alter This Form
Massachusetts Department of Environmental Protection BWSC-105
Bureau of Waste Site Cleanup
IMMEDIATE RESPONSE ACTION (IRA) Release Tracking Number_
TRANSMITTAL FORM Pursuant to 310 CMR 40.0424-40.0427(Subpart D) 11904
H. LSP Opinion(continued):
ki
I am aware that significant penalties may result,including,but not limited to,possible fines and imprisonment,If I submit information which I know to be false,
Inaccurate or materially incomplete.
❑ Check here If the Response Actions)on which this opinion Is based,if any,are(were)subject to any order(s),permit(s)and/or approval(s)Issued by
DEP or EPA. If the box is checked,you MUST attach a statement Identifying the applicable provisions th
LSP Name: MiChael A. POWetS LSP#: 3436 Stamp: _e11H OF
Telephone: (401) 421-4140 Ext.: — MIC
FAX(optional) (401) 751-8613 P 8 rn
. 3 36p
Signature: Ff3/g
S
Date: 20, 1998 �S1X PROS
I. PERSON UNDERTAKING IRA:
Name of Organization: TbOill1laS & Betts COrPOlratiOD
Name of Contact William 0. FtjaM Title: Corp. Manager. EwA r®mental
street 452 John Dietsch Boulevard Health Safety
CItY/Tawn: Attl ptnro Fal 1 r state: MA zip.code: 02763
Telephone: (508) 699-7646 Ext.: FAX( D (508) 695-7010
Check here If there has been a change in the person undertaking the IRA.
J. RELATIONSHIP TO RELEASE OR THREAT OF RELEASE OF PERSON UNDERTAKING IRA: (check one)
® RP or PRP Specify: J) Owner Q Operator Q Generator Q Transporter Other RP or PRP:
Fktufty,Secured Lender or Muniipality with Exempt Status(as defined by M.G.L.c.21 E,s.2)
Agency or Public Utility on a Right of Way(as defined by M.G.L.c.21 E,S.50
Any Other Person Undertaking IRA Specfy Rodlonship:
K. CERTIFICATION OF PERSON UNDERTAKING IRA:
I, William 0. Frigm ,attest under the pains and penalties of perjury()that I have personally examined and am
familiar with the information contained in this submittal,including any and all documents accompanying this transmittal form,01)that,based on my Inquiry
of those individuals immediately responsible for obtaining the Information,the material Information contained In this submittal is,to the best of my
knowledge and belief,true,accurate and complete,and(ill)that I am fully authorized to make this attestation on behalf of the entity legally responsible for
this submittal. IMe persoaX entity on whose behalf this submittal is made ads aware that there are significant penalties,including,but not limited to,
posslbl:fines and i nment, Ilfully submitting false,inaccurate,or incomplete Information.
ay.
y Title: Corp. Manager. Ewri*'o+lierital
(signature) Health & Safety
For frll & Betts Corporation Date: March.:-20. 1998
(print name of person or entity recorded in Section 1)
Enter address of the person providing certification,9 different from address recorded in Section I:
Street:
City/Town: State: ZIP Code:
Telephone: Ext.: FAX:(optionan
YOU MUST COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS
INCOMPLETE. IF YOU SUBMIT AN INCOMPLETE FORM,YOU MAY BE PENALIZED FOR MISSING
A REQUIRED DEADLINE.
Revised 2124/95 Supersedes Forms BWSC-005, 006, 010(n part)and 011 Page 3 of 3
Do Not Aker This Form
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
SOUTHEAST REGIONAL OFFICE
ARGEO PAUL CELLUCCI ,�
TRUDY COXE
Governor Secretary
DAVID B. STRUHS
Commissioner
O
'March 26, 1998
Mr. William Frigon RE: MASHPEE--WSC/SMP 4-11904 '
Thomas. and Betts Corporation 106 Falmouth Road
452 John Dietsch Boulevard IMMEDIATE RESPONSE.ACTION
Post Office Box 2510 PLAN APPROVAL
Attleboro Falls, Massachusetts 02763 MGL c . 21E & 310 CMR
40 . 0000
Dear Mr. Frigon
The Department of Environmental Protection, Bureau of Waste
Site Cleanup (the Department) , received and verbally approved an
Immediate Response Action (IRA) Plan on. March 23 , 1998, for the
above-referenced disposal site. The IRA Plan was submitted by GZA
GeoEnvironmental, Inc .. (GZA) on -behalf of Thomas and . Betts
Corporation (T&B)
Recent information presented to .the Department'indicates• that
fresh groundwater exists below the portion of Shoestring Bay near
where the contaminated groundwater is located. This fresh
groundwater may provide a pathway for the contaminated groundwater
.in the plume migrating from south of the Augat Facility to beneath,
Cotuit . As a result, an IRA Plan was discussed and proposed during.
meetings at the Department' s Southeast Regional Office in Lakeville
on February 6, 1998 and February 27, 1998 . A written submittal was
requested by the Department at the February 27, 1998 meeting.
The IRA Plan proposes 'the a'sampling of 20' residentialfwells in
Cotuit . The potential exists for these wells to be impacted with
contaminated groundwater from the Site if it passes beneath
Shoestring Bay. Sample locations are based on identified
groundwater flow paths and topographic ' features in Cotuit :
Sampling is contingent upon homeowners' availability and approval .
Each homeowner will be provided a copy of the Certificate of
Analysis and a letter providing a description of the laboratory' s
analysis of. the sample collected from their well. As stated in the
Thomas and Betts Corporation letter to. individual homeowners, dated
March 20; 1998 , if data suggests any need for concern or followup,
the homeowner will be immediately contacted.- A final report -will
be provided to the DEP, local officials and homeowners on or before
` April 10, 1998 .
20 Riverside Drive 0 Lakeville, Massachusetts 02347 0 FAX(508) 947-6557 0 Telephone (508) 946-2700
-2-
In addition, Thomas and Betts has proposed to conduct
additional tasks to better delineate the discharge location of
site-related volatile organic compounds as part of the work
conducted to support the review of the Class C (temporary) Response
Action Outcome.
The Department hereby approves the IRA.plan with the following
conditions/modifications :
1 . A detailed plan for any proposed additional studies to
better delineate the discharge location of site-related
volatile organic compounds must be submitted to the
Department within 30 days of the final report due date
(April 10, 1998)
If you have any questions, please contact Mark Wood at the
letterhead address or at (508) 946-2874 . All future communications
regarding this site must reference the site number: 4-11904 .
Sinc ely,
erard M.R. Martin, Chief
Site Management & Permits Section
M/MW/cb 1
CERTIFIED MAIL NO. Z 333 584 123
RETURN RECEIPT REQUESTED
CC : Barnstable Board of Health
Post Office Box 534
Hyannis, MA 02601
ATTN: Thomas A. McKean, Chairman
Barnstable Board of. Selectmen
367 Main Street
Barnstable, MA 02601
ATTN: William Rutherford, Chairman
Mashpee Board of Health -
16 Great Neck Road North
Mashpee, MA 02649
ATTN: Mr. Elias McQuaid, Chairperson,
Mashpee Board of Selectmen
Post Office Box 1108
16 Great Neck Road
Mashpee, MA 02649
ATTN: Ms . Judith Mills, Chairperson
I
-3
cc : Mashpee Water District `
108 Cape Drive
Mashpee, MA 02649-3077
ATTN: Mr. Dave Rich
GZA GeoEnvironmental, Inc.
140 Broadway
Providence, RI 02903
ATTN: Mr. Michael Powers
4 J.
John C. and Ramuta H. Bacon
750 Santuit Road
Cotuit, MA 02635 .
John T. and Gladys E. McCubbin.
206 Thornton Court
Palm Beach ,Garden, FL 33418
John Sedlack; Tr.
243 Westbourne Street
La Jolla, CA 92037
. Enid B . Zimbler
Post Office Box 2007
Cotuit, MA 02635
Robert E. and Regina G. Flynn
30 Lincoln Road
Wellesley, MA 02181
Beth F. McParland
220 Boylston Street, #9618
Boston, MA 02116
Kathleen C. France
20 Bogart Court
Princeton, NJ 08540
Gregg- and Roberta M. Ribatt
84 Eldredge Street
Newton, MA 02158 -
Margaret.-H. Lloyd
524 E. 72nd Street, Apt . 28B
New York, NY 100.21
{
David G. Mugar
222 Berkley Street
Boston, MA 02116
i
-4-
cc : Benjamin H. Heckscher, Trs .
Maurice Heckscher, II, Trs .
John H. Heckscher, Trs .
5 Guernsey Road
Swarthmore, PA 19081
Richard A. Kraus and Patricia G. Fiero
12 Clamshell Cove Road
- Cotuit, MA 02635
Carl and Bettina S. Sonderegger
605 Popponesset Road
Cotuit, MA 02635
Town of Barnstable
Conservation Commission
Town Offices
367 Main Street `
Hyannis, MA 02601
ATTN: Rob Gatewood
Paul A. and Maureen K: Tempesta
Post Office- Box 452
Cotuit, MA 02635
Amnon and Prudence Rosenthal
2105 Devonshire Road
Ann Arbor, MI 48104
Wingate and Janet W. Lloyd
4500 Cathedral Avenue, NW
Washington, 'DC 20016
Jennifer J. Lempke and Robert C. Livingston
Post Office Box 424
Cotuit, MA 02635
E.T. and R.A. Martin et . al . , Trs.
2750 Gulf Shore Boulevard, N. , Ste. 602
Naples, FL 33940
Frances M. Tallman
262 Clamshell Cove Road
Cotuit, MA 02635
Cotuit-Santuit Civic Association
Post Office Box 121
Cotuit, MA 02635
ATTN: Richard G. Barry, President
SCC Coalition
c/o Mr. 'Christopher Tufts
76 Sampson' s Mill Road
Mashpee, MA 02649
I
-5-
cc : Mashpee Environmental Coalition
Post Office Box 274
Mashpee, MA 02649
ATTN: Mr. Charles Costello
Mashpee Public Library
Post Office Box 657
Mashpee, MA 02649
ATTN: Augat Information Repository
DEP-SERO-Operations
ATTN: Kevin Kiernan, Assistant Regional Counsel
DEP-SERO
ATTN: Liz Kouloheras, Chief, Cape Cod Watershed
DEP-SERO-Data Entry
f
f
--- ----- —i -- — - �a
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P - '�-�-�
BIII Frigon ___.. (508)699-9946. -• ..�._.____
Manager,Corporate Fax:(508)643-3761 _._•1
! Environmental Health&Safety billfrigon/chq/augatCaugat
Thomas&Betts Corporation
8155 T&B Boulevard
Memphis,TN 38125
(901)252-5000
www.TNB.com
Thomas- elft
t
i .
t
i�
Thomas&Betts Corporation
452 John Dietsch Blvd.
P.O. Box 2510
Attleboro Falls, MA 02763
(508) 699-9800
Facsimile(508) 695-8111
Thomas o efts
April 2, 199.8
Paul A. &Maureen K. Tempesta
i
P.O. Box 452
Cotuit, Massachusetts 02635
Dear Mr. and Mrs. Tempesta:
Enclosed please find the laboratory results of the analysis of your well water, which we recently sampled. That
sampling was from a well which is no longer in service. The water samples were collected by GZA
GeoEnvironmental, Inc. and analyzed by the Mitkem Corporation laboratory. Chloroform was found in your
well water at a concentration ofJ8 parts per bi ��(ll o n. This contaminant is not related to the 106 Falmouth Road
Site. These results were sent to the Massachusetts Department of Environmental Protection(DEP).
We understand that the DEP generally advises that "there is currently no drinking water standard for
chloroform in non-chlorinated water supplies. The Department's Office of Research and Standards has
established a drinking water guideline for chloroform of 5.0 ppb in non-chlorinated water supplies. Chloroform
is considered to be naturally occurring and ubiquitous throughout Cape Cod.. . Chloroform has also been
associated with on-site septic systems." If you have any questions regarding chloroform, please call the
Barnstable Board of Health or DEP.
.As you may recall, the contaminants of concern at-the 106 Falmouth Road Site were industrial solvents and
cleaners potentially related to historic operations at.that facility. To test for such materials, the laboratory
analyzes for the range of VOCs specified by the EPA's testing method. That is why the Laboratory Analysis
Report covers such a long list of organic compounds. Beside the list of compounds are two columns of data.
The first column shows the concentration of the compound, in parts per billion (ppb), that was found in your
well water. The letters "ND" mean the compound was not detected. The second column shows the lowest
level at which the laboratory could accurately quantify the compound.
Freon 113 (1,1,2-trichloro-1,2,2-trifluoroethane) was also reported at 0.8 ppb. As denoted by the `B" on the
Laboratory Analysis Report for your sample, during Quality Assurance/Quality Control procedures, this same
compound was detected at approximately the same concentration in the two laboratory-prepared trip blanks and
in the laboratory method blank. Therefore, this contaminant is interpreted to be a laboratory artifact and not
present in your well water.
,F
r
We appreciate your allowing us to come and test your water. If you have any questions, please do not hesitate
to call Tom McShane at Thomas & Betts(508-699-9820).
Sincerely,
William O. Frigon
Attachment: Laboratory Analysis Report
cc: Town of Barnstable Board of Health
Mark Wood, DEP
CORPORATION
MITKEM
APR 0 2 1998
March 31, 1998
GZA GeoEnvironmental, Inc. U U
140 Broadway o- —_�
Providence, RI 02903
Attn: Ms. Hilary Fortune
RE: Client Project#: 31751.1-3, Cotuit Well Sampling (IRA)
Lab Project#: E0410
Dear Ms. Fortune:
Enclosed please find the data report of the required analyses for the samples associated
with the above referenced project. If you have any questions regarding this report,.piease
call me.
We appreciate your business.
Sincerel
Edward A. Lawler
Laboratory Operations Manager
175 Metro Center Boulevard • Warwick, Rhode Island 02886-1755 • (401) 732-3400 • Fax (401) 732-3499
1232 East Broadway, Suite 210 • Tempe, Arizona 85282 • (602) 303-9535 • Fax (602) 921-2883
email: mitkem@worldnet.att.net
MITKEM
CORPORATION
Client: GZA GeoEnvironmental, Inc.
Client Project: 31751.13, Cotuit Well Sampling(IRA)
Lab Project: E0410
Date samples received: 3/27, 3/30/98
Project Narrative
This data report includes the analysis results for ten(10) aqueous samples that were received
from GZA GeoEnvironmental, Inc. on March-27,30 1998. Analyses were performed per
specification in the.Chain of Custody form. For reference, a copy of the Mitkem Sample Log-
In form is included for cross-referencing the client sample ID and laboratory sample ID.
All of the analyses were performed according to method specifications. The method blank
associated with these volatile organic sample analyses contained low levels of common
laboratory contaminants methylene chloride and 1,12-trichloro-1,2,2-trifluoroehtane. These
compounds were also detected in several samples. Where they are detected in samples,their
concentrations are flagged with a`B". No other unusual occurrences were noted during sample
analysis.
This data report has been reviewed and is authorized for release as evidenced by the signature
below.
Edward A. Lawler
Laboratory Operations Manager
U0,, 1
Data Qualifiers:
J This flag indicates an estimated value due to either
• the compound was detected at below the Reporting Limit, or
• estimated concentration for Tentatively Identified Compound
B This flag indicates the analyte was also detected in the associated
Method Blank
D This flag indicates the analyte concentration was obtained from a
diluted analysis
E This flag indicates the analyte concentration exceeded the
Calibration Range
P This flag is used for Pesticides/PCB/Herbicide analyte when there
is a greater than 50% difference for detected concentration between
the two GC columns used for Primary and Confirmation analyses.
The lower of the two values is reported in the Analysis Report.
}
i
CORPORATION
Analysis Report: Purgeable Volatile Organics
Client: GZA GeoEnvironmental, Inc. Analysis Date: 3/31/98
Client ID: RW-15 Concentration in: ug/L
Lab ID: E0410-09 Dilution: 1
Analysis: Method 524.2
Reporting
Analyte Results Load
Dichlorodifluoromethane ND 0.5
Chloromethane ND 0.5
Vinyl chloride ND 0.5
Bromomethane ND 0.5
Chloroethane ND 0.5
Trichlorofluoromethane ND 0.5
1,1-Dichloroethene ND 0.5
Methylene chloride ND 0.5
trans-1,2-Dichloroethene ND 0.5
1,1-Dichloroethane - ND 0.5
2,2-Dichloropropane ND 0.5
cis-1,2-Dichloroethene ND 0.5
Bromochloromethane ND 0.5
Chloroform 8 0.5
`1,1,1-Trichloroethane ND 0.5
Carbon tetrachloride ND 0.5
1,1-Dichloropropene ND 0.5
Benzene ND 0.5
1,2-Dichloroethane ND 0.5
Trichloroethene ND 0.5
1,2-Dichloropropane ND 0.5
Dibromomethane ND 0.5
Bromodichloromethane ND 0.5
cis-1,3-Dichloropropene ND 0.5
Toluene ND 0.5
trans-1,3-Dichloropropene ND 0.5
1,1,2-Trichloroethane ND 0.5
Tetrachloroethene ND 0.5
1,3-Dichloropropane ND 0.5
Dibromochloromethane ND 0.5
1,2-Dibromoethane ND 0.5
Chlorobenzene ND 0.5
rr► 1 .
1,1,1,2-Tetrachloroethane ND 0.5 V 1
�' Page 1 of 2 E0410-09
CORPORATION.
Client ID: RW-15 Lab ID: E0410-09
Reporting
Analyte Result Limit
Ethylbenzene ND 0.5
Xylenes (total) ND 0.5
Styrene ND 0.5
Bromoform ND 0.5
Isopropylbenzene ND 0.5
Bromobenzene ND 0.5
1,1,2,2-Tetrachloroethane ND 0.5
1,2,3-Trichloropropane ND 0.5
n-Propylbenzene ND 0.5
2-Chlorotoluene ND 0.5
4-Chlorotoluene ND 0.5
1,3,5-Trimethylbenzene ND 0.5
tert-Butylbenzene ND 0.5
1,2,4-Trimethylbenzene ND 0.5
sec-Butylbenzene ND 0.5
1,3-Dichlorobenzene ND 0.5
4-Isopropyltoluene ND 0.5
1,4-Dichlorobenzene ND 0.5
1,2-Dichlorobenzene ND 0.5
-n-Butylbenzene ND 0.5
1,2-Dibromo-3-chloropropane ND 0.5
1,2,4-Trichlorobenzene ND 0.5
Hexachlorobutadiene ND 0.5
1,2,3-Trichlorobenzene ND 0.5
Naphthalene ND 0.5
1,1,2-Trichloro-1,2,2-trifluoroethane 0.8 B 0.5
QC Batch:V5B0330A
Surrogate Recovery:
Bromofluorobenzene 94%
1,2-Dichlorobenzene-d4 100%
ND= Not Detected
Single point calibration
Page 2 of 2 E0410-09
MITKEM
CORPORATION
Analysis Report: Purgeable Volatile Organics
Client: GZA GeoEnvironmental, Inc. Analysis Date: 3/31/98
Client ID: TB (3/28) Concentration in: ug/L
Lab ID: E0410-10 Dilution: 1
Analysis: Method 524.2
Reporting
Analyte Results UnA
Dichlorodifluoromethane ND 0.5
Chloromethane ND 0.5
Vinyl chloride ND 0.5
Bromomethane ND 0.5
Chloroethane ND 0.5
Trichlorofluoromethane ND 0.5
1,1-Dichloroethene ND 0.5
Methylene chloride 0.5 B 0.5
trans-1,2-Dichloroethene ND 0.5
1,1-Dichloroethane ND 0.5
2,2-Dichloropropane ND 0.5
cis-1,2-Dichloroethene ND 0.5
Bromochloromethane ND 0:5
Chloroform ND 0.5
,._1,1,1-Trichloroethane ND 0.5
Carbon tetrachloride ND 0.5
1,1-Dichloropropene ND 0.5
Benzene ND 0.5
1,2-Dichloroethane ND 0.5
Trichloroethene ND 0.5
1,2-Dichloropropane ND 0.5
Dibromomethane ND 0.5
Bromodichloromethane ND 0.5
cis-1,3-Dichloropropene ND 0.5
Toluene ND 0.5
trans-1,3-Dichloropropene ND 0.5
1,1,2-Trichloroethane ND 0.5
Tetrachloroethene ND 0.5
1,3-Dichloropropane ND 0.5
Dibromochloromethane ND 0.5
1,2-Dibromoethane ND 0.5 .
Chlorobenzene ND 0.5
1,1,1,2-Tetrachloroethane ND 0.5
,' Page 1 of 2 E0410-10
MITKENI
OR OR
Client ID: TB (3/28) Lab ID: E0410-10
Reporting
Analyte Result Lt t
Ethylbenzene ND 0.5
Xylenes (total) ND 0.5
Styrene ND 0.5
Bromoform ND 0.5
Isopropylbenzene ND 0.5
Bromobenzene ND 0.5
1,1,2,2-Tetrachloroethane N D 0.5
1,2,3-Trichloropropane ND 0.5
n-Propylbenzene N D 0.5
2-Chiorotoluene ND 0.5
4-Chlorotoluene ND 0.5
1,3,5-Trimethylbenzene ND 0.5
tert-Butylbenzene ND 0.5
1,2,4-Trimethylbenzene ND 0.5
sec-Butylbenzene ND 0.5
1,3-Dichlorobenzene ND 0.5
4-Isopropyltoluene ND 0.5
1,4-Dichlorobenzene ND 0.5
1,2-Dichlorobenzene ND 0.5
n-Butylbenzene ND. 0.5
1,2-Dibromo-3-chloropropane ND 0.5
1,2,4-Trichlorobenzene ND 0.5
Hexachlorobutadiene ND 0.5
1,2,3-Trichlorobenzene . ND 0.5
Naphthalene ND 0.5
1,1,2-Trichloro-1,2,2-trifluoroethane 0.8 B 0.5
QC Batch: V5B0330A
Surrogate Recovery:
Bromofluorobenzene 92%
1,2-Dichlorobenzene-d4 99%
ND= Not Detected
Single point calibration
Page 2 of 2
E0410-10
CORPORATION
Analysis Report: Purgeable Volatile Organics
Client: GZA GeoEnvironmental, Inc. Analysis Date: 3/30/98
Client ID: Concentration in: ug/L
Lab ID: Method Blank, V5130330A Dilution: 1
Analysis: Method 524.2
Reporting
Analyte Results Limit
Dichlorodifluoromethane ND 0.5
Chloromethane ND 0.5
Vinyl chloride ND 0.5
Bromomethane ND 0.5
Chloroethane ND 0.5
Trichlorofluoromethane ND 0.5
1,1-Dichloroethene ND 0.5
Methylene chloride 0.4 J 0.5
trans-1,2-Dichloroethene ND 0.5
1,1-Dichloroethane ND 0.5
2,2-Dichloropropane ND 0.5
cis-1,2-Dichloroethene ND 0.5
Bromochloromethane ND 0.5
Chloroform ND 0.5
:1,1,1-Trichloroethane ND 0.5
Carbon tetrachloride ND 0.5
1,1-Dichloropropene ND 0.5
Benzene ND 0.5
1,2-Dichloroethane ND 0.5
Trichloroethene ND 0.5
1,2-Dichloropropane ND 0.5
Dibromomethane ND 0.5
Bromodichloromethane ND 0.5
cis-1,3-Dichloropropene ND 0.5
Toluene ND 0.5
trans-1,3-Dichloropropene ND 0.5
1,1,2-Trichloroethane ND 0.5
Tetrachloroethene ND 0.5
1,3-Dichloropropane ND 0.5
Dibromochloromethane ND 0.5
1,2-Dibromoethane ND 0.5
Chlorobenzene ND 0.5
1,1,1,2-Tetrachloroethane ND 0•5 3
Pagel of 2 E0410-MB
CORPORATION
Client ID: Lab ID: Method Blank, V5B0330A
Reporting
nalyte Result Limit
Ethylbenzene ND 0.5
Xylenes (total) ND 0.5
Styrene ND 0.5
Bromoform ND 0.5
Isopropylbenzene ND 0.5
Bromobenzene ND 0.5
1,1,2,2-Tetrachloroethane ND 0.5
1,2,3-Trichloropropane ND 0.5
n-Propylbenzene ND 0.5
2-Chlorotoluene ND 0•5
4-Chlorotoluene ND 0.5
1,3,5-Trimethylbenzene ND 0.5
tert-Butylbenzene ND 0.5
1,2,4-Trimethylbenzene N D 0.5
sec-Butylbenzene ND 0.5
1,3-Dichlorobenzene ND 0.5
4-Isopropyltoluene ND 0.5
1,4-Dichlorobenzene ND 0.5
1,2-Dichlorobenzene ND 0.5
n-Butylbenzene ND 0.5
1,2-Dibromo-3-chloropropane ND 0.5
1,2,4-Trichlo robe nzene ND 0.5
Hexachlorobutadiene ND 0.5
1,2,3-Trichlorobenzene ND 0.5
Naphthalene ND 0.5
1,1,2-Trichloro-1,2,2-trifluoroethane 0.6 0.5
QC Batch: V5B0330A
Surrogate Recovery:
Bromofluorobenzene 93%
1,2-Dichlorobenzene-d4 99%
ND= Not Detected
Single point calibration
U ?
Page 2 of 2 E0410-MB
MITKEM CORPORATION
r
Lab Project#: E041O1�
Client Name: GZA GeoEnvironmental, Inc.
Client Proj #: 31751.13 Logged In By:
Client PO #: 3-01096
Project Name: Cotuit Well Sampling (IRA) Reviewed By: M-S
Date Due: 3/31/98
Total Price: $ - Date: �—31,E$ Time: 0�O
Project Mgr: PAS
Salesman: PAS
Del-Req'd: NA
Completed?: YES
Lab ID Client ID Matrix Analysis Sampled Received TPH IR BNA Herb Pip _Wfi lit V-GC V-MS &1h
-01 RW_1 AQ 524.2 3/27/98 3/27/98 1
-
-02 RW-7 AQ 524.2 3/27/98 3/27/98
1
-03 RW-24 AQ 524.2 3/27/98 3/27/98 1
-04 RW-17 AQ 524.2 3/27/98 3/27/98 1
-05 RW-23 AQ 524.2 3/27/98 3/27/98 1
-06 RW-18 AQ 524.2 3/27/98 3/27/98 1
-07 RW-8 AQ 524.2 3/27/98 3/27/98 1
-08 TB (3/27) AQ 524.2 3/27/98 3/27/98 1
-09 RW-15 AQ 524.2 3/28/98 3/30/98 1
-10 TB (3/28) AQ 524.2 3/28/98 MOM 1
TEU IR BNA Herb I'L WSJ lit . V-GC V-MS Suh
0 0 0 0 0 0 0 0 10 0
U13/31/98 9:52 AM Page 1 of 2 Lab Project#: E0410
MITKEM CORPORATION
Lab ID Client ID Matrix Analysis Price Sampled Received TPA IR BNA Herb PIP W!d 11I V-GC V-MS
NOTES: Addreot 1, a ltf ce,.. plrca1lbr�#lob ,. . ..,g>.
ORIGINAL REPORT GOES TO: INVOICE GOES TO: ADDITIONAL REPORT GOES TO,•
GZA GeoEnvironmental, Inc Attn: Hilary Fortune Same None
140 Broadway Phone: 401 421-4140
Providence,RI 02903 Fax: 401 751-8613
CD
G /3 I/98 9:52 AM Page 2 of 2 Lab Project#: E0410
WHITE COPY-Original YELLOW COPY-Lab Files PINK COPY:Project Manager W.O. #
CHAIN-OF-CUSTODY RECORD (for lab use only)
ANALYSES REQUIRED
Sample Daterime Matrix e V z s 3 d
I.D. a
s s a , 8 m Total
(Very Important) GW=G,—d W. e € 3 ; _ �. M of Note
sW=suflace W. 7 7 _7 J c 7 a U ll F .J
WW=wade W. o a o 7 l7 n : m Cont. Y
OW=D,S Lang W.
OIAe(pecCy) 7 2 (U7 1 7 .7 7 m 7 in a ~ =o. r a I f
Rev _ 3-1?-g8�13'.35 DVS/ ,
DIV
R VV- 23 f-2 02. DW '✓
RW_ g L, � io:�t8 DvV
Tb
Vq
_LL
PRESERVATIVE (CI-HCI,N-HNO3,S-H2SO4,Na-NaOH,O-Other)'
CONTAINER TYPE (P-Plastic,G-Glass,V-Vial,T-Teflon,O-Other)' '19
�IELINQUISHED BY:(Affiliation) DATE/TIME RECEIVED BY: (Affiliation) NOTES: Preservatives,special reporting limits,known contamination,etc.:
rELINQUISHED
(Unless otherwise noted,all VOA vials have been prese vedw/1:1 HCL.)
ED BY:(Affiliation) DATE/TIME E EI BY: (Affiliation) ['� ltaywa y j /' '`O Q fL ��/� /BY:(Affiliation) DAT /TIME RECEIVED BY: (Affiliation)
L�t
PROJECT MANAGER: (D�> )01'-' EXT: I (O
TURNAROUND TIME:❑Standard 2 Rush -al—Days,Approved by: SP eG�e
GZA FILE NO. 13 P.O. N.O.
GZA GEOENVIRONMENTAL, INC.
ENGINEERS AND SCIENTISTS PROJECT 0_0T-0I-r VJ&L.L_ SA-MPL-IM y (L 1
140 Broadway
PROVIDENCE,RI 02903 LOCATION COTy I-rt_A& .
(401)421-4140
FAX(401)751-8613 COLLECTOR(S) /H I)f::-&J-rr SHEET OF�_
WHITE COPY-Original YELLOW COPY-Lab Files PINK COPY-Project Manager W.O. #
CHAIN-OF-CUSTODY RECORD (for lab use only)
ANALYSES REQUIRED
Sample Date/Time Matrix
I.D. � o
m 's
7
sA.
=s a F o , 7 8 m = s _ Total
(Very Important) GW=G,o,nd W. 3 m $ a - #of Note
SW=S,flace W. 1 7 1 7 p a U S n 1'
wW=wane W. n o 0 0 y Cl) Cont.
DW=D�inkin9 W. ]
= n
n', a �
an.i:oe�ayt 1 S U 7 7 7 l m 7 d Fa 6 f L 3 2 N
'RvJ-15 3 n pia Ilo;z0 avi ✓ 3
*EEE (CI-HCI,N-HNO3,S-H,SO,,Na-NaOH,O-Other)'
YPE (P-Plastic,G-Glass,V-Vial,T Teflon,O-Other)'
ED BY: (Affiliation) DATE/TIME RECEIVED BY:(Affiliation) NOTES: Preservatives,special reporting limits,known contamination,etc.:
(Unless otherwise noted,all VOA vials have been preserved w/1:1 HCL.)
3 � 0 J G(S � - Ci rIrED BY (Affiliation DATE/TIME , RECEIV D BY:(Affiliation) }mot t yr L,.+ l 5 leS Ga(Je.C�c 11- G(, r���4 I� oh
RELINQUISHED BY: (Affiliation) DATE/TIME JWErIVED BY:(Affiliation)
PROJECT MANAGER: A It---,P Z-t'0 RT0 3C' EXT: 3 1 Zb
TURNAROUND TIME:❑Standard 0 Rush Days,Approved by:
GZA FILE NO. 73,1 a-SI 13 P.O. N.O. 3 - 01 Dq(o
GZA GEOENVIRONMENTAL, INC.ENGINEERS AND SCIENTISTS PROJECT C )TOI-r w1 OL� _-AktPut�'
140 Broadway
PROVIDENCE,RI 02903 LOCATION ,,'TOIT., AAA,
(� (401)421-4140 J
FAX(401)751-8613 COLLECTOR(S) W I=r)2T O ,/ 44 • F fzT0QG SHEET— OF�—
MITKEM CORPORATION
Sample Condition Form Page Lq
Received By: / Reviewed
'By: Date: j J 1MITKEM Project: a
Client Project: Cv f� vt�Cal,( Client: �p
Sample 1D Preservation (pH) Comments/Remarks/
Condition: Lab Client HNO3 H2SO4 HC1 NaOH Corrective Action*
1) Custody Seal(s) Presen Absent �:Z
Cooler /Bottles -Z)3
Intact/Broken
c3/
2) Custody Seal Number(s)
AA & .
3) Chain-of-Custody Presen bsent
4) Cooler Temperature
Coolant Condition
5)Airbill(s) Presen bsen
Airbill Number(s)
6) Sample Bottles I tta
Broken
Leaking
7) Date Received
8)Time Received
9) Project Due Date
• I
* See Sample Condition Notification/Corrective Action Form yes no U ? 9
`e
MITKEM CORPORATION
Sample Condition Form Pagd:2bf-2
Received By: Reviewed By: Date: 3 3 a C IMITKEM Project: b
Client Project: Client:
Sample ID Preservation (pH) Comments/Remarks/
Condition: Lab Client HNO3 H2SO4 HCI NaOH Corrective Action'
1) Custody Seal(s) (Presen Absent —ID
-26
/ ooler'/Bottles
c Broken
2) Custody Seal Number(s)
3) Chain-of-Custody O'PreseAbsent
4) Cooler Temperature
Coolant Condition
5)Airbill(s) Prese Absent
Airbill Number(s) -
6) Sample Bottles Intact
Broken
Leaking
7) Date Received 3°
8)Time Received OO
9) Project Due Date
* See Sample Condition Notification/Corrective A,i tion Form yes/no
0 0
J
f
Last Page of Data Report
i
TOWN OF BARNSTABLE
LOCATION 914 $?VeL1e Cyan 1 L, �t/€ SEWAGE
VILLAGE cor�i'T- ASSESSOR'S MAP & LOT �Py /'lo�o3ot
INS)TALLER'S NAME & PHONE NO. g- tl K L A6 IZ NJ:Z !S
r
SEP'11C TANK CAPACITY ,(�s .' /2�v G ac rA y
d, byte. ?'
LEACHING FACII,ITY:(type) ( L ��.'s (size) /�
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER lr/eLL
BUILDER OR OWNER ' ,Ikea AL L_ -rcA4 Ve s-fd
DATE PERMIT ISSUED:
DATE COLIPLIANCL' .SSUED:
VARIANCE GRANTED: Yes No
i .
T
A de. I Y
r
v LV N y
az
ASSESSORS MAP NO: OIL
1
No:......1...._... PARCEL N0: Fss..
THE COMMONWEALTH OF MASSACHUSETTS
A P P R O V E D BOARD OF HEALTH
Barnstable c. �rvation commission TOWN OF BARNSTABLE
Signed at 4 7x1t'�pasal Works Tomitrurtion i rrmil
Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal
System 0:
' U� .....----•--------------------------------•..--•-----------....---••---•---•.........------.
Al-D Lot No
•. '� - !-�1- .l�••......---�................ Address
... . .
W O er
a ......... ----- - �--_-------------•--
Installer Address
Q Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )Other—Type of Building
ag ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures .----•-----------------------------•--------------------------------------------------- .............................................................
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
C4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
' Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of.Test Pit---:................ Depth to ground water........................
9 --------------------------------•--......------------------.--•--------.........-•----•-•-••-••............................................................
O Description of Soil - •- -- 0.
W
U Nature of Repairs or Alterations—Answer when appl ble............................................................................................ ..
-------------------------•-----------------------------------------------------.......-•----•------------------------------------------.
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 is e the o rd of health. l
Signed.. - - -- -- -------- .........
.. ........ . ........................ Date
ApplicationApproved By......... ........ ....... ............. ....... ... .. - -- ----- ---------- ................................... ----------- ---------------------------
Date
Application Disapproved for the following reasons- ----- ----------------- -------------------------------------------------------------- ------------------------------------------
-------------------- -----------------------------v�--- ......------------------.....--............... Date
Permit No. .-.. ----- Issued
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
x1ertifirate of C�nxrtplinure
THIS ISM- ,
TIFY, T a e) } dual Sewage Disposal System constructed ( ) or Repaired ( )
by......( ------ ------- - ------ .-�....---------------- ----.......------...........-------...........------.................--....................--------------------- .
Installer 0
at ................... ---------- �Ip --... ------- {►�/ r -..-----
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ................................................ dated -----------------------------------------.......
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARA EE THAT THE
SYSTEM WILL FUNCTION S ISFA Y.
DATE ................... Inspector .... ....-.. '
J �..
1 L f �0
No... --._. Fps.... .......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
t�Uc'\ �1
tr�iration f nr Disposal Works Tonotrnrtiun ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( � an Individual Sewage Disposal
System at
.......� ._ . .. � 1. 11E -�'c�rUIT
o ti h-=Add ress or Lot No.
• .�...... .. �;�� -------------------- ..........--.....................................................................................
/Ow�er j ............................................
Address
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers
a YP g ---------------------------- P (----)--- Cafeteria-(-•---).
� Other fixtures -------------------------------------------------------•-•----•-----••-------•-•-•-----.--•-•----------...---
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons
,
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth.................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No----_-------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
►� Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. ]................minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of.Test Pit---:................ Depth to ground water........................
P40..d --••-•••--•--------------••--------•---•--•-••••-•---•--••-•-•-•---••-•-----•-•-••-•-......•----.............................................................
0- . Description of Soil---•-------- VIV/ - - -- -..., --- n--------- --•--------------•a-----•-------------
...............
•.
---------------------------------.--•------------------------•-•-••-------------••............•--• •.---•----.-••-••-•-••-•------•----•--•--•-----.---••--•--•---••---.--.----••......•...--.....--....
U Nature &f 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 iss>ed b the bo d of health.
__..
Signed (. .. ,-.- ---- . :�....... /.....r ...
Date
Application Approved By -----,.,007. Yl..
----------`..... .............. --•---.... .........--•._f..................----............. ............--"LY.....................
Application Disapproved for the following reasons: ---- ---------------- ------- ------ ---------------------
PermitNo. --...�./ ----- -- ............... Issued ............ .....................................................
Date
Date
1
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE `
Cextifirate of CITuraptia re
THIS IS V,6'7, 1FY T at he)I dual Sewage Disposal System constructed ( ) or Repaired ( )
by ... V.. �---------------------Installer.-..-.....--.....-----..-.-.-..-.---...............0..------........--...----............---------------------------
at -----------.... 1/.........f!Gt '. ... ,�1 >-CJ.J�v 4 lF... /'� 1�-•�/ L..
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ................................................ dated ................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTIONSATISFACTORY.
DATE......................................`t��--...1.. �...."1....1........ Inspector ....... /�y%-.(i !. —
P , l
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No...
(� TOWN OF BARNSTABLE I
r................. FEE ................
Ropsal Vprys 5onstr�}It.
Uan 'unfit
Permission is hereb ranted ................� ..__.__ 1 ..c ._
to Constr ct ( ) R air ( an Individ al Sewage Dis osal S, tem 'o
`� fStree t ��
as shown on the application for Disposal Works Construction Permit No....:..........o _ Dated...... . .................!....
Iv Board of�Health
/
DATE............. .. t__I. .1-- -•---•----
i
FORM 36508 HOBBS Q WARREN.INC.,PUBLISHERS
-TOWN OF BARNSTABLI
LC'CATION .4A/€ ,SEWAGE #.
VILLAGE
ASSESSOR'S MAP fir LOT 63a
INSsTALLER'S NAME Si PHONE NO.
SEPTIC TANK CAPACITY ,E tf /.2<, GkC
LEACHING FACILITY:(tYPt) �HG1�j
a ���o G�«L �,s (size 6 �70
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER Gr4LL
BUILDER.OR.OWNER PAT��rh��.525
DATE PERMIT ISSUED: /U//D/.�l/
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
----
New i p, l
Y
:3/ =
*:
yous
'�7 Fes ..
No.. .......... ..................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
QlsO. _................OF.....V "I 'A13L- .......................................
Appliration for Bispoiia1 Works Tomitrnrtinn ramit
Application is hereby made for a Permit to Construct ( VI"or Repair ( ) an Individual Sewage Disposal
System at:
.. -
fWd ..--•----- -------.----------o.Locatis .a........ ..._ .......
er Address
--------. ....... ------.. .. -- -----.- . -----
--------
----------- -
In alley Address A
d Type of Building Size Lot_. _i---A r�..S t
U Dwelling—No. of Bedrooms............... Expansion Attic ( ) Garbage Grinder �(4)
��+ —
Other—Type of Building ............................ No. of persons............................. Showers ( ) Cafeteria ( )
Q, Other fixtures ------------------------- ••--- . --------------- .....----------------------
W Design Flow.................. ...... __gallons per person per day. Total daily flow..__..•-_..___...__.___ -------_ . ........gallons.
9 Septic Tank—Liquid capacity........_...gallons Length................ Width................ Diameter---------------- Depth................
_... W
x Disposal Trench—No..................... Width....... Total Length.........._......... Total leaching area__..�O
....................sq. ft.
. .................. Depth below inlet..... ..j
. Total leaching area. .2...sq. ft.
Z Other Distribution box ( ✓� Dosin tank ( ? (�.
'—' Percolation Test Results Performed b -,A:T 15.........k...IWO ..W Date.......__
Y.n
Test Pit No. 1...... minutes per inch Depth of Test Pit-------- Depth to ground water________________________
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.........................
.................................-..................................................--------•---•---.....................-..........................-.......
Description of Soil .. ••---------•--- --------------•----------------......------------••----------•-
---
W ••-•--------- ---------------------------...... •-•---------....---••--•--•-•--•------------------------------------------------------------------------•••---------•---•----------••-------.._.........
VNature 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 iITL% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the and o th.
Sied.... '>` ...... ....- --•....................................../�1-,,&t-e
Application Approved By
,
Date
Application Disapproved following reasons:--- •---------••--------------•-----•-------------------------•----------------•---------------•---------....._
.............................•-•----.....---•-••----•----•-.....................M.......................--•--•---------------•--------•-•---•-•---........................-----•... --•----•••••--
Date
PermitNo......................................................... Issued........-..............................................
Date
Fimsx<..._...............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
?U.'- OF...... .f .t�L`��1,..��.'F^�1- 1=-'-......................................
Applirati�att' for 14,4pnii al Works Tnnitrnrtiun rami#
Application is hereby made for a Permit to Construct ( ✓'"or Repair ( ) an Individual Sewage Disposal
System at:
• -------------
Locatio dd ess
or Lot N
... ....................... ... �� -: - --•---------
. ner Addre s
a .. ��' ..... - ------------- ..... ----------------•-•--•-
..
ns alley Address f.!R
Type of Building Size Lot._r� �.. __ r,.:Sq--4!eet
.-� Dwelling—No. of Bedrooms-------------- _________________________Expansion Attic ( ) Garbage Grinder �0)
�'4 Other—Type e of Building No. of ersons............................ Showers
YP g --------•----•-•--•--------• P (---->-- Cafeteria ( )
Otherfixtures ------------------------------------•--••-------------•--•••............--• ----------- ----•-----•--•••--... ................................
W Design Flow...................S_<1_•--____j__________gallons per person per day. Total daily flow.....................�.5..Q.....__gallons.
WSeptic Tank—Liquid*capacity_.0'00.gallons Length................ Width................ Diameter_----.__-__--_ Depth..............
xDisposal Trench—No......... ........... Width.................... Total Length.............. Total leaching area•._-._.:............sq. ft.
Seepage Pit No..........1.._....... Diameter.........b...... Depth below inlet...... ......... Total leaching area.ZO_.�_..sq. ft.
Z Other Distribution box ( Dosing tankk-
`"' Percolation Test Results Performed by.--��-..aL.A+A- .._-_..._. '.._ _f � ..r Date.........�"•'.�_ .�..... .-
�] -
Test Pit No. 1.__.._`��-:-'minutes per inch Depth of Test Pit________-__�-__ Depth to ground water________.—____________
Gz, Test Pit No. 2:...............minutes per inch Depth of Test Pit.................... Depth'to ground water........................
a .............................•----------•---------------.....:::.
O Description of Soil...............................................
.--- .............................
V .................... L. .L�......._-••-.. ���: L.U.KA--•--•-------- -------'. ........................................................
0 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 TITS 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the b rd ofbrakh.
Si 'd ----- -• ..
//
ate
ApplicationApproved BY---t--- �-�'-`-- -•--.-.................................................................... f
Date
Application Disapproved r he following reasons:-------•----------------------------•-------------------------•-----------------......•-•-•-...-•-•••........._
.....•••.---••-•••-••--•----••••••-----•.......•••---•-••-•-•.•---••-------•--•.................•--•-----•--•--•---•••••--•-•-••--••••-••---••--••••--•••-••---•-----•••-•---•••----•••••-•-•--•--•-•---
Date
PermitNo.......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF H ALTH
few. ........................OF...�. ..... . G;r:. .....................................................
CInrtifiratr of Tnntpliatta
TH S IS TO CE TIF That the Individual Sewage Disposal System constructed or Repaired ( )
bytee ..f .:.:.,: _...... .........................................
Installer =
has been installed in accordanitith the provisions of TI`�L: 5 of The State Sanitary Codd as described in the
application for Disposal Works Construction Permit No-----------------__ ............. dated-.��,,L 1�..'�'r-_..___...............
THE ISSUANCE OF THIS CERTIFICATE SMALL NOT//CONSTED AS A GUARANTEE THAT THE
SYSTEM W! F NCTION SATISFACTORY.
DATE.... _ --•---•------------------------------•---------------- Inspe ..........-•--------------••---........••-•--..._....----••.....
THE COMMONWEALTH OF MASSACHUSETTS
BOAR F HE T
°.......
i
No....� ... .. .� FEE..-...-J................
nrk -ion anti#
Permission is he y granted rl .l.._.._.. . y
to Construct Repair an Individual Se a s osal System
at No -- �` r �1ad.C- 7.h. -----------------------------
.t � Y l
as shown on the application for Disp Works Construction Permit No ...:"4- Dated...` ._...
...................... •-... .... •--------
�r Board of Health
DATE �� Z: ----------------- t
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
l --- I
P93
SINGt� FAMILY - �5 BEOCRooM
►,JCS Gau.O<*GE �jW►.JDER. //_ ,_ C.B
DA1b.Y FI-OW a 110 A 3 = 3306•PSD
5EPT%G TASK = 330x150'% =-4956.Po 0/ -bl,�o
u5E I000 GAL.
1 015P05AL' PVT USE loon 6AL.
E•�y�ii3JS Z7j
6%DG.WALL AR-SA. = 15�06.t; wit,
►50 5.F X 2.5 r 3?7 G.PD ,9 2.4� �c..
BOTTOM AREA a yo �F•_ %?
'TOTAL. DESIGN * .4-25 G.P� n•S
'ToTAL pA I L'( FLC>W = 330 C.Po \�� �N° i8.4 IUD i
PE2CoLAT►oN P-AT6i I"IN VAIN
bnR• �
SLSVA-n0t�57 $Q S`D ��/
1
� , j19 •Z I
AIAN 9c1u+\ Q� ub T®
RICHARD o W. • f1, IS.L 6Xl'•
A. ,� 10 S AQ6 A
BAXTER No 1
Na 24048 Q
e8 C-8
_o stt�`IE'y AL 392.07'
QEIOve Mt> QEPLA m uti ewr m 3� /7 T o P F1,09�Ig :. ..
T��,T P I o.SD MAeTGmmt-. log ALL AlzovLb
NoL� 4-S-PJZ- .�r,•5 •
• 15 ,,. ���ry '� INV. I C7
r
I� LoILM ►oov INS•
II { D15T. INV. SC, I- 14.S , e
S✓�o+c.
1000 INS( 1c�.t, TANK
Gat.. 14,0 • .
LEAGLI
PIT INV. INV.
WITW 14•Z 14.A
5 CLEM 1'/3/9.1 VL
AA 6i> WASNGD �
8.0
GERTIFIGD pLoT PLAID
PROFILE LOZA•TloW C.oTVff
$, Wo SCALE SGSAI.E �1 (f7C�. VATS OGj". 'LG�IQt3
Nv Y)ATE- DA,t P L.A N RE F E 2E►J GE
CERTIFY 'THAT THE Fvv4bATI09 5Nowo
I.{E.REoW CoNIPL`?5 WITNTV4r LOT 2�
AWD SE-t5o►GK R.6QuIR.EMENT> q F -C41E-
-fowN of -%Ara►44Ta%L3 ANv OT
LOGp.TE D W ITHI T 6 FLo D P I tJ LAND �ov2T
BAxTEcZe IJYE INC.
iZEG I SZ EZrmrD'1•.A►4 D 5 U MY EYo EtO
Tuls PLaN 1�� wcrr gt%5r=n ck1 AN 0STE1ZVILLEr • Ss•
Iu5TR.UMr--NT SUZVC-ly J "-0 S oFF5ET5 'S"OU1,�
No"T DG- U,c.nT� DCTr:.s' I►-IC Le-, 1. II1G�j APPI-ICA�T pAUL. �aMFCSTA
LOCATION SEWAGE PERMIT NO.
VILLAGE
I N S T A LLER'S .Am[ i ADDRESS
J "
U L D E R OR OWNER
l
0 A T E PERMIT ISSUED
DATE COMPLIANCE ISSUED ,��„�� �
l
i
r
a
� f (14-7
v
l