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0095 PINELEIGH PATH - Health
ol 95 PINELEIGH PATH, OSTERVILLE A= o ' o a 0 G o _ e . TOWN OF BARNSTABLE � � LOCATION SEWAGE # T VILLAGE ASSESSOR'S MAP &LOT D �. E INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) NO. OF BEDROOMS i BUILDER OR OWNER D2114),ehlox PERMITDATE:_— C COMPLIANCE DATE: 0 Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 v, TOWN OF BARNST.ABLE � + LOCATION SEWAGE # Cl el -477 `3LAGE ASSESSOR'S MAP & LOT D 706 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) 1{02 X T NO. OF BEDROOMS BUILDER OR OWNER D�Uh�lO� PERMITDATE: /,aAZff COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 V fft Q 9 0 �d r j r Fee ee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pprication for Mioposml *pztem Construction Permit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Assor's ion Address or Lot No.�P1 N E t�\(9 H PP►� Ow er's Name,Add ss d Tel.No. Map/Parcel •� / O � i N C —1(o F4 r ! Q ry =� Installer's Name,Address,and Tel.No. Desi ner's c Name,Address and Tel.No. Type of Building: T%" D—) Dwelling No.of Bedrooms Lot Size 46,ZM sq.ft. Garbage Grinder Acp Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flo a�o gallons per day. Calculated daily flow 33 gallons. Plan Date Ana S'p 199� �ytuber of sheets Revision Date �� y Title `v ITF P� 95 �t'1► GLEN G[—c i-r-A V5,1ME1 Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Certifi- cate of Compliance has been issued b his Boar of He lth. Signed � - aj Q Date Application Approved by 0 Date Application Disapproved for the following reason Permit No. Date Issued ;mot, .y a r n.. ,w _ ter• . t '>.k- .✓No. ..., Fee _jW, THE COMMONWEALTH.OF MASSACHUSETTS Entered in computer: Yes x PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(pprication for Migoml *pgtem du5truction Permit Application for a Permit to Construct( )Repair(>I()Upgrade( )Abandon( ) El Complete System ❑Individual Components Loa ion Address or Lot No.9�5 Qt N E. l�16 f �A Owger's Name,Add ss d Tel.No. O S 2 4 8oe5 Jos vH ON,,� O s ssor's Map/Parcel —T ` / 2 �(t w E t 16 µ ;/� t ` Installer's Name,Address,and Tel.No. Des�ner's Name,Address and Tel.No. A2& 33AL4 i�r2L�U Lc..t V A,&-A Type of Building: Dwelling No.of Bedrooms Lot Size 4(o) ZCQ sq.ft. Garbage Grinder(1 L Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flower gallons per day. Calculated daily flow 3 31' gallons. Plan Date AO( G, 199g tuber of sheets Revision Date ►v1 c kA t✓ Title S 1 TF Nl E L E 161-1 1A NSTE-P. Size of Septic Tank I Type of S.A.S. Description of Soil �g Nature of Repairs or Alterations(Answer when applicable) f 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 Certifi- cate of Compliance has been issued b his Board of Health. ' Signed ow ` a Date /0'6� Application Approved by Yz:�X41XA Dated. Application Disapproved for the following reason ` Permit No. "'" Date Issued h ------------ ------------------ ------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS R Certificate of compliance I THIS'IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgradefd Abandoned )by 4tat en constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance of this permit shall not be con�styr ed as a guarantee that the system will function as designed. Date f f - /5 % Inspector it I THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpooal *pgtem Conwtruction Permit Permission is hereby grantedd Construct( )Repair Upgrade( )�bn ),/ System located at and as described in the above Application for Disposal System Construction Pernut:-The applicant recogniz his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction us be o pl ed within three years of the date of&/I�) Date: Approved by /�. }:f FG.35.7 F.G.33.5 SYSTEM 11 DESIGN DATA Single Family-3 Bedroom(Des ig n) With no Garbage Grinder 33.7 31.5 Daily Flow=110 x 3=330 GPD 33.4 1500 Gallon 33.2 Too EI.32.5 Septic Tank c 330 GPD x 200%=660 GPD Septic Tank 31.9 Bo_t.E129.5 Use 1500 Gallon Septic Tank 31.7 • LEACHING AREA Bedding as Ground Water @Elev.Less Than 330 GPD/0.74=446SF Required Per Title 5 5.0,As Per TO. Ground Water , Map. Sidewall=2(12'*25.)2=148 S.F. Bottom Area=12'z25'=300 S.F. 448 S.F.Total Provided SYSTEM I -LEACHING CHAMBERDESIGN DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM All Pipe Gal.Leaching am use 2-500 Gal.Leaching Chambers Ina , Not to Scale 12'x 25'Washed Stone Field as Shown FG.35.7 - SYSTEM 2 F.G.34.0 DESIGN DATA Single Family-5 Bedroom(See Note 8) 33.7 2 0 With no Garbage Grinder = 1 Top El.33.0 Daily Flow=110 x 5 550 GPD 32.8 Sept Gallon 32 SepticTonk;550 GPD x 200%=1100 GPD Septic Tank 32 4 32.2 Bot.E 1.30.0 Use 1500 Gallon Septic Tank + sr . ,J. LEACHING AREA Bedding as 550 GPD/0.74=744•SF Required Per Title 5 Ground WaterfWElev.Less Than Sidewall=2(12+44)2=224S.F 5.0,As Per T.0.B.Ground Water Map Bottom Area=12 z44'= 528 SF. 752 SF.Total Provided SYSTEM .2 LEACHING CHAMBER DESIGN DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM 5--509GalPis tobLeaching Chambers Ina Not to Scale 12'x 44 Washed Stone Field as Shown Flnish Grade NOTES 1.Water Supply ForThis Lot is Municipal Water. Filter �_ 2 Location of Utilities Shown on This Plan Am Approx. Fabric Compacted Fill At Least 72 Hours Prior to Any Excavation ForThis Pro�� " Notif c t on The to Dig Sate(1-800-3l Make 22e48a Required Tz- OF I/8I/2 4Pea Stone 3 The Contractor is Required to Secure Appro riate Permits From Town Agencies For Construction Defined byThis Plan. ro Install Risers as Requiredto Within 12"of Leaching 3/4"-11/2" Finished Grade. Chamber Double Washed 5.All Structures Buried Four Feet or More or Subject' Stoneto Vehicular Traffic tube H-20 Loading. r 4-10 I 6 Septic System to be Installed in Accordance With 12'-0" 310 CMR 15.00 Latest Revision And The Townof Barnstable Board of Health Regulations TYPICAL BOTH SYSTEMS Z All Piping to beSch.40 PVC. CROSS SECTION OF CHAMBER. 8.Bedroom Count Per Title 5.Total Room Count '-.:NOT TO SCALE Divided By Two(2).See Architectual Plans.'- PETER SULLIVAN NO.29793 CIVIL SULLIVAN ENGINEERING INC. JOSEPH O'CONNOR OSTERVILLE MASS. 95 PINELEIGH PATH" SHEET 2 of 2 AUG. 5 1999� OSTERVILLE, MASS. 09-22-1999 08:45AM CENT OST FIREDEPT 5087902365 P.02 ►vaaae<m celJ}iaavauws to juvas rite 1 F'i8e Department retains original application and issues dupes as Permit.i- � t2�� rA .07 ~t ,\ � and T Ems' APPLICAI $25.00 f r storage tank rerrimaJ and transportation to approved tank disposal yard in accordance with the provisions "'f,M.G.L. Chapter 148.Section 38A, 527 CMR 9.00, application is hereby mate by: Tank Owner Name 4*me print) Joseph O'Conner X Address r 95 Pine Leigh Path, Osterville Sb"- Cay I State La Company Name Enviro-Safe Corp. Co or individual Enviro-Safe Corp.. Address P 0 Box-3f}4r eh, MA Address Signature(if apptyina ti =ermit) Signature{if applying:Cr 7ertri li4A Ct Certifier Other r 1 ertified • as Tank Location 95 Pine Leigh Path, Osterville, MA unknown ` �~ #2 Fuel Oil Tank Capacity(gaiicns: Substance Last Store--' Tank Dimensions(*ar*r !x length) Remarks: WA-ix e- Firm transporting warm Enviro-Safe Corp. State Lic. # MA-329 Hazardous waste matib9=1 E.P.A.# Turner Salvage 002 - Approved tank yard Tank yarn!# Lynn, MA Type or inert gas Tank yard address Centervilld, MA 01920 City or Town FD1D# Permit# ) September 21, 1999 October 5, 1999 Date of issue � Date of expiration i Dig safe approval numicer 19993902812 ..� Dig Safe Tort Fes Tel.Number-80f 322=4844 Signature I Tine of Oftrcer.=nting permit After removai(s)send F!D .r:-'?•29OR signed by Local Fire Dept.to LIST Regulatory Cordloiat=unit,One Ashburt Place, Room 1310,Boston.AAA 3'08-1618. i IIO Ana,.,...:.�.•nn+e•�} :.._:.;K„'. � TOTAL P.02 s`6 x � h r r r ' �r s aoof� jzj 071002 ItM. .S�et1 .. ::::.p:::::::::::..:..:............... ... 071002 ............................. 01/01/194812/19/1999 >:> >:;;>:;:;:;>:»>s»»»» ::>::s::::>::>::>::>::>::>::>::>::>::::::>::>::>::>::>::>::::s>::»»::»::>::s::»»»::>:::::: ::>::>......>::>::::>::>::>:: �F�i�ai:( '< ...CI 3li7lhTftitiE1 <«` << > »': :::'C ::::::::>:;::<;;`< :`.':zzz'»»> > `:::;::::>::<_> :>: : ' z < :::............P!.......1.................................................::::::....... :..:.. :teat.:::::::::::::::::::::::? :J!? #�O#1.:............. 000500 S S < > '`3 ADVANCED ENVIRO.SERVICES :.... >:<::::::»::::>:....:>:>::>::::>::::>:<:; ` ll ?EE E i of Health Complaints 22-Sep-99 Time: 11:30:00 AM Date: 9/21/99 Complaint Number: 2091 Referred To: GLEN HARRINGTON Taken By: K.S. Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: Ord Number: 95 Street: Pine Leigh Path Village: LE Assess rs Map_Parcel: D ` 0 SiI Com ain is Name: Kath enterville Fire D Address: Telephone Number: 790-2380 Complaint Description: The fuel underground tank removed, and leaking was observed. Actions Taken/Results: GH - EnviroSafe pulled an abandoned 275 gal. #2 fuel oil tank that was used for fuel to pool heater. It was located behind pool shed. I was called by COMM FD but the FD was not present when I was on-site. Nick Christiani from EnviroSafe, Jack Delaney, Dave Bennett from Bennett &O'Reilly and crew from Hickey Construction were present. Evidence of.weep holes in tank were reported by Dave Bennett. Dave Bennett said that headspace analysis of soils from sidewall and bottom of the hole did not exceed the 100 ppm threshhold, therefore, the release could be handled as a Limited Removal Action and no reporting to DEP was necessary. I agreed with him. Approx. 12 cy of soil had been removed. Five samples were to be sent for DRO laboratory analysis with a three day turnaround. Dave Bennett will send copies of LRA reports to us after closure is achieved. Investigation Date: 9/21/99 Investigation Time: 12:00:00 PM 1 i r r Health Complaints 22-Sep-99 2 74(/12 cc I r d- S w S �"19,.6L dU 1�. R Low i 1 �I ICI iF. �i 1, i� I� I. 1f I. 1i GEIRTERYILLE-OSTERY'ILLE-MARSTURS MILLS FIRE DISTRICT 1875 ROUTE 28 CENTERVILLE, MA 02632 (508) 790-2380IFAXO(508) 790-2385 OILMAZARDOUS MATERIAL RELEASE FORM F.A.*_. LOCATION: ADDRESS OF RELEASE DATE OF RELEASE• A 5 �( f PRODLl T RELEASED: , =6 �.A (} t !' ESTIMATED QUANTITY � ,r - All CORRECTI'VE ACTION TAKEN BY RESPONSIBLE PARTY: f NOTIFICATIONS: FIRE DEPARTMENT: YE NO( ) DATE: J I TIME: NATIONAL RESPONSE C64TER YES( ) NLt DATE: TIME:. -----.- DEFT.OF ENVIRONMENTAL PROTECTION YEW) NO( ) DATE Tlm-.Ja C",�' -_. OIL SPILL COORDINATOR: YE . �NO( ) DATES IME:�_ TOWN BOARD OF HEALTH: YES�Q NO( ) DATB;ram- ` TIME: TOWN HARBORMASTER: YES( ) DATE? TIME OTHER AGENCIES: COMMENTS� C.a CIA 4 1 1 14L 4 L41 f_�F d � _ v — v A P �1r --X� Z L44 00 4_ r t,s!!&w d s wliC I t `Deer=�-r�Lk •y r ,��e �s 7—ff{a:M �I �! Ay t/� 1—I It—. PL7{e A i :�— t —ram � - � d� 6 e � m �+4�[-�bL'!Y fly -l.�i., REPORTED BY: Jj DATE- WHITEr � �COPY-FIRE DEPARTMENT YELLOW COPY-D.E.P. PINK COPY-BOARD OF HEALTH C-O-MM FORM #58 4� -1999 08:45AM CENT OST FIREDEPT 5097902385 -.P.02 w►agtl appomeaw►► w lw%;m run UWW U►►�►aa. IRS Department retains original application and issues dupiiioate as permit. lug Tllw�x I APPLICATION and PERMIT F�.w $25.00 for storage tank rem ic+ral and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148,Section 38A, 527 CMR 9.00, application is hereby made by- • Tank Owner Name(pieease print) Joseph 0'Conner X Addrm 95 Pine Leigh Path, Osterville i sa"a car sm, rp Company Name Enviro-Safe Corp. 0o or individual Enviro-Safe Corp.. Address __P.0. Box-3(*.- h MA Address a�rr R Signature(it ap*nc 1t =ermit) Signature(if applying to AtUFC1 CeRifiec Other eft ed = L ?# Other Tank Location 95 Pine Leigh Path, Osterville, MA Unknown s°AGWM Tank Capacity(gallaw: Substance Last Store~' $2 Fuel Oil Tanis Dimensions(dtatngwr x length) Remarks: D Firm nnsWftg was.- Enviro-Safe Corp. State Lic.# MA-329 I Hazardcus to „ was, rr�'1'.[ = �-.r N Turner Salvage 002 - Approved tank dsposW y`rd Tank yard# Lynn, MA Type of inert gas Tank yard address ; �y Centerville,. MA FDIQ# 01920 Perrnitlk C' or Town Date of issue September 21, 1999 October 5, 1999 Date of expiration i Dig safe approval ruiaioer; 19993902812 Oig Safe Tot!;raa Tel.Number-80q--322-48a4 Signature/Tide of Ottacer_wanting permit After removai(s)send Fx=--P-290R signed by Local Fire Dept.to UST Regulatory unit,One AshbuR Place, Room 1310,Boston.MA 3:JS-1618. i to� ..........nine. TOTAL P.02 i t ` RECEIVED RECEIVEp OCT 2 6 1999 OCT ' 1999 TOWN OF BARNSTABLE HEALTH DEPT. TO OF BARNSTABLE HEALTH DEPT- ' LIMITED REMOVAL ACTION COMPLETION STATEMENT SUPPORTING DOCUMENTATION O'Connor'Residence. 95 Pineleigh Patti Osterville,.MA 02537 Project 0099-2516 ' OCTOBER 12, 1999 EhThTETT A 0"REILLY Inc. ' Engineering, Environmental & Surveying Services fky, 1573 Main Street PO Box 1667 Sanitary 21 E/Site Remediation Property Line Site Development Hydrogeologic Survey Subdivision Brewster,MA 02631 ' Waste Water Treatment Water Quality Monitoring Land Court 508-896-6630 Water Supply Consulting Trial Court Witness 508-896-4687 Fax 1 BENNETT AT O 'REILLY, Inc. Engineering, Environmental & Surveying Services 1573 Main Street 1 PO Box 1667 Sanitary 21E/Site Remediation Property Line Site Development Hydrogeologic Survey Subdivision Q Brewster,MA 02631 Waste Water Treatment Water Quality Monitoring Land Court 508-896-6630 1 Water Supply Licensed Site Professional Trial Court Witness 508-896-4687 Fax October 12, 1999 RECEIVED 1 Mr. Joseph O'Connor OCT 2 6 1999 1 526 Grove Street N TOWN OF BARNSTABLE Needham, MA 02192 HEALTH DEPT. . 1 RE: LIMITED REMOVAL ACTION COMPLETION STATEMENT O'Connor Residence - 95 Pineleigh Path Osterville, MA [Assessors Map 71, Parcel 02] 1 Dear Mr. O'Connor, 1 BENNETT & O'REILLY INC. has prepared the following narrative, and at ed Supporting Documentation, as the Limited Removal Action (LRA) Completion Statement for the 1 remedial response actions completed at the above referenced location. The LRA was conducted to mitigate potential human exposure and environmental hazards associated with the release of an unknown quantity of#2 fuel oil from an underground storage tank(UST), as removed on September 1 21, 1999. Remedial response actions involved the excavation of an 8' (L)x 8' (W)x 8' (D) area, and the transport and recycling of approximately 27.75 tons of contaminated soils at a licensed asphalt batching facility under an approved Bill of Lading. Laboratory analysis of soil samples at the extent 1 of excavation show that any low level residual impact is below the most sensitive RCS-1 Reportable Concentrations, and also below the most restrictive S-1/GW-1, Method I -Risk Characterization 1 standards, as approaching background conditions in support of project closure. As such, this report represents the technical rationale and justification to document a condition of"No Significant Risk" without "Notification Requirements" in support of regulatory compliance, .pursuant to the 1 requirements of the Massachusetts Contingency Plan(MCP), as regulated under 310 CMR 40.0318 and the Massachusetts Fire Prevention Regulations 527 CMR 9,00, -"Commonwealth of Massachusetts UST Closure Assessment Manual,DEP Policy#WSC-402". 1 SITE FEATURES/ENVIRONMENTAL CONDITIONS [Refer to Appendix A [R Pp ] 1 The subject residential property, at 95 Pineleigh Path, Osterville, MA, is located on Grand Island,in an exclusive resort area known as Oyster Harbors. The island is surrounded by North Bay, Cotuit Bay,West Bay, and the Seapuit River and is protected from the open waters of Nantucket 1 Sound by a thin free-standing stretch of land known as Dead.Neck. [Refer to Site Locus Plan]. The property contains approximately 1.06 acres of land area and is developed a single family dwelling 1 originally constructed in the 1960's,and represented on the Barnstable Assessor's Map 71,Parcel 02. 1 i RECEIVED OCTOBERa12,1999 O'CONNOR RESIDENCE/13099 2359 PAGE 2 OF 5 O C T 6 2 1999 LIMITED REMOVAL ACTION COMPLETION ' TOWN OF BARNSTABLE HEALTH DEPT. ' A swimming pool and pool house had also been located on the property until their demolition as a part of recent site renovations. The surrounding neighborhood is similarly developed. ' The property is entirely upland and generally flat with elevations ranging from 30-35'+/- NGVD. Groundwater is located approximately 25-30'below grade. Regional groundwater contours indicate groundwater flow as southerly, towards Nantucket Sound, but is likely to be under tidal ' influence from the surrounding Bays and Seapuit River. The area is serviced by municipal water and no known private potable water wells exist within 500' of the area of release. The MA DEP, BWSC GIS maps show the property is not within the Zone H -Protective Radius of any public water supply well, nor within 200' of any surface water reservoir [Refer to MA DEP BWSC Map]. The site is mapped,however,as a potentially productive aquifer within the Sole Source Aquifer designation of ' Cape Cod. Site features and environmental conditions indicate the property to be of moderate to high ' environmental sensitivity. The RCS-1 Reportable Concentrations and, synonymous S-1/GW-1, Method 1 -Risk Characterization criteria, are applied as the Limited Removal Action(LRA) closure criteria, in accordance with the provisions of 310 CMR 40.0360(3) and 40.1600. ' ENVIRONMENTAL ASSESSMENT [Refer to Appendix B -Field Reports] ' On September 21, 1999, during the excavation and demolition of a swimming pool, a 275 gallon underground storage tank(UST)was discovered buried on its side (horizontally) at the subject property, behind the former pool house, as abandoned from service for several years. Upon ' discovery,EnviroSafe Corp., of Sandwich and the Centerville, Osterville, Marstons Mills(COMM) Fire Department were contacted by Mr. Jack Delaney who was overseeing the project and notified of the tank discovery. EnviroSafe,Inc.,was instructed to pump the contents of the tank with a total ' of some 275 gallons of#2 fuel oil recovered, and the vessel was subsequently removed. Upon removal, several holes were noted in the vessel and visual and olfactory evidence of contamination . was noted in the tank grave. ' BENNETT & O'REILLY INC. was contacted b Mr. Delaney, to provide field > y y, photoionization screening for environmental assessment to determine the magnitude and extent of ' soil contamination, and to address regulatory compliance issues, as required by the COMM Fire Department and the Barnstable Health Department. Upon arrival, BENNETT & O'REILLY, INC., personnel reviewed site conditions and circumstances surrounding the discovery of the abandoned tank with Mr.Delaney,as representative for Joseph O'Connor. These issues were further reviewed with Barnstable Health Department representative Glen Harrington, including remedial response liability. The services of the on-site contractor,Hinckley Construction, were secured for soil removal ' activities and BENNETT&O'REILLY,INC.,was authorized to proceed with the Limited Removal Action (LRA) was reviewed. A field value of<5ppm was set as the objective for soil removal ' activities to meet LRA closure objectives. a OCTOBER 12,1999 O'CONNOR RESIDENCEIBO99-2359 PAGE 3 OF 5 LIMITED REMOVAL ACTION COMPLETION '. REMEDIAL RESPONSE [Refer to Appendix C] Soil removal activities began with the excavator clearing caved soil within the bottom of hole (BOH) and sidewall (SW) areas, as instructed by BENNETT& O'REILLY, INC. The soils were removed to a depth of 4-5'and stockpiled in a separate area on polyethylene sheeting. BOH and SW ' soil samples were then collected and placed in a sealed 300 milliliter glass jar with an aluminum septum. The jars were agitated to develop organic vapors(jar headspace) and screened with an HNU PI-101(10.2 ev) photoionization detector(PID), as consistent with MA DEP Policy WSC-94-400. Initial PID screening of soils within the tank grave indicated a relatively high level response in the BOH area at 4-5' (18ppm), while all SW location indicated responses<3ppm. BENNETT&O'REILLY,INC.,instructed the excavation contractor to extend the BOH area to T. Newly excavated soils were added to the contaminated stockpile. A soil sample was collected ' from the BOH area at T and field screened for headspace. A marked decrease in PID response was noted (9ppm), however, the field objective of<5ppm was still exceeded. The BOH hole area was again extended an additional 2' and the excavator was instructed to clear the BOH area for the ' collection of BOH and SW soil samples. Samples collected at SW-N, SW-S, SW-W were found to be Below the Detectable Limits (BDL) of the instrument. BOH(8-9') and SW-E revealed low level residual contamination (6.6 ppm and 3.6 ppm, respectively). Due to excessive caving of the open ' hole, SW and BOH samples were collected for laboratory analysis. To further qualify a discrete vertical extent of contamination, a test boring was advanced ' through the BOH to a depth of 10-11'. A soil sample was collected and field screened for headspace with a PID reading of 0.6. Upon review of PID responses, apparent degree of weathering and closure objectives,Extractable Petroleum Hydrocarbon (EPH) analysis was authorized by Jack Delaney for ' BOH(8-9') and SW-E samples in lieu of additional soil removal. Barnstable Health Agent, Mr. Glenn Harrington, reviewed site conditions;as indicating soil ' impact restricted to an 8'x 8'x 8'(D) area. Mr. Harrington acknowledged the 120 day notification requirement and expressed his concurrence with the applicability of the Limited Removal Action (LRA). Mr.Harrington requested that BENNETT& O'REILLY, INC., provide documentation of ' the LRA Closure to the Barnstable Board of Health and the COMM Fire Department. On October 8, 1999, a total of 27.75 tons of contaminated soil were transported by EnviroSafe, Corp. to Bardon Trimount is South Dennis,MA for asphalt batching. The completed Bill of Lading is included with the Supporting Documents in Appendix C. 1 OCTOBER 12,1999 O'CONNOR RESIDENCE/B099-2359 PAGE 4 OF 5 LIMITED REMOVAL ACTION COMPLETION ' RISK CHARACTERIZATION(Refer to Appendix D) Soil samples were secured on ice and forwarded to Groundwater Analytical of Buzzards ' Bay,MA for Total Petroleum Hydrocarbon(TPH) "fingerprint"/Diesel Range Organic (DRO) and EPH analysis on a 3 day turnaround evaluate remedial response performance against the applicable RCS-1 Reportable Concentrations, and supporting Method 1- Risk Characterization standards. ' BENNETT&O'REILLY,INC.,received laboratory results on September 27, 1999. SW-N, SW-S, SW-W, and TB-1 (10-1 V) samples run for TPH/DRO were reported as Below Reportable Limits (BRL). Low levels of fractionalized EPH were reported at the BOH(8-9) and SW-E areas (refer to Table I). All, however, were reported well below the applicable RCS-1 Reportable Concentrations, as well as below the Method 1- Risk Characterization thresholds for the most stringent S-l/GW-1 soil.category, as approaching background levels. TABLE I ' SUMMARY OF TPH/DRO&EPH ANALYSIS FOR RCS-1 and METHOD 1-RISK CHARACTERIZATION: SOIL SAMPLE TPH(DRO) EPHz Results RCS-1 Sots S 1",o>t standsd ' LOCATION Results (mg/kg-ppm) Standard (pPm) (mg/kg-ppm) MA DEP Method (mg(icgJ 31 EY CMK MA DEP Method (Carbon Range Only) 310;CUR4Q 160Q 40 09TS(6)(a) GW 1/GV17 2lCiW 3 " ' SW-E:3-8' C,toc,, 190 1000 I000/1d001t000' C19 toC,� 71 Z 500 : SOOf25001ZSOt}. \ C11 toC",Ito Z00 20fit8001300 ' SW-W:3-8' BRL(<88 mg/kg) 200 ZQ01$OQI$00 ' S W-N:3-8' BRL(<87 mg/kg) Z00 200/$QOl800 -S l ' SW-S:3-8' BRL(<91 mg/kg) ZOE� ZQQI$0Ql800 ' BOH:8-9' C9 toC18 96 1000 1000l100Q110QtY C19 toC.BRL 2 500 Z 50012 001ZSOU C,,toc, 76 200 2001800130a T13-1:10-11' BRL(<90 mg/kg) 200 240J800180Q I `Revisions to MCP 310 CUR 40.000, Effective 10/31/97 EPHt=Extractable Petroleum Hydrocarbons Shaded Areas designates appropriate Reportable Concentration Categories 1 h OCTOBER 12,1999 O'CONNOR RESIDENCE/BO99-2359 PAGE 5 OF 5 LIMITED REMOVAL ACTION COMPLETION Laboratory analysis at TB-1 (10-11) was reported as BRL. This data shows a discrete vertical extent of low level soil impact, at approximately 15' above groundwater. As such, no potential groundwater impact is apparent and no groundwater sampling was deemed necessary, nor ' conducted as a part of this LRA report. CONCLUSION ' An evaluation of laboratoryresults received September 27 1999 revealed that each of th p e sidewall and bottom of hole areas of the documented release were below the most stringent RCS-1 Reportable Concentration Standards,as set forth in 310 CMR 40.1600. Laboratory analyses further indicated that Method 1 - Risk Charaterization standards, as set forth in 310 CMR 40.0975 of the Massachusetts Contingency Plan, have been met and a conditions of"No Significant Risk"has been ' achieved in the area of the former underground storage tank without restriction of activity or use of the property. Therefore,it is the conclusion of this investigation that no additional remedial response ' and/or notification liability exists in connection with the release of an unknown amount of fuel oil at the subject property, 95 Pineleigh Path, Osterville, MA. A condition of"No Significant Risk"has been achieved through the excavation of some 27.75 tons of impacted soils in an 8'(L) x 8' (W)x 8'(D) area. In accordance with the Response Action Performance Standards as described in 310 CMR 40.0191, and the provisions of 310 CMR 40.0318, as set forth by the documentation represented within, this Limited Removal Action has been completed and the project is considered ' closed without a Notification Requirement or further remedial response actions. Should you have any questions or need additional information, please contact me directly at our nveni ce. 1 enne G, CGWP Kara Shu ay Director of Environmental Services Environmental Scientist encl: UST CLOSURE ASSESSMENT & LIMITED REMOVAL ACTION COMPLETION STATEMENT...", O'Connor Residence: 95 Pineleigh Path, Osterville, MA. Prepared ' by BENNETT& O'REILLY, INC.,Dated October 12, 1999. cc: Centerville, Osterville, Marston Mills Fire Department Glen Harrington, Barnstable Health Department 1 1 i a LIMITED REMOVAL ACTION COMPLETION STATEMENT SUPPORTING DOCUMENTATION O'Connor Residence 95 Pineleigh Path ' Osterville, MA 02537 Project #B099-2516 OCTOBER 12, 1999 Prepared by: BENNETT & O'REILLY, INC. 1573 Main Street P.O. Box 1667 Brewster, MA 02631 Prepared for: Mr. Joseph O'Connor 526 Grove Street Needham, MA 02192 1 APPENDIX A: Reference Plans - Site Locus Plan(USGS Osterville Quandrangle) [Excerpt] ' -Hydrologic Map (CCPEDC, 1993) -MA DEP GIS MAP -Bureau of Waste Site Cleanup Overlay (1997) [Excerpt] - Site Sketch Plan,"Limited Removal Action"Prepared by BENNETT & O'REILLY, INC., Dated October 11,1999 APPENDIX B: Field Reports - Incident Report (COMM Fire Department) ' - Tank Removal Permit -Field Response Log ' APPENDIX C: Environmental Records - Soil Recycling Submittal/Bill of Lading,BWSC-012 A,B,C APPENDIX D: Laboratory Analytical ' APPENDIX E: Quality Assurance/Quality Control Plan � APPENDIX A 1 1 1 1 1 1 1 1 1 1 1 ' 1 1 ' ' 41'38'22.70°2 sue"T 41^38'22 70^23•27• yv Al �.. J."✓R�2•'.-> '` /8! n .� [�"1 ?fir � '^`:��:; _ �'.,! ` � `:J. \':`. i 1 � ' '>,� `. 6 Ca Q� : t� .'tom N �f� ;�1.. 'f f :U� k �-�� i`�� `�{_►a T; �7' L f to • oi.v #� ` �1'� a 1L:€ . gip. •. •.�;n t •' ���'—� �oFS}r �5 ,_.,.m32 t' 1, t� � P �t. f. �� �,� a s e a• :.::';;,,�, '--.ti��' , o / 4 �, LOCUS ` _ '�✓ Btu n ead© - rOp� J ✓ ., 4j� x , t ! A 41°36'08".70°73'27. 81"3608",70°26'22`NAD8'3 � MN 1/2 MILE 16011 1000 0 1000 2000 3000 4000 FEET PrinWflmmT0P0!@1998 WikMouarPmductions(www.topo.cm4 ' FIGURE 1: The subject residential property,95 Pineleigh Path,is located on Grand Island,in an exclusive resort area known as Oyster Harbors. The island is surrounded by North Bay,Cotuit Bay,West Bay and the Seapuit River and is protected from the open waters of Nantucket Sound by a thin strip of land known as Dead Neck. elm ON ,�E����l.�� , � a l. i s•a • . w. %+! 4,1 5`6 R�� � N 1. @I•! �,-�{�it_ "`3 li'I �� Tc a`•�'t`;".s` a rpr FRI ��ymye■ y, jjj Vf� ske OEM / / � i 1 I• 1 : 1 •1" -1 ► 11 t 1. 11 1• •i•' 1 1 t 1 1 1 1 11 • 1 -• • - 1 1 1/" 1 i 1 1 1" 1 1 11 ►1-1 1• 1 1 •1 .1 t 1 I- • - i 1 - 1- 111 1•1 1 1- {�-'���4ma `m�q' r,rY +��y TC--� �,. ��,-§,'� '"-�• r, ✓/y r - 't`11 S� r -� Y ti'j'.r� `1.. ywnwae F r p f t ... �f,. 'y,,s?` 4 ;� e '�� `�q "- '�3,K f / gr\ ��3 e z�� L \\. (- ,(1 V :Ql / Pi 74 E • 4 ,.9faev'1� Y t ri vOr 30 j k , '° ) § 33.7 275 sp 4 'R f Q � k \: ` 1.v C0.5S;Q0 35 3 `G mat os ' r , , 243 1 +•CO 21 � _ �LSt ..>.,•.f>j �! '�. 't "uu � �i I 1 V H L s, T�aa.�� � „! .n r . � ��� �. l� .. �1. o v �•.Y;�.,.''ti� __+ j ,+ y, � ..� H- r�� �- r',y{�� 1 � R1 �-'.-tf7 � "`' • ��� �.-.F:-ii� t� -: / � v '� awo°4r'^��j -1! \ .C..r y3 p8�`�\.�:' ' xa_ k` i CO2 P L� � N YY �� F�uva.4 yC T 3N!/4wd i A' -� �:�. �1 ,r 'y �q5t '_.,y, �. '� QjSTFRYILtE ':�� � 3 �•.5 i J J .11 'i E11- k � ' FIGURE 3: Review of CCPEDC Water Table Contour Map (SWL 5' NVGD) and the USGS Quad Map of Osterville in the area of release(EL 30-35'NGVD)indicates groundwater is approximately 25-30'+/- below grade. Regional groundwater contours indicate a southerly groundwater now toward Nantucket ' Sound,but is likely to be subject to surrounding tidal influence. 1 \\ pl DO -PNEIUN FOOL- x s ► TE PLA + , - � 2 jP1 i SI LE1NA -S�4 -_ CD N�rAM WAT-T-D' - - _ �sl�: �Klrrc�4 �pt.�lU LIM.ITFIO- -REMOVAL: 4T OPJ IX <o`,�ni► '\ Fad M R t JACIG-DctiT F�l _75 GAL. / o x Sa vy WEAL-ry �- �ElgM AQ€4.. of _Solpt,vr 'pA -- _ 5eAtzt As Morro_.:.. 9 21 / F 'POOL- NOuSC OGTOB�P- I l) lalcl°I AR£4 0�- SOIL- IMpAc7 (;ZEMoVF _ BEUA)F-"I' D IZEIL�y I,UL. l_ xC,/- ;�/�Th.011� DET,A�l; _ . - . : ' Bog 9- Z SI(" � APPENDIX B 1 � I 1 1 1 1 1 1 1 1 1 1 CENTERVILI_E-OSTERVILLE-MARSTONS MILLS FIRE DEPARTMENT INCIDENT REPORT Type of Call:_Ei1t S611LL-------__--Alarm No:_q --FL_p __ Brief Narrative Required on all Calls Name of Business:-_----_-_---------- District: ? _ _ Called by: 1h5P MtaCa ggLyTel.#: Time rec'd _ — (A Dispatcher: _Comments:_ C. —j,��Ac1c=�.�t.121�'_���sass -- sass - �' `�—�t•/L- % '.�I�i.iL — �.d Call Received On: 911 PLT Radio Walkin Other: n Apparatus response: C Total Manpower: On the Air:-1149—On location:- 1143 Ret, US--S—In Service I s-� Weather: rc�i,—y Temp:_]--Wind:- Sic At: --......................-:a------a---------mamam---------zm:masers Other Agencies Notified _ Name/Agency Tele No. By - ZUA-Iyll --------aa-----n------------m--a--------a---------a-----a -Buildings - Type of Occupancy: Tele No: y�y1 Owner: —_--Address: sass— _— — -��,.�=f--------------------------- Tenant: -----------sass------------ -- -----------a-------------era--sass.- N A i Equlpment/Type-_=—_—__— __Location _—_—_ _ ___ AJ Year: Make: Model: Serial No. --------------a-------iu--------------a---------a--------------a- Motor Vehicle Year: Make/Model: Color: V I N: -----------=----------------sass-- State - —Reg.#:-- -----=--------------- ---------------------sass-- Owner: ————-- --Address:�— - sass --- ---------------------------------sass-- Operator:_ Address:_sass-- ---- ------sass-- ---------- ------ ----------------sass-- --------sass-- --- ---sass-- -- --------------------------------------------sass-- ---------------------�-. -==��---- --------------sass-- ` ---=--�sass-- ---------------------------------------m--------------- ---amass - --_sass---__---'___ Brush Fire - Class:_ Area/size: Personnel: Cost: ----------------------era-------------------------------.-------- Automatic Alarms - Classification/Code: List Items needing Follow Up: Form #62 left at/with: Report to C-O-MM Form #19A Chief Rec'd: Date: V1,30 Z - 1 a 1 r� 1 � c73 . 1 � ��- , 1 1 � 5 fG�A t,t- cn V t uco wti v —t- L i 1 rk F/l 1 1 . 1 � 1 ' Make application to local Fire Department Fire Department retains original application and issues duplicate as Permit. APPLICXTIC�IV and f EF�MIT IFee: ' for storage tank remcval and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 14$_ Section 38A, 527 CMR 9.00, application is hereby made by: FMI • Tank Owner Name(please print) Joseph O'Conner X J �� Signature(it apllyrng for permit) Address 95 Pine Leigh Path, Osterville ' Street city State Ip Removal • • • • + - Company Name Enviro—Safe Corp. Co.or Individual Enviro—Safe. Corp. Print.. � Print L O S Fl,\d w ...c t, Address P.O. Box 3@4. MA Address ' Print Print Signature (if applying 2r_ermit) Signature(if applying fcr_,ermi A ZX_'- \1 �'A (/ __�r ' ItIFCI Certifier Other ! 1. ertified = LS?# Other Tank Location 95 Pine Leigh Path, Osterville, MA Unknown Sleet AddreeS r Zr15 #2 Fuel Oil Tank Capacity(gallcrls• Substance Last Storr Tank Dimensions(dam.=—r x length) . ' Remarks: l Firm transporting waste Enviro—Safe Corp. State Lic.# -320 1 Hazardous waste mani�j E.P.A. # Turner Salvage 002 ' Approved tank disposal yard Tank yard# Lynn, MA Type of inert gas Tank yard address ' Centerville, MA 01920 City or Town FDID# Permit# ' September 21, 1999 October 5, 1999 Date of issue Date of expiration Dig safe approval numrxir 19993902812 Dig Safe Toll cr—�—Tel. Number-800-322-4844 ' Signature/Title of C ffK .ranting permit k-) I �v Lt After removal(s) send F=71-290R signed by Local Fire Dept. to UST Regulatory Co ' liance Unit, One Ashburton Place, Room 1310, Boston, MA 1708-1618. FP.1519(mviroul W61 Y 1 e i FIELD RESPONSE LOG ' LIMITED REMOVAL ACTION 1 Property Owner: Mr. Joseph O'Connor ' 526 Grove Street Needham, MA 02192 ' c/o Mr. Jack Delaney (508) 888-5478 1 Property Location: Map 71,Parcel 2 ' 95 Pineleigh Path Osterville, MA 1 Background Information: 0 On September 21, 1999, an abandoned 275 gallon undergrund storage tank (UST) was ' discovered during the demolition of a swimming pool at the above referenced property. The tank had buried on its side (horizontally). Upon discovery, EnviroSafe Corp., of Sandwich ' was contacted by Mr. Jack Delaney who was overseeing the project. EnviroSafe pumped the contents of the tank, some 275 gallons of#2 fuel oil, and the vessel was subsequently removed. Upon removal, evidence of contamination was noted in the tank grave. ' ♦ At 12:00 BENNETT & O'REILLY INC. was contacted b Jack Delaney to provide p� � Y Y environmental assessment and remedial response services. 1 Environmental Conditions: ' ♦ The subject site is located on Grand Island, in a resort area known as Oyster Harbors. It is surrounded by North Bay, Cotuit Bay, West Bay, and The Seapuit River. The island is protected from the open waters of Nantucket Sound by a thin free-standing stretch of land 1 known as Dead Neck. ' ♦ The area is serviced by municipal water supply with no known private wells within 500' of the OCTOBER 12,1999 ENVIROSAFE-O'CONNOR/B099-2516 PAGE 2 OF 4 LIMITED REMOVAL ACTION release area. The site is not located within the Zone II-Protective Radius of any public water ' supply or within 200' of any surface water reservoir. ® Groundwater is projected at 25-30' below grade at the point of release. Regional ' groundwater contours indicate a southerly groundwater flow direction toward Nantucket Sound,with strong tidal influence stemming from adjacent bays and the Seapuit River. ' ® Based upon the Sole Source Aquifer designation of Cape Cod and the proximity of the area of release to the dwelling,the Reportable Concentration RCS-1 soil category is applicable in review of response action performance. Remedial Response: ' Date Time 9/21/99 1:30pm ' BENNETT&O'REILLY,INC.,arrives at site. Site conditions, circumstances of discovery and environmental issues relative to notification requirements and potential receptor reviewed. ' Review regulatory issues of notification and remedial response liability with Mr. Jack Delaney, overseeing the project. Mr. Delaney offers the use of on-site contractor(Hinkley Construction) for any soil removal that may be necessary. ' 1:45pm ' Instruct contractor to clear away caving soils from bottom of hole(BOH) and stockpile on plastic sheeting. Collect sidewall (SW) and BOH soil samples and field screen headspace as follows: ' LOCATION DEPTH f tPID RESPONSE (ppm1 ' BOH 4-5 18 SW-E 3-5 0.2 SW-W 3-5 2.2 SW-N 3-5 3.2 ' SW-S 3-5 0.4 ' 2:00pm Instruct excavator to extend BOH area to 6'and stockpile soils. Collect soil samples and field screen headspace as follows: � OCTOBERa 12,1999 ENVIROSAFE-O'CONNOR/B099-2516 PAGE 3 OF 4 LIMITED REMOVAL ACTION LOCATION DEPTH (feet) PID RESPONSE (pl2m) ' BOH 7 9.0 2:15pm Instruct excavator operator to extend excavation to 8' and clear BOH area for collection of SW and BOH samples. Field screen headspace as follows: ' LOCATION DEPTH(feet) PID RESPONSE m BOH 8-9' 6.6 ' SW-E 3-8' 3.6 SW-W 3-8' BDL SW-N 3-8' BDL ' SW-S 3-8' BDL ' 2:30pm Review issues of PID Response versus EPH/TPH criteria. Suggest TPH DRO on 3 day ' turnaround with contingency for EPH, as may be necessary. Advance hand boring through BOH area to collect sample to qualify vertical extent as contingency to any residual BOH contamination: LOCATION DEPTH feet) PID RESPONSE (Vpm) HB-1 10-11 0.6 ' 3:00 m P ' Barnstable Health Department (Glenn Harrington) arrives at site. Review site conditions, circumstances of discovery and field assessment as indicating soil impact restricted to 8'x 8' x 8' (D) area. Health Agent acknowledges 120 day notification requirement and deems ' Limited Removal Action(LRA) appropriate. BENNETT & O'REILLY, INC.,'to provide documentation of LRA Closure. Report to be copied to Barnstable Board of Health and Centerville, Osterville,Marstons Mills Fire Department. 3:1 Opm ' Assemble soil samples for laboratory analysis and secure on ice. Leave site. ' 9/27/99 Receive laboratory analytical on samples sent 9/21/99. SW-N, SW-S, SW-W, and TB-1 (10- ' I F) samples run for TPH/DRO were reported as Below Reportable Limits (BRL). Low OCTOBER 12,1999 ENVIROSAFE-O'CONNOR/B099-2516 PAGE 4 OF 4 LIMITED REMOVAL ACTION levels of fractionalized EPH were reported at the BOH(8-9') and SW-E areas. All, however, ' were reported well below the applicable RCS-1 Reportable Concentrations, as well as below the Method 1- Risk Characterization thresholds for the most stringent S-1/GW-1 soil category. Based upon the TB-1 (10-11') soil sample collected at approximately 15' above ' groundwater, and subsequent laboratory report of BRL, no groundwater sampling was deemed necessary and none was conducted. 10/8/99 Contaminated stockpile is removed from the subject site and transported, under an ' approved Bill of Lading to Bandon Trimount in South Dennis,MA by EnviroSafe, Corp. The excavation is subsequently backfilled with clean sand. ' Submitted by: BENNETT&O'REILLY,INC. a Shum ,ES ' Project Manager This Field Response Log is a compilation of field observations, interviews with individuals familiar with the project and ' a review of public records. As such, it is intended to be an accurate and complete record of pertinent information. However, based on the reliance on third party and hearsay information included, no guarantee or warranties of the accuracy and completeness of that information is expressed or implied. t 1 1 1 1 1 � APPENDIX , C 1 1 1 1 1 1 1 1 1 1 1 1 ' 1 I RECEIVED OCT 1 1 October 13, 1999 BAR®O TRIMOUNT HEATHER ATWOOD ENVIRO-SAFE CORP. P.O. BOX 810 EAST SANDWICH, MA 02537 Re: Soil, O'Connor Residence 95 Pineleigh Path Osterville, MA Release Tracking #: LRA ' Recyclable soil from the above address was received at our facility on October 8, 1999. Attached is the shipper's log of soil receipts totaling 27.75 tons along with the ' Bill of Lading and other receipt documentation. We will issue a "Certificate of Recycling" upon request after processing. Thank you for recycling soil at our So. Dennis facility. Yours truly, , 1 41 Davi M. Peter General Manager Environmental Services ' BARDON TRIMOUNT, INC. 1101 Turnpike Street Stoughton,Massachusetts 02072 Telephone 781 344 1100 Facsimile 781 341 5523 Environmental Services Telephone 781 341 5500 ' Facsimile 7813412440 An AGGREGATE INDUSTRIES Company a BARDON TRIMOUNT ENVIRONMENTAL SERVICES 1101 TURNPIKE STREET, STOUGHTON, MA-2072 PHONE (781) 341-5500 FAX (781) 341-2440 SOIL RECYCLING SUBMITTAL Site Information: ' Name: Mr. Joseph O'Connor Contact: Mr. Jack Delaney Street: 95 Pineleigh Path Phone#: 508-420-1442 City/Town: Osterville State/Zip: MA/02537 Generator Information: ' Name: Mr. Joseph O'Connor Contact: Street: 526 Grove Street Phone#: 781-237-0837 ' City/Town: Needham State/Zip: MA/02192 Consultant Information: Name: BENNETT& O'REILLY, INC. Contact: David C. Bennett, LSP ' Street: P.O. Box 1667 Phone#: 508-896-6630 City/Town: Brewster State/Zip: MA/02631 tEstimated Soil Quantity 45 Tons 30 Cubic Yards Soil Contaminants (gasoline, diesel fuel, motor oil, etc.)92 fuel oil Analyses Performed(check all that apply) ' X TPH, VOC's, Flash, pH, Reactivity(S, CN), PCB's, As, Cd, Cr, Hg, Pb, ' TCLP(metals), if required based on total levels All the above tests were performed Other Total Petroleum Hydrocarbons/Diesel Range Organics Laboratory Analytical Data Attached X ' Screening Data Attached X , Instrument Used and Constituents Found HNU-PI 101 Photoionization Detector with 10.2 eV lamp, 18ppm 1 Description/Source of Release X UST, Other,Describe Date of Release Unknown ' Soil Description Physical Description(sand, gravel, silt, etc.) Sand-medium to fine, clean, poorly sorted (SP) ' Classification Method Unified Soil Classification Check if the following materials are present: clay, construction debris, vegetative matter, ash, coal, other deleterious materials (list) ' Soil Characterization Methodology Sampling Method Grab X Composite ' X Biased sample(e.g. headspace screened,visually contaminated) Constituents of Concern Diesel Range Organics Site History check if extra sheets attached Current Use Single family residential dwelling(1960 to present) Past Use Vacant woodland I,the generator, having used due diligence determined that there is no reason to suspect or ' believe that the petroleum contaminated soil has been impacted by any releases of oil or hazardous materials other than that of the known source or I have indentified the additional oil and ' hazardous materials that are suspected or known to be present in the soil, in addition to those associated with the known release, including any anthropogenic contaminants. ' I, the generator, realize that due diligence shall consist of a search of information and records reasonably available to the generator of the contaminated soil and sufficient to make the determination. Such records and information may include, but are not limited to, those of the ' generator, location of generation(i.e. facility if not the generator),the Department's Bureau of Waste Site Cleanup and the municipality(i.e. Board of Health,Fire Department)within which the siA is located. ' �64- Sit/tu of 691erator Date Joseph O'Connor ' Generator-Printed Name 2 A site diagram is required indicating any major structures or roads, excavation areas and ' stockpile locations. All sampling locations must be noted. X Check if diagram attached. SITE DIAGRAM 1 . Name of Individual preparing diagram: BENNETT& O'REILLY,INC. -, 3 �l �l F B a l l etc I I b-BoX i it I SYSTEM /V C 6 P R I M A Ry � / I / SC-PTIC -TANK < nj l � � ` ,` / d n 10 60.2' f / / �� pr u�,'F 35�Use opo J ,k hoes ed Poo/ L1 rj� °/ c� f• / J O hApr i i 1 0 W opos 1 o dalt,ond Ouse II Gross i � ! I ` Grass M y Gross _ o Existing Existing °"- cesspool \ 1,000gal Pit, Ex1ST, sePTrc SYSTEM T0 8E / PL+MPSP AND FILLEDWITN CLEAT.\ CLAS5 I MATERIAL \ ' \ Proposed House Gros \ Addition \ / TA 91( - � 68.6' Swing Set \ \\ p �� I \ G Sty W/F 49.9', Shed � �° �\ Stone Drip ���00 \ \\ er Asphr \ o ' Massachusetts Department of Environmental Protection EWSO-012A Bureau of Waste Site Cleanup Release Tracking Number*; ' BILL OF LADING (Pursuant to 310 CMR 40.0030) ❑-LRA A. LOCATION OF SITE OR DISPOSAL SITE WHERE REMEDIATION WASTE WAS GENERATED: Release Name(optional): O' Connor Residence Street: 95 Pineleigh Path Location Aid: Mall 71 , Parcel 02 City/Town: Ostervile Zip Code: 02537 _ 0000 Date/Period of Generation: 9 / 21/9 9 to — /— /— Additional Release Tracking Numbers Associated with this Bill of Lading: *Note: If this Bill of Lading is the result of a Limited Removal Action (LRA) taken prior to Notification, a Release Tracking Number is not needed. B, PERSON CONDUCTING RESPONSE ACTION ASSOCIATED WITH BILL OF LADING: Name of Organization: BENNETT & O 'REILLY, INC. Name of Contact: David C. Bennett , LSP Title: Director of Env. Services street: P.O. Box 1667 City/Town: Brewster State: MA Zip Code: 02631 _ 0000 Telephone: 5 0 8 - 8 9 6 - 6 6 3 0Ext ' C. RELATIONSHIP TO RELEASE OR THREAT OF RELEASE OF PERSON CONDUCTING RESPONSE ACTION ASSOCIATED WITH BILL OF LADING: (check one/specify) RP Specify(circle one): Owne Operator Generator Transporter Other RP: ❑ PRP Specify(circle one): wner Operator Generator Transporter Other PRP: ❑ Fiduciary/Secured Lender ❑ Agency/Public Utility on a Right of Way ❑ Other Person: If an owner,and/or operator is not conducting the response action associated with the Bill of Lading,provide on an attachment the name, contact person,address and telephone number,including any area code and extension,for each, if known. ' D. TRANSPORTER/COMMON CARRIER INFORMATION: Transporter/Common Carrier Name: E ny i r o Safe C o r.p. ' Heather Atwood Contact Person: Title: President Street: P.O. Box 810 CiyfTown: East Sandwich State: MA zip Code: 02537 - 0000 ' Telephone: 5 0 8 - 8 8 8 - 5478 Ext. E. RECEIVING FACILITYITEMPORARY STORAGE LOCATION: Operator/Facility Name: Bardon Trimount, Inc . ' Contact Person: David M. Peter Title:Gen . Mgr. Env. Services Street: 230 Great Western Road ' South Dennis MA 02660 - 0000 City/T'own: State: Zip Code: Telephone: 781 - 341 - 5500 Ext. Type of Facility: ® Asphalt Batch/Cold Mix ❑ Landfill/Disposal ❑ Incinerator ' (check one) ® Asphalt Batch/Hot Mix ❑ Landfill/Daily Cover ❑ Temporary Storage ❑ Thermal Processing ❑ Landfill/Structural Fill ❑ Other: Division of Hazardous Division of Solid Waste MAD985286384 ' Waste/Class A Permit#: S-9 5-0 4 2 Management Permit#: EPA Identification#: Actual/Anticipated Period of Temporary Storage(specify dates if applicable): _ /— /_ to /— Reason for Temporary Storage(if applicable): 1 Revised 10/1/93 This form is printed on recycled paper. Page 1 of 2 'I I Massachusetts Department of Environmental Protection BWSC-012A Bureau of Waste Site Cleanup Release Tracking Number: BILL OF LADING (Pursuant to 310 CMR 40.0030) ❑- LRA—� E. RECEIVING FACILITY/TEMPORARY STORAGE LOCATION (continued): Temporary Storage Address: Street: City/Town: State: Zip Code: F. DESCRIPTION OF REMEDIATION WASTE: (check all that apply) Contaminated Media(circle all that apply): Soil Groundwater Surface Water Other: ❑ Contaminated Debris(circle all that apply): Demolition/Construction Waste Vegetation/Organic Materials Inorganic Absorbant Materials Other: I ' ❑ Non-hazardous Uncontainerized Waste(circle all that apply): Non-aqueous Phase Liquid Other: ❑ Non-hazardous Containerized Waste(circle all that apply): Tank Bottoms/Sludges Containers Drums Engineered Impoundments Other: Type of Contamination(circle all that apply): Gasoline . Diesel Fuel �> #4 Oil #6 Oil Waste Oil ' Kerosene Jet Fuel Other: Estimated Volume of Materials: Cubic Yards: 30 Tons: 45 Other: ' Contaminant Source(check one/specify): ❑ Transportation Accident ® Underground Storage Tank ❑Other: Response Action Associated with Bill of Lading(circle one): JLI3 once Action Release Abatement Measure Utility Related Abatement Measure Limited Removal Action(LRA) Comprehensive Response Action Other(specify): Remediation Waste Characterization Support Documentation attached: Site History Information [N Sampling and Analytical Methods and Procedures ® Laboratory Data ® Field Screening Data 1 , If supporting documentation is not appended, provide an attachment stating the date and in connection with what document such information was previously submitted to DER ' G. LICENSED SITE PROFESSIONAL (LSP) OPINION: Name of Organization: BENNETT & 0'REILLY, INC. LSPName: David C. Bennett Tiile:Director of Env. Services ' Telephone: 508 - 896 - 6630 I have personally examined and am familiar with the information contained on and submitted with this fore,.6aspd on this information,it is my Opinion that the testing and assessment actions undertaken were adequate to characterize the ReRt�dtati��ijlasfea in accordance with 310 CMR 40.0030, t the f 'ty or location can accept remediation wastes with the characteristicsd'e irrthis submittal. I am aware .. ' that significant enaltl i di, g,but not limited to,possible fines and imprisonment may result�)if;Fwiaf'u(ty,�ub�l ' f4tt4tion which I know to be false,inaVato' plete. x I Signature: Seal',.. Date: t License Number: 4303 �gS ' SITE PZp H. CERTIFICATION OF PERSON CONDUCTING RESPONSE ACTION ASSOCIATED WITH THIS ' BILL OF LADING: I certify under penalties of law that I have personally examined and am familiar with the information contained in this submittal, including any and all documents accompanying this certification,and that, based on my inquiry of those individuals immediately responsible for obtaining the information,the maten formation contained herein is,to the best of my knowledge and belief,true,accurate and complete. I am aware ' that there are significant e I ies, including, but not limited to, possible fines and imprisonment, for wilfully submitting false, inaccurate, or incomplete information. q g Signature: Date: ' Name of Person(print): Jose h O ' Connor Revised 10/1/93 This form is printed on recycled paper. Page 2 of 2 JUN-23-19` V 16:10 HHHVUN 5IUUUHIUN t r.u+:ego I i Massachusetts Department of Environmental Prof<ectfon SWSC-012B Bureau of Waste Site Cleanup pwsur t�xtwo Man+tw: BILL OF LADING (pursuaint to oio calm 4o.00ziio) ' LOG SHEET OF ❑' � i 1. LOAD INFORMATION: LOL j://Stgna Tranap er Representatve: i Reaeivin e " item6, )5trage Roptesenwiia: I �Ove of27, gnu q T�'i7ma of Shipment t Date of A eeip Tim Receipt. / LL ..S_.e .3 Q (circle one)am/prm i �4' / —!/f Trucl,07 ctw AAegistravon: Trailer Registration (if any): i (cu ie one)amlpm �4ou.yde,/tons): L0/ Zt gnalure IT nsports(Ae esentalive: i Rao g F tiiry/Te porary St rage Rewesanwivo: ��Da��tfa ofShlDmpnC(,�G� Tima at Shipment: A�ipt�} Timg of Receipt � =LL /� /�L( Q (circle One)am/pm i h(J /! �, Truest/Tractoe Aeoittratlon: Trailer Registration(f any): /L (Circle one)amlpm t Lw(cu ydshans) Z2,`�6 LOAD >> Signature of Tranapona Representative; ; Receiving Faellityfromparary Storage Aepresontettve: t t Date of Shipment: Time at Shipment Dais of Receipt: Time cf Receipt: (circle one)am/pm t TrucivTractor Registration: Trailer Registration(if any): ; (Circle cne)am/pm Load Size(au.yds.hons): LOAD 41 SignatUto of Treneperter Representative; i Receiving FaciCtylTamporary Storage Reptseentativs: Data at Shipment: Time of Shipment: ; Date of Receipt: Time of Receipt: /_ /_ (circle one)am/pm Truck/Tractor RA11TW1111101`17 Trailer Registration(if any): i (circle one)am/pm Load Size(cu.ydsdtons): LOAD S; Signature of Transporter Aepresenlativc t Receiving FaCiliry/Tomporary,Storage pepresentattws: r Date of Shipment: Time of Shipment i Date of Receipt; Timm at Receipt: (alrais one)amlpm Trudr/Tramor Roglstriekn: Trailer Reglslralion(if any): (circle one)am/pm Load Size(Cu.yda./tons): ' LOAD as Signature of Transporter Rspresentalive; t Receiving FaciGty/Tempowy Storage Raprocentapve: Date of Shipment Tima of Shipment: i Oatrl of Receipt. Time of Receipt: (circle one)amlpm i TructtlTraoloe Registration: Trailer Registration(if arty); (circle one)diripm Load Size(cu.yds.ltons): LOAD 7s Signature of Tranaporter Representative: i Receiving Facillty/Tomporary Storage Representative: i Otte of Shipment: Time of SNpment: t Date of Receipt: Time of Recap(: (circle one)sm/prtt ' TrucWraotor Rogiavatton: Trailer Aeglatration(If any): i (circle one)amlpm Load Size(cu.yde Itons): ' J. LOG SHEET VOLUME imveRMATIONa Total Volume This Paga(au.yds./tons): Total Carried Forwetd(cu.yde.ftons): Total Carried Forward and This Pago(cL.ydaAona): Revised 1011195 TNS fen"is panted on recycled paper. Pave t of I { Massachusetts Department of Environmental Protection BWSC-012C 1 Bureau of Waste Site Cleanup R&k"a Trscking Fa<*nber: BILL OF LADING(Pursuant to 310 CMR 40.0030) _ ' -SUMMARY SHEET t OF _�_ ❑ � 1 K. SUMMARY OF SHIPMENTS: 1 DATE OF SHIPMENT: DATE OF RECEIPT: NUMBER OF LOADS SHIPPED: . DAILY VOLUME SHIPPED(CI YD IfONS): ---------- ————————— ---------------- i --------------- --------------- --------------------------- -------7--------------------- --------------- ---�------------ -----------------------=-- --------------------------- 1 --------------- --------------- --------------------------- ----------------------------- ------------------------------------------------------------------ i --------------- --------------- --------------------------- ----------------------------- 1 --------------- --------------- --------------------------- -------------__-------------- ------------- ------------------ ----------- ---------------------------------------------------------- 1 _______________ ___------_----- --------------------------- ----------------------------- _______________ _______________ __________________________ ___________________________ i --------------- --------------- --------------------------- ----------------------------- ______ _______________ ___________________________ _____________________________ 1 --------------- --------------- --------------------------- ----------------------------- 1 --------------- --------------- --------------------------- -------------------------_-__ i --------------- --------------- --------------------------- -------------- ------------- ---------------- ---------------------------------------------- ----------------------------- _ _ _____________________ _____________________________ 1 --------------- --------------- --------------------------- ----------------------------- _______ _______________ ___________________________ _____________________________ 1 _______________ _______________ ----------_________________ _____________________________ I ' SUMMARY SHEET O T TALSHIPP_F D. �. ��. 17s _I BILL OF LADING TOTALSHIPPED(only it different): i Revised 10/1/94 is forms printed n recyciMpUper. page 1 of 2 Massachusetts Department of Environmental Protection BWSC-012C Bureau of Waste Site Cleanup Release Trsudng N=ber: BILL OF LADING (pursuant to 310 CMR 40.0030) SUMMARY SHEET ❑- �°�� L. ACKNOWLEDGEMENT OF RECEIPT OF REMEDIATION WASTE AT RECEIVING FACILITY OR TEMPORARY STORAGE LOCATION: Receiving Facility/To porary Location Represe tave( rint): David rl. Peter Tye: V.P.—Env. ' Services Signature: Date: U M. ACKNOWLEDGEMENT OF SHIPMENT AND RECEIPT OF REMEDIAT N WASTE BY PERSON CONDUCTING RESPONSE.ACTION ASSOCIATED WITH THIS BILL OF LADING: I certify under penalties of law that I have personally examined and am familiar with the information contained in this submittal,including any and all documents accompanying this csrtification, and that, based on my inquiry of those Individuals Immediately responsible for obtaining the information,the material fnfor n contained herein Is,to the best of my knowledge and belief,true,accurate and complete. I am aware that . there are significant penalt' s. Inc g t of limited to, possible fines and imprisonment, for wilfully submitting false, Inaccurate, or incomplete information. Signature: Date: f� / —6R Da C. ennett, LSP Name of Person(print): Director of Environmental Services BENNETT & . for Joseph O'Connor - ' Revised 10/1/94 Inis arm is pane on recyc paper. Page 2 of 2 ' Sough Drxnni� l3A.EiDUN TRIMOUNT ----------------------- i------------------------------- TICKET INQUIRY LOCATION: 331 South Dannia ; t---------------- ------------ CUSTOMER J ORDER ------------------------•--•---t; t---- ].01(16j 99 -----t; ; CUSTOMER: 133293 ENVIRO-2A.PE CORPORATION 2 Loads f..MER: 20087 SOIL/0-MRVILLE-PINELEIMI ; 27.75 TON t-------------------t,.�. t; TICKET TIM ORDER PRODUCT HAULER TRUCK QTZ 207221 11:01 20087 RELY SOIL OIL OUR, RO2ER 3.89 12.L7.5 TON ; ' 2072U8 08:a9 2UQ87 RECY SOIL OIL OUR.. ROLER 189 15.70 TOBt ; ------------------------------------------------------------------------------------ ' r SC to SxS.t 1:itxJ.,S 3SSar.Ch 7Clsar .. ,. - , .' l 17. !�(3IIPi 1 n� ti:: TCKET NO. 20 f 4L ' BARS >� ((P anri a it',, 116�1 0E`6�,60 , I ` SCALE DATE TIME TRUCKER NO. TRUCK No. CUSTOMER >PURCHASE+ORDER,NO; #¢s PRODUCT.,CODE 'SALE TYPE c''x ZONE PLAT NO. PROJECT NO. LOADS ACCUM.AMOUNT r S ,c� 3 � to �:�1:(:; .• ,,.F Ir CUSTOM AM x ; N ,'• �n ,, 'JOB NAME/DIRECTIONS t s z^. w ".�, t. € ENV #.RO SAIF �. d:`C1 ��L:#l?t3T��#rf t;;ra 11,.'t.1.:� l�y�zV s#...1._1:.: t, I f'lt..f..:F f GH r PQ Fide 8 uY _ PRODUCT; + a E' x: "rye±: [{,',' ( i; .QUANTITY UNIT `<; PRICE AMOUNT;'" MEGAGRAMS POUNDS TONS E�E':E.y SO I d.:,: 0 I L..; GROSS F,i:.�'f�rrt ;;i'� ���t , TRUCKING RATE.. f,: TARE 2"`;'Ft �S`.! 1"`!„ ("4-- .. ,.. a TAX 162E ,t NET "a:1 �itTt0 �.z•. 70,, a, w 1 F i , i a TOTAL DUE I 3 , , tr, °+ :v':-.31 .'' ..::.. :.. -.. '^'3_. �,..'�•' .a:€`u. •.:'tF f.... ^F i h y r c .:;. T ;x �.i ',',: .3 -?.:a .� . .. i } ." 7? ei xiv t.,x, ,.x,. ,, , _n .: ARRIVE DEPART JOB.-' WAITING'.TIME :' VVEIGMTMASTE � •.,;I/IIVQ re leue t e:=seller of an aiablhf .,fort' ersonaf I ur or, ro ert ,.. ,' A•: � .�€F b � Yck�.� a� , k, Y} Y 9� .P pl Y p a �r.,• :r �'. . • s<s E q. P ':, _ �w' .<dama e;vl�hen;deYiyer Is;made!be onda e'�curb Une ail rs s .- i a v�'sg , araw ,tz4Y G°a •••.ri4�f$ r.�a+:''<;` ,iC.%,.ik s re .v q 3 Your business`is greatly valued Driver: s 1Narting time In excess`of�s; as F f_11�F�!4., l,f.� l6Y.#� C. 1/4 will behchargetl`at xl 4 Received'by 3 current prices `s ;j CUSTOMER COPY CONTROL NO. 0 4 6 �S S f ' z j (10/98)BT-25 f h x ,.:a. .. '-.�.�T.�'��. "�' :.: .-;.�' s•y-..:.t"�''?W;s,_ nw.! sr:r�--s —;r.t++—.•-i—•x....., er'";F;p�?.�C,,,2,�`�'`%5 .7. 4•s+,.�3Jfj,. y:t:�,±-y. ,.-.tam ii 7+c"r•-^�^.^...: .,+'$S,E_�._.... Ti��i"�.3.r..�'.- :.7:'rY e=7: ... .. t , , .: s. . t IT l t0 I _ ►UEII�I ✓ )E'Ti111+x TICKET NO i':Oi 't { f 1 Vti R t] t NEA 'r� I�it . tIc°�nr,l _ OlJf�,aa F�!CDIiC:C T' R P, TRIMOUNT DATE i TIME TRUCKER NO. TRUCK NO., .• ,. �� :CUSTOMER; a "Zrt PURCHASE ORDER NO s�: PRODUCT;CODE SALE TYPE "t ZONE;; PLANT'N0. Z: PROJECT NO. LOADS ;''ACCUM.AMOUNT . ,, 0 - E ME JOB`NAMEJ DIRECTIgNS t , r GUSTONI RNA ', ..r.a! ..,a 4i.,s S d.., -artlt 2.... r`�` t 5: I,>v.< t,f }• 'I E,FJIJ�: C1 a��Ff Cal �1F�i;J,f1FifIi:.►iVi, diC1T1_.;`Cl ..}t� I �1p1_.1..1,. 3'^:31�>s:l..t:.t•!31t Foo BOX EAST SANDWIll""Ho MA �0251.t PRODUCT ! ,, # € i r"•"� a i :QUANTITY r-UNIT s•.a PRICE d , AMOUNT:' MEGAGRAMS POUNDS ,'A;, ',TONS j f�i :f.Y Cl%1.: fil X t 1 i ttl i T01` GROSS ` . ;1 1 r '79 TRUCKING RATE TAREytd'fl'i I. f+k Y " TAX 1 l4i1 ' NET 4 TOTAL DUE ! s ',z. .. ..S, +.- . .,..-_. ,..t , 3s� - .e�,tr... �.,. .st.. .?�, .t.... ',, ,..,... ;?e, .:.Ts, '(;: ...a.,.•. ?' r{, .;,' ..# e;; .:,r, s,.:; ,.... � ,.- IVEJo B .t .,.DEPART+JOB+ WAITING TIME. ...:: „..WEIGHTMA.STER..,. -.t .., .. N t,. l E.tf� .Mi..1 H.9. � if'.�Ct". e '+, n.a �f�,. :;h l,., � �,,:.4 ,.1.-,.::4 k. .....i f Y r..y F� A,I-lR .o. :...le:. ... :.:. ,.. .. ,.z Y �.. Ir z, I/Weirelleve;the`seller of any�Iablllty for personal Injury or property , �. 7 u.,.F'-&'3'#x:2,fz�.i ,i4c;.k ,., s-fir x.�: .,.,,rt'.,:';^� ,f,'Sr- `'a'�.w,4a..,.�` t t' _ Z,� .q {•'1 e he d .I er ,is`madespe ond;tlie� urb .,.., ��„ . M' fi„ �' .aR .§t�i .. •' 1�. e� t�txk fix.,5is's �}n�1}��.. 1Y� sx..+� �.`� Your business is reatl valued 6 martin time in`ezcess of ° g y Driver: 9 1%4 hour:Wlll be charged,-at,* jt z } Received cUfrent pfICBS ..CUSTOMER COPY 046097 7 CONTROL NO. o. 10)98 BT25�} r' V �. .. -.:'. a r. xr -r:.s'R"sri's,--:::1rry �,.f. },c p�G., 'Z`•t'�tr'L r'G""'_, �.re -ra�n4GF.rT� 'L_. : � APPENDIX D 1 1 1 1 1 1 1 1 i 1 1 1 1 SEP 3 01 ' GROUNDWATER /Deb ATER Groundwater Analytical,Inc. �//Y @f/'1 ,i P.O.Box 1200 ANALYTICAL Buz Main Street Buzzards Bay,MA 02532 Telephone(508)759-4441 FAX(508)759-4475 September 27, 1999 Mr. David Bennett ' Bennett & O'Reilly, Inc. P.O. Box 1667 Brewster, MA 02631 Project: O'Connor/95 Pineliegh/BO99-2516 I LAID: 29027 Sampled: 09-21-99 i Dear Dave: Enclosed are the Extractable Petroleum Hydrocarbons, Hydrocarbon Fingerprint and Diesel Range Organics Analyses performed for the above referenced project. This project was processed for Rush turnaround. ' This letter authorizes the release of the analytical results, and should be considered a part of this report. This report contains a project narrative indicating project changes and non-conformances, a ' brief description of the Quality Assurance/Quality Control procedures employed by our laboratory, and a statement of our state certifications. I attest under the pains and penalties of perjury that, based upon my inquiry of those individuals immediately responsible for obtaining the information, the material contained in this report is, to the best of my knowledge and belief, accurate and complete. Should you have any questions concerning this report, please do not hesitate to contact me. tSincerely, Jonathan R. Sanford ' President J RS/myr Enclosures ' GROUNDWATER ANALYTICAL EPA METHOD 8100 (API Modified) ' Diesel Range Organics (GC/FID) Field ID: TB-1: 10-11' Lab ID: 29027-06 ' Project: O'Connor/95 Pineliegh/B099-2516 Batch ID: HF-1214-M Client: Bennett & O'Reilly Sampled: 09-21-99 Cont/Prsv: 120ml Glass/Cool Received: 09-22-99 Matrix: Soil Percent Moisture: 5 % Extracted: 09-22-99 ' Analyzed: 09-25-99 PARAMETER CONCENTRATION REPORTING LIMIT ' (mg/Kg) (mg/Kg) Diesel Range Organics BRL 90 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS o-Terphenyl 4.0 3.3 82 % 60 - 140 1 BRL = Below Reporting Limit. Calculations based on dry sample weight. Quantification based on a Diesel ' component standard. Method References: Method 8100 - Polynuclear Aromatic Hydrocarbons, Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (1986). Modified by Method for Determination of Diesel Range Organics, American Petroleum Institute (1990). GR13UNDWATER ' ANALYTICAL EPA METHOD 8100 (API Modified) Diesel Range Organics (GC/FID) Field ID: SW-N:3-8' Lab ID: 29027-04 ' Project: O'Connor/95 Pineliegh/B099-2516 Batch ID: HF-1214-M Client: Bennett & O'Reilly Sampled: 09-21-99 Cont/Prsv: 120ml Glass/Cool Received: 09-22-99 Matrix: Soil Percent Moisture: 4 % Extracted: 09-22-99 ' Analyzed: 09-25-99 PARAMETER CONCENTRATION REPORTING LIMIT ' (mg/Kg) (mg/Kg) Diesel Range Organics BRL 87 ' QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS o-Terphenyl 3.9 3.2 82 % 60 - 140 1 I 1 BRL = Below Reporting Limit. Calculations based on dry sample weight. Quantification based on a Diesel ' component standard. Method References: Method 8100 - Polynuclear Aromatic Hydrocarbons, Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (1986). Modified by Method for Determination of Diesel Range Organics, American Petroleum Institute (1990). ('R13UNDWATER ANALYTICAL EPA METHOD 8100 (API Modified) ' Diesel Range Organics (GC/FID) Field ID: SW-S:3-8' Lab ID: 29027-05 ' Project: O'Connor/95 Pineliegh/B099-2516 Batch ID: HF-1214-M Client: Bennett & O'Reilly Sampled: 09-21-99 Cont/Prsv: 120ml Glass/Cool Received: 09-22-99 Matrix: Soil Percent Moisture: 4 % Extracted: 09-22-99 ' Analyzed: 09-25-99 PARAMETER CONCENTRATION REPORTING LIMIT ' (mg/Kg) (mg/Kg) Diesel Range Organics BRL 91 ' QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS o-Terphenyl 4.0 2.8 70 % 60 140 BRL = Below Reporting Limit. Calculations based on dry sample weight. Quantification based on a Diesel component standard. Method References: Method 8100 - Polynuclear Aromatic Hydrocarbons, Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (1986). Modified by Method for Determination of Diesel Range Organics, American Petroleum Institute (1990). C�F��L91V®9n ATER ' AGA LYT1CAL EPA METHOD 8100 (API Modified) ' Diesel Range Organics (GC/FID) Field ID: SW-W:3-8' Lab ID: 29027-03 ' Project: O'Connor/95 Pineliegh/B099-2516 Batch ID: HF-1214-M Client: Bennett & O'Reilly Sampled: 09-21-99 Cont/Prsv: 120ml Glass/Cool Received: 09-22-99 Matrix: Soil Percent Moisture: 3 % Extracted: 09-22-99 ' Analyzed: 09-25-99 PARAMETER CONCENTRATION REPORTING LIMIT ' (mg/Kg) (mg/Kg) Diesel Range Organics BRL 88 ' QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS o-Terphenyl 3.9 3.2 83 % 60 - 140 1 BRL = Below Reporting Limit. Calculations based on dry sample weight. Quantification based on a Diesel ' component standard. Method References: Method 8100 - Polynuclear Aromatic Hydrocarbons, Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (1986). Modified by Method for Determination of Diesel Range Organics, American Petroleum Institute (1990). f - GROUND)141 AL AT ER ANALYT Massachusetts DEP EPH Method Extractable Petroleum Hydrocarbons by GC/FID Field ID: SW-E:3-8' Laboratory ID: 29027-02 ' Project: O'Connor/95 Pineliegh/B099-2516 QC Batch ID: EP-0754-M Client: Bennett&O'Reilly Sampled: 09-21-99 Container: 120 mL Glass Received: 09-22-99 Preservation: Cool Extracted: 09-22-99 ' Matrix: Soil Analyzed: 09-25-99 % Moisture: 4 Dilution Factor: Aliphatic: 1 Aromatic: 1 EPH Ranges Concentration Units Reporting Limit ' n-C9 to n-C18 Aliphatic Hydrocarbons t _190 mg/Kg 30 n-C19 to n-C36 Aliphatic Hydrocarbons r — 71 — _ mg/Kg j 30 n-C11 to n-C22 Aromatic Hydrocarbons ° 110 mg/Kg I 30 ' I Unadjusted n-C11 to n-C22 Aromatic Hydrocarbons t _ 110 mg/Kg j 30 QC Surrogate Compounds Recovery QC Limits Fractionation: 2-Fluorobiphenyl 63 % 40- 140 % ' ) 2-Bromonaphthalene 105 % 40- 140 % Extraction: Chloro-octadecane j 58 % ; 40- 140 % j ortho-Terphenyl 66 % 40- 140 % ' QA/QC Certification 1. Were all QA/QC procedures required by the method followed? Yes 2. Were all performance/acceptance standards for the required QA/QC procedures achieved? Yes j 3. Were any significant modifications made to the method,as specified in Section 11.3.1.1? Yes Method non-conformances indicated above are detailed'below on this data report,or in the accompanying project narrative ' I and project quality control report. Release of this data is authorized by the accompanying signed project cover letter. The accompanying cover letter,project narrative and quality control report are considered part of this data report. Method Reference: Method for the Determination of Extractable Petroleum Hydrocarbons,MA DEP(1998). Results are calculated ' on a dry weight basis. Method modified by use of microwave accelerated solvent extraction technique. Report Notations: BRL Indicates concentration, if any, is below reporting limit.for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample dilution, percent moisture and sample size. ' t Hydrocarbon range data excludes concentrations of any surrogate(s)and/or internal standards eluting it that range. 0 n-C11 to n-C22 Aromatic Hydrocarbons range data excludes the method target analyte concentrations. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 GROUNDWATER ANALYTICAL Massachusetts DEP EPH Method Extractable Petroleum Hydrocarbons by GGI 1D Field ID: BOH:8-9' Laboratory ID: 29027-01 ' Project: O'Connor/95 Pineliegh/B099-2516 QC Batch ID: EP-0754-M Client: Bennett&O'Reilly Sampled: 09-21-99 Container: 120 mL Glass Received: 09-22-99 Preservation: Cool Extracted: 09-22-99 Matrix: Soil Analyzed: 09-25-99 % Moisture: 3 Dilution Factor: Aliphatic: 1 Aromatic:1 j EPH Ranges; Concentration "' Units Reporting Limit n-C9 to n-C18 Aliphatic Hydrocarbons 96 mg/Kg j 31 n-C19 to n-C36 Aliphatic Hydrocarbons' ! BRL mg/Kg 31 n-C11 to n-C22 Aromatic Hydrocarbons t 0 76 mg/Kg 31 j Unadjusted n-C11 to n-C22 Aromatic Hydrocarbons' 77 mg/Kg 31 QC Surrogate Compounds Recovery, QC Limits Fractionation: 2-Fluorobiphenyl 71 % 40- 140 % 2-Bromonaphthalene 105 % 40-140 % ' Extraction: I Chloro-octadecane 54 % 40- 140% j ortho-Terphenyl 77 % 40- 140% ' I QA/QC Certification �' -•:= y 1. Were all QA/QC procedures required by the method followed? Yes 2. Were all performance/acceptance standards for the required QA/QC procedures achieved? Yes 3. Were any significant modifications made to the method,as specified in Section 11.3.1.1? Yes ' Method non-conformances.indicated above are detailed below on this data report,or in the accompanying project narrative and project quality control report. Release of this data is authorized by the accompanying signed project cover letter. The accompanying cover letter,project narrative and quality control report are considered part of this data report. - � Method Reference: Method for the Determination of Extractable Petroleum Hydrocarbons,MA DEP(1998). Results are calculated ' on a dry weight basis. Method modified by use of microwave accelerated solvent extraction technique. Report Notations: BRL Indicates concentration, if any, is below reporting limit.for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample dilution,percent moisture and sample size. ' t Hydrocarbon range data excludes concentrations of any surrogate(s)and/or internal standards eluting it that range. 0 n-C11 to n-C22 Aromatic Hydrocarbons range data excludes the method target analyte concentrations. y, I ' Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 GROUNDWATER ' ANALYTICAL ASTM Method D3328-90 (Modified) Hydrocarbon Fingerprinting by GC/FID ' Field ID: Contaminated Stockpile Laboratory ID: 29027-07 Project: O'Connor/95 Pineliegh/B098-2516 QC Batch ID: HF-1214-M Client: Bennett&O'Reilly Sampled: 09-21-99 ' Container: 120mL Glass Received: 09-22-99 Preservation: Cool Extracted: 09-22-99 Matrix: Soil Analyzed: 09-24-99 ' % Moisture: 3 Dilution Factor: 1 Qualitative Identification . ' This sample has GC/FID characteristics that are similar to: 1. Fuel Oil No.2/Diesel Fuel. 2. Based on the distribution of the isoprenoid hydrocarbons to the n-C alkanes,the Fuel Oil ' No. 2/Diesel Fuel appears to be mildly weathered. Analyte, Concentration Units Reporting Limit ' I Total Petroleum Hydrocarbons I 3,600 mg/Kg 87 I QC Surrogate Compound Recovery QC Limits .' ortho-Terphenyl I 80 % 60- 140 % Method Reference: Comparison of Waterborne Petroleum Oils by Gas Chromatography,Volume 11.02,Water,American ' Society for Testing and Materials(1990). Analytical protocol modified by use of an internal standard. Results are quantified on the basis of 5a—androstane. Sample preparation protocol modified by use of microwave accelerated solvent extraction. Results are reported on a dry weight basis. Report Notations: BRL Indicates concentration, if any, is below reporting limit for analyte. Reporting limit is the lowest ' concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample dilution and sample size. t Groundwater Analytical, P.O. Box 1200 228 Main Street Buzzards Ba MA 02532 Yt � Inc., Y� 1 a GROUNDWATER 1 ANALYTICAL ASTM METHOD D3328-90(Modified)Hydrocarbon Fingerprinting (GC/FID) 1 1 I'� Lab ID: 29027-07 HYDROCARBONS LABORATORY �v 1 I� 1 8 , III IN 5 10 15 M 3 30 35 40 45 50 Retention time minutes 1 g1R"U ATER OW 11ALYT'ICA ' Project Narrative t Project: O'Connor/95 Pineliegh/13O99-2516 Lab ID: 29027 Client: Bennett&O'Reilly Received: 09-22-99 A. Physical Condition of Sample(s) This project was received by the laboratory in satisfactory condition. The sample(s) were received ' undamaged in appropriate containers with the correct preservation. tB. Project Documentation This project was accompanied by satisfactory Chain of Custody documentation. The sample container ' label(s) agreed with the Chain of Custody. C. Analysis of Sample(s) No analytical anomalies or non-conformances were noted by the laboratory during the processing of these ' sample(s). All data contained within this report are released without qualification. 1 1 Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 ww w w w ww w w w ww w w w �w w w w ww 228 Main Street,P.O.Box 1200 GRDUNDWATER Buzzards Bay,MA 02532 CHAIN-OF-CUSTODY RECORD ANALYTICAL Telephone(508)759-4441 AND WORK ORDER N2 37542 FAX(508)759-4475 Project Name: Firm: ^^� TURNAROUND ANALYSIS REQUEST O(Xs�VL �W1^ Vn��f�`—( l�/.t ll'.'� .JY Volatlles sernivoleliles PesVHerb/PCes Metals PeboleuT Hvaroraiban Haa. General Chemistry Other ❑ STANDARD(10 Business Days) strastable Vol, E..TPH Vol,T H waste Project Number: Address:' ❑ PRIORITY(5 Business Days) &x�q-2SI6 �W I .RUSH(RAN (Rush requires Rush Authorization Number) 3 e Sampler Name: City/State/Zip: bavIfew?,"'� Please FAX AYES ❑ NO U 1eT:1 �, �G• LLWP15 y ram! 1 1 FAX Number: Project Manager: Telephone: BILLING Purchase Order No.: GWA Reference No.: INSTRUCTIONS:Use separate line for each container(except replicates). Lot l-Z.S 1 - Sampling Matrix Type Containers $ $ - ( ) Preservation Faleree _ SAMPLE - _ - _ = LABORATORY W s - _ a IDENTIFICATION e a e _ _ N NUMBEfl _ m m _ _ a S - w w o w = o o _ E (Lab Use Only) ~ W E E R E E E _ _ O r= 3 - o z _ _ �/�t •.�7 3 mR 8 m m n ti��1 h4 2:15 904 L S- tt 1 0 - Z120 sw-E:3-$' 1 Z=� s4-W; 1-S' >c 1 3 2:,�b S,a-►�: 3-8a I z:so 7B-1 : to-wit REMARKS/SPECIAL INSTRUCTIONS DATA QUALITY OBJECTIVES CHAIN-OF-CUSTODY RECORD Regulatory Program Project Specific CC NOTE:All samples submitted subject to Standard Terms and Conditions on reverse hereof. ❑Safe Drinking Water Act Many regulatory programs and EPA methods require project elinq h ler: Qate Time I Received by: Receipt Temperature: ❑MA DEP Form specific OC.Project specific CC includes Sample Duplicates, p ❑NPDES/Clean Water Act Matrix Spikes,and/or Matrix Spike Duplicates.Laboratory OC is Specify Slate: not project specific unless prearranged.Project specific CC ❑RCRA/Haz.Waste Char. samples are charged on a per sample basis.For water samples. R e by bate Time ed by ippingiAirbill A MCP(310 CMR 40) each MS.MSD and Sample Duplicate requires an additional / Number: Reportable Concentrations sample aliquot. ❑RCGW-1,9 RCS-1 - linquis d y: Date Time Received by L tory: Custody Seal/ Project Specific CC Required Selection of CC Sample Cooler Serial - ❑RCGW-2❑RCS-2 [ Sample Duplicate Selected by laboratory i�i SS '�/) "�� �� Number: ❑MA Dredge.Disposal f7 Matrix Spike "'Please use sample: ❑NH❑RI 0 CT❑ME Method of S ent: (GWA Courier ElExpress Mail CI Federal Express Specify Category: 1.1 Matrix Spike Duplicate -- — '6`UPS 0 Hand 0 1 ' GR13UNDW`4TER 11ANALYTICAL Quality Assurance/Quality Control ' A. Program Overview Groundwater Analytical conducts an active Quality Assurance program to ensure the production of high ' quality, valid data. This program closely follows the guidance provided by Interim Guidelines and Specifications for Preparing Quality Assurance Project Plans, US EPA QAMS-005/80 (1980), and Test Methods for Evaluating Solid Waste, US EPA, SW-846, Update III (1996). ' Quality Control protocols include written Standard Operating Procedures (SOPS) developed for each analytical method. SOPS are derived from US EPA methodologies and other established references. Standards are prepared from commercially obtained reference materials of certified purity, and documented ' for traceability. Quality Assessment protocols for most organic analyses include a minimum of one laboratory control sample, one method blank, one matrix spike sample, and one sample duplicate for each sample preparation batch. ' All samples, standards, blanks, laboratory control samples, matrix spikes and sample duplicates are spiked with internal standards and surrogate compounds. All instrument sequences begin with an initial calibration verification standard and a blank; and excepting GUMS sequences, all sequences close with a continuing ' calibration standard. GUMS systems are tuned to appropriate ion abundance criteria daily, or for each 12 hour operating period, whichever is more frequent. Quality Assessment protocols for most inorganic analyses include a minimum of one laboratory control ' sample, one method blank, one matrix spike sample, and one sample duplicate for each sample preparation batch. Standard curves are derived from one reagent blank and four concentration levels. Curve validity is verified by standard recoveries within plus or minus ten percent of the curve. B. Definitions ' Batches are used as the basic unit for Quality Assessment. A Batch is defined as twenty or fewer samples of ' the same matrix which are prepared together for the same analysis, using the same lots of reagents and the P P g Y g same techniques or manipulations, all within the same continuum of time, up to but not exceeding 24 hours. Laboratory Control Samples are used to assess the accuracy of the analytical method. A Laboratory Control Sample consists of reagent water or sodium sulfate spiked with a group of target analytes representative of the method analytes. Accuracy is defined as the degree of agreement of the measured value with the true or expected value. Percent Recoveries for the Laboratory Control Samples are calculated to assess accuracy. Method Blanks are used to assess the level of contamination present in the analytical system. Method Blanks consist of reagent water or an aliquot of sodium sulfate. Method Blanks are taken through all the appropriate ' steps of an analytical method. Sample data reported is not corrected for blank contamination. Surrogate Compounds are used to assess the effectiveness of an analytical method in dealing with each sample matrix. Surrogate Compounds are organic compounds which are similar to the target analytes of ' interest in chemical behavior, but which are not normally found in environmental samples. Percent Recoveries are calculated for each Surrogate Compound. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 GRj3L/NDWATER ANALYTICAL QUALITY ASSURANCE ' Laboratory Control Sample Recovery ' Category: EPA Method 8100 (API Modified) Batch ID: HF-1214-MLS Matrix: Soil Units: mg/Kg ' Laboratory Control Sample SPIKE SPIKED PERCENT QC ANALYTE ADDED RESULT RECOVERY LIMITS Diesel Fuel 130 92 69 % 60-140 II I ' Calculations performed prior to rounding. Quality Control Limits are defined by the methodology, or alternatively based upon the historical average recovery plus or minus three standard deviation units. i ' GR13UN®16 ATER ANALYTICAL QUALITY ASSURANCE Method Blank ' Category: EPA Method 8100 (API Modified) Batch ID: HF-1214-MB1 Matrix: Soil PARAMETER CONCENTRATION REPORTING LIMIT ' (mg/Kg) (mg/Kg) Diesel Range Organics BRL 60 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS ' o-Terphenyl 2.7 2. 1 79 % 60 - 140 BRL = Below Reporting Limit. Calculations based on dry sample weight. Quantification based on a Diesel ' component standard. Method Reference: Method 8100 - Polynuclear Aromatic Hydrocarbons, Test Methods for Evaluating Solid Waste, US EPA SW-846, Third Edition (1986). Modification based on Method for Determination of Diesel Range Organics, American Petroleum Institute (1990). 5ROU111DWATER ' ANALYTICAL Quality Control Report Laboratory Control Sample ' Category: ASTM Method D3328-90 (Modified) QC Batch ID: HF-1214-M Matrix: Soil Units: mg/Kg ' Analyte Spiked Measured Recovery QC Limits, I Fuel Oil No. 2 130 I 92 69% 60- 140 QC Surrogate Compound Recovery , QC Limits ortho-Terphenyl 79 % 60 140 ' Method Reference: Comparison of Waterborne Petroleum Oils by Gas Chromatography,Volume 11.02,Water,American Society for Testing and Materials 0 990). Analytical protocol modified by use of an internal standard. Results are quantified on the basis of 5a—androstane. Sample preparation protocol modified by use of microwave accelerated solvent extraction. Results are reported on a dry weight basis. Report Notations: All calculations performed prior to rounding. Quality Control Limits are defined by the methodology, or alternatively based upon the historical average recovery plus or minus three standard deviation units. i ' Groundwater Analytical, Inc. P.O. Box 1200 228 MainStreet, B r MA yt Buzzards Bay, 02532 6R®L/NDWATER ANALYTICAL ' Quality Control Report Method Blank Category: ASTM Method D3328-90(Modified) QC Batch ID: HF-1214-M Matrix: Soil Analyte Concentration Units Reportng - Limn Total Petroleum Hydrocarbons ( BRL mg/Kg 60 QC Surrogate Compound Recovery QC Limits ortho-Terphenyl 79 % I 60- 140 ' Method Reference: Comparison of Waterborne Petroleum Oils by Gas Chromatography,Volume 11.02,Water,American Society for Testing and Materials(1990). Analytical protocol modified by use of an internal standard. Results are quantified on the basis of 5a—androstane. Sample preparation protocol modified by use of microwave accelerated solvent extraction. Results are reported on a dry weight basis. on a dry weight basis. ' Report Notations: BRL Indicates concentration, if any, is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. Reporting limits are adjusted for sample dilution and sample size. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 GROUNDWATER ANALYTICAL Quality Control Report Laboratory Control Sample ' Category: MA DEP EPH Method QC Batch ID: EP-0754-M Matrix: Soil Units: mg/Kg CAS Number Analyte ( Spiked Measured Recovery T QC,Limits71 111-84-2 n-Nonane(C9) I 5.0 2.2 43 % 40- 140 % 629-59-4 n-Tetradecane(C,g) 5.0 2.7 54% 40- 140 % ' 1629-92-5 n-Nonadecane(C19) 5.0 2.9 59% 40- 140 % 112-95-8 ( n-Eicosane(C20) 5.0 3.0 60% 40- 140 % 630-02-4 n-Octacosane(C28) 5.0 2.9 58 % 40- 140 ' QC Surrogate.Compounds , Recovery QC Limits j Fractionation: 2-Fluorobiphenyl 76 % 40- 140 % j 2-Bromonaphthalene 105 % 40- 140 % Extraction: Chloro-octadecane. 51 % 40- 140 % I ortho-Terphenyl 70 % I 40- 140 % Method Reference: Method for the Determination of Extractable Petroleum Hydrocarbons,MA DEP(1998). ' Report Notations: All calculations performed prior to rounding. Quality Control Limits are defined by the methodology, or alternatively based upon the historical average recovery plus or minus three standard deviation units. Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 GROUNDWATER ' ANALYTICAL ' Quality Control Report Method Blank Category: MA DEP EPH Method ' QC Batch ID: EP-0754-M Matrix: Soil EPH Ranges Concentration,' Units Reportinglimit ' n-C9 to n-C18 Aliphatic Hydrocarbons BRL mg/Kg 30 n-C19 to n-C36 Aliphatic Hydrocarbons r BRL mg/Kg j 30 n-C1 1 to n-C22 Aromatic Hydrocarbons"° BRL mg/Kg 30 1 ' Unadjusted n-Cl1 to n-C22 Aromatic Hydrocarbons BRL j mg/Kg 30 1 QC Surrogate Compounds Recovery QC Limits - Fractionation: 2-Fluorobiphenyl 68 % 1 40- 140 % ' 2-Bromona hthalene 67 % 40- 140� p i Extraction: ( Chloro-octadecane 46 % j 40- 140 % ortho-Terphenyl 78 % 40- 140 Method Reference: Method for the Determination of Extractable Petroleum Hydrocarbons,MA DEP(1998). Report Notations: BRL Indicates concentration, if any, is below reporting limit for analyte. Reporting limit is the lowest concentration that can be reliably quantified under routine laboratory operating conditions. ' Reporting limits are adjusted for sample dilution, percent moisture and sample size. t Hydrocarbon range data excludes concentrations of any surrogate(s)and/or internal standards eluting it that range. 0 n-C11 to n-C22 Aromatic Hydrocarbons range data excludes the method target analyte concentrations. 1 Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 , 1 GROUNDWATER ' ANALYTICAL ' Certifications and Approvals CONNECTICUT, Department of Health Services, PH-0586 Potable Water,Wastewater/Trade Waste,Sewage/Effluent,and Soil pH,Conductivity,Acidity,Alkalinity,Hardness,Chloride,Fluoride,Ammonia,Kjeldahl Nitrogen,Nitrate,Nitrite,Orthophosphate,Total Dissolved ' Solids,Cyanide,Aluminum,Antimony,Arsenic,Barium,Beryllium,Cadmium,Total Chromium,Hexavalent Chromium,Cobalt,Copper,Iron,Lead, Magnesium,Manganese,Mercury,Molybdenum,Nickel,Potassium,Selenium,Silver,Sodium,Thallium,Tin,Titanium,Vanadium,Zinc,Purgeable Halocarbons,Purgeable Aromatics,Pesticides,PCBs,PCBs in Oil,Ethylene Dibromide,Phenols,Oil and Grease. ' MAINE, Department of Human Services, MA103 Drinking Water Reciprocal certification in accordance with Massachusetts certification for drinking water analytes. ' Waste Water Reciprocal certification in accordance with Massachusetts certification for waste water analytes. ' MASSACHUSETTS, Department of Environmental Protection, M-MA-103 Potable Water ' Antimony,Arsenic,Barium,Beryllium,Cadmium,Chromium,Copper,Lead,Mercury,Nickel,Selenium,Thallium,Nitrate-N,Nitrite-N,Fluoride, Sodium,Sulfate,Cyanide,Turbidity,Residual Free Chlorine,Calcium,Total Alkalinity,Total Dissolved Solids,pH,Trihalomethanes,Volatile Organic Compounds,1,2-Dibromoethane,1,2-Dibromo-3-chloropropane,Total Coliform,Fecal Coliform,Heterotrophic Plate Count,E-Coli Non-Potable Water ' Aluminum,Antimony,Arsenic,Beryllium,Cadmium,Chromium,Cobalt,Copper,Iron,Lead,Manganese,Mercury,Molybdenum,Nickel,Selenium, Silver,Strontium,Thallium,Titanium,Vanadium,Zinc,pH,Specific Conductance,Total Dissolved Solids,Total Hardness,Calcium,Magnesium, Sodium,Potassium,Total Alkalinity,Chloride,Fluoride,Sulfate,Ammonia-N,Nitrate-N,Kjeldahl-N,Orthophosphate,Total Phosphorus,Chemical Oxygen Demand,Biochemical Oxygen Demand,Total Cyanide,Non-Filterable Residue,Total Residual Chlorine,Oil and Grease,Total Phenolics, Volatile Halocarbons,Volatile Aromatics,Chlordane,Aldrin,Dieldrin,DDD,DDE,DDT,Heptachlor,Heptachlor Epoxide,Polychlorinated Biphenyls(water),Polychlorinated Biphenyls(oil). MICHIGAN, Department of Environmental Quality ' Drinking Water _. Trihalomethanes,Regulated and Unregulated Volatile Organic Compounds by EPA Method 524.2;1,2-Dibromoethane,1,2-Dibromo-3- chloropropane by EPA Method 504.1 NEW HAMPSHIRE, Department of Environmental Services, 202798 Drinking Water Metals by Graphite Furnace,Metals by ICP,Mercury,Nitrite•N,Orthophosphate,Residual Free Chlorine,Turbidity,Total Filterable Residue,Calcium Hardness,pH,Alkalinity,Sodium,Sulfate,Total Cyanide,Insecticides,Herbicides,Base/Neutrals,Trihalomethanes,Volatile Organics,Vinyl Chloride,DBCP,EDB,Nitrate-N. Wastewater ' Metals by Graphite Furnace,Metals by ICP,Mercury,pH,Specific Conductivity,TDS,Total Hardness,Calcium,Magnesium,Sodium,Potassium, Total Alkalinity,Chloride,Fluoride,Sulfate,Ammonia-N,Nitrate-N,Orthophosphate,TKN,Total Phosphorus,COD,BOD,Non-Filterable Residue, Oil&Grease,Total Phenolics,Total Residual Chlorine,PCBs in Water,PCBs in Oil,Pesticides,Volatile Organics,Total Cyanide. x 77 ' a RHODE ISLAND'.Department of Health, 54" Surface Water,Air,Wastewater, Potable Water,Sewage Chemistry: Organic and Inorganic ' Groundwater Analytical, Inc., P.O. Box 1200, 228 Main Street, Buzzards Bay, MA 02532 � APPENDIX E 1 1 1 1 1 1 1 1 1 1 1 1 1 FIN TT A O 'REILLY, Inc. Engineering, Environmental & Surveying Services 1573 Main Street PO Box 1667 Sanitary 21E/Site Remediation Property Line Site Development Hydrogeologic Survey Subdivision Brewster, MA 02631 Waste Water Treatment Water Quality Monitoring Land Court 508-896-6630 ' Water Supply Consulting Trial Court Witness 508-896-4687 Fax QUALITY ASSURANCE AND QUALITY CONTROL PLAN ' Quality Assurance and Quality Control Program For Soil and Groundwater Remediation Plan ' INTRODUCTION ' This Quality Assurance and Quality Control (QA/QC) Program outlines the purpose, policies, organization and operations to support sampling work conducted by BENNETT & O'REILLY, INC. Implementation of this program will help ensure the validity of data used to provide professional engineering and environmental opinions to clients. The following definitions are used in the QA/QC Program: ' Quality Assurance refers to the concepts used in defining a system for verifying and maintaining a desired level of quality in a product or process. ' Quality Control is a specific, step-by-step description of.how the Quality Assurance Program will be carried out. ' This QA/QC Program guides field sampling activities. Project-specific QA/QC Programs are adopted when warranted. Modifications to this QA/QC Program may be made only ' after specific approval by the QA/QC Officer (Project Manager). ' 1 i a The specific objectives of the QA/QC Program are to: ' 1. specify the level of quality of each field procedure used in collecting 5 samples; 2. identify deficiencies in field procedures which might affect the quality of ' data; and 3. require sufficient documentation to verify the credibility of the sampling ' methods employed. PROGRAM ORGANIZATION AND RESPONSIBILITY ' The Project Manager of BENNETT & OREILLY, INC. is responsible for the quality of work produced. The Project Manager directs the QA/QC Program to document the control of field efforts I and resulting data. iIn this capacity, the Project Manager is expected to do the following. 1. prepare detailed Quality Control Plans; 2. obtain analytical and sampling procedure reference materials; ' 3. ensure that all field test and measurement equipment is maintained and calibrated properly; 4. monitor quality assurance activities to ensure conformance with authorized policies, procedures, and sound practices, and recommend improvements as necessary; ' 5. ensure that all field sampling is conducted in accordance with guidelines contained herein; ' 6. oversee all field sampling efforts to detect conditions which might directly or indirectly jeopardize the utility of resulting analytical data, such as improper calibra- tion of equipment or cross contamination through improper storage of samples; 7. ensure that sample handling procedures are adequate for the sample types received; ' and, 8. inspect the quality of purchased sampling materials. 2 A ' SAMPLE MANAGEMENT, COLLECTION, AND PREPARATION Introduction ' The procedures in this section are designed to ensure collection of samples which truly represent the matrix being sampled by eliminating trace levels of contaminants from external sources. Sample management and stringent documentation are essential for successful quality assurance. Sample Management ' The management of samples, up to the point of delivery to the laboratory for analysis; is under the supervision of the Project Manager, who shall ensure that samples are collected, labeled, preserved, ' stored, and transported according to the prescribed methods. If significant deviations from the sampling protocol occur, resulting in a suspected compromise of the sample integrity, all samples taken during that sampling effort prior to correction of the procedure will be discarded and fresh ' samples taken. In the field sampling effort, control samples (duplicates and blanks) are introduced into the sample ' set or batch. Random introduction of control samples is typically accomplished during the logging in process without leaving such clues as a sudden perturbation in the sequence of laboratory numbers or the appearance of a cleaned up extract in a round of soil samples. Sample Collection Ground water ' well Monitoring b s will be sampled in accordance with the following sampling procedures: 1. Identify the well and record the well number on the ground water sampling record. 2. Open the well cap and measure organic vapor levels at the wellhead with the use of a ' portable organic vapor analyzer. Record levels detected. ' 3. Measure ground water level to the nearest 0.01 foot from the top of the well riser pipe using an electric water level indicator. Record water level on a Monitoring Well Sampling Log (attached). Water level indicators will be decontaminated between wells. 4. The volume of standing water in the well casing will be calculated and recorded on ' the Monitoring Well Sampling Log. At least three well volumes will be purged by pump, separate pre-cleaned polyethylene tubing will be used in each well. 3 a 5. Samples will be collected using a bailer. Samples will be transferred from the bailer and poured into containers,taking care as to minimize agitation of the sample. 6. Sample containers will be properly labeled with tags provided by the laboratory. Samples will be logged in on a sample log sheet and a chain-of-custody form. 7. Samples taken for precipitate metal analysis will be acidified to a pH of less than 2.0 in the field. When sampling water for volatile compounds, care must be exercised to prevent loss of compound through evaporation. Precautionary measures include: ' l. preventing aeration of the sample with the atmosphere or any other gas; 2. filling bottles to capacity with sample and securing cap without entraining air ' bubbles; 3. placing samples on ice (approximately.4 Q immediately after collection; and, 4. analyzing sample as soon as possible within the specific holding times after collec- tion. ' Soils When collecting and screening soil samples, the procedures to be used are: 1. Prior to sampling surficial locations, surface vegetation, rocks leaves and debris will P g g , be cleared from the sample point to allow collection of a clean soil sample. Surface soil samples, if taken, will be taken with the use of a hand trowel or shovel and spatula. The sampling equipment will be decontaminated as outlined below. 2. Boring samples will be taken by drill rig-operated split spoon procedures. Soil samples collected from excavations or test pits will be collected directly with a hoe (if necessary) from grade to approximately four feet below grade. Samples collected at deeper depths will be obtained directly from the bucket of the backhoe. A stain- less steel spatula will be used to remove soil from the backhoe bucket for placement in the appropriate sample containers. ' Soil samples for HNU-101 volatile organic field screening will be placed in glass soil jars with aluminum foil placed under the screw cap. Samples will be allowed to warm to ambient temperature before screening or will be screened in a heated vehicle after warming. The jar will be shaken for fifteen seconds prior to warming and after warming to ensure proper headspace development. ' 4 3. Soil samples will be stored and shipped in appropriate sealed containers. 4. Sample containers will be marked to indicate g sam lin date, time, location and sampling , depth. Samples will be logged in or chain-of-custody forms (copy attached). ' 5. The stratigra h of each soil boring and test it excavation and the constructs P Y g p on of each monitoring well will be recorded by the on-site geologist on the appropriate soil boring/monitoring well installation log or test pit field log (copies attached). Soil sampling equipment(trowel, shovel, or spatula) will be decontaminated between each sampling location with a potable water rinse, alconox soap wash, potable water rinse, and final potable water rinse. Drilling and excavating apparatus (augers, rods, casing, core barrels, backhoe bucket, and other equipment coming in contact with the borehole or excavation) will be decontaminated between each ' boring and excavation via steam cleaning. If necessary, an alconox soap wash followed by a steam cleaning will be included. SAMPLE PRESERVATION Procedures To prevent or retard the degradation/modiftcation of chemicals in water samples during transit and storage, the samples will be preserved by refrigeration at or below 4 C and stored in glass bottles ' with Teflon-lined lids. Samples containing inorganic compounds will be stored in plastic polyethyl- ene containers. Samples will be delivered to the laboratory by courier or by overnight delivery service. 1 DATA MANAGEMENT Logging of Samples The accountability of a sample begins when the sample is taken from its natural environment. Sample handling(chain-of-custody) records must be completed at the time of sampling (refer to Figure 1). The following chain-of-custody procedure must be implemented by the Field Team Leader ' to assure sample integrity. ' 1. The samples are under custody of the Field Team Leader if: a. they are in his (or her) possession; b. they are in view after being in possession; ' c. they are locked up or sealed securely to prevent tampering; or, d. they are in a designated secure area. ' 5 1 1 a 2. The "original" of the sample handling form must accompany the samples at all times after collection. A copy of the sample handling form is kept by the Field Team , Leader. 3. When samples are transferred in possession, the individuals relinquishing and receiving will sign, date, and note the time on the form. The Sampling Handling Record will contain information to distinguish each sample from any other sample. This information will include: I ' 1. the project for which sampling is being conducted; 2. the matrix being sampled (air, ground water, soil, etc.); ' 3. the sampling date and time; ' 4. field sample identification number and chain-of-custody identification number; 5. the number and type of containers and the type of preservative used (if any); and, 6. signature of the person performing the sampling. ' Each sample will be assigned a unique identification number, which will be marked on the sample container. The sample handling record will be forwarded to the laboratory with the samples. As a ' precaution against this record being lost or altered, the sampling personnel will retain a copy of the sampling handling record documenting all information up until the first change of sample custody. This record will be filed by the Project Manager. Sample Identification Numbers ' Reporting of date to the data management system will require the assignment of a unique identifica- tion number to each sample collected (including quality control samples). A record will be ' maintained by the Project Manager to associate the field sample with the various identification numbers used to analyze the field sample. Specific sample identification procedures are developed for each field sampling effort by the Project Manager. ' 6 BENNETT & O'REILLY Inc. 1 573 Main street, P.O. Box 1667 Brewster, MA 02631 Engineering and Environmental Services (508) 896-6630 1 MONFOR WELL SAMPLING LOG CLIENT DATE(S) LOCATION JOB # I ' MEASURING POINT SAMPLER GROUNDSURFACE OR T.O.C. Well Elev. of Total Depth to Standing Water - Static Volume HNU Co=erlts Number reference Depth of Water Water Table Volume Purged PI-101 ' point Well (Feet) Height Elevation (gallons) (gallons) (ppm) (feet) (feet) (feet) (feet) 1 NOTES: i 1 A BE1O NETT & 01REILLY, Inc. Sheet of 1573 Main Street 508-896-6630 ' PO Box 1667 508-896-4687 Fax Brewster, MA 02631 Sieve Analysis Data and Computation Sheet ' Job Number: Date: Job Name: Sample Number: ' Sample Collected By: Sample Tested By: Notes 1 SIEVE WEIGHT PERCENT CUMULATIVE PROTECT OPENING SIEVE RETAINED RETAINED PERCENT MANUAL MILLI- MESH IN GRAMS (Cumulative) FINER SPECIFICATION METERS (Cumulative) 1 1 1 1 1' PASSED MESH SIEVE ' TOTAL Sample Weight Wet: Sample Weight Dry: Percent Moisture: Sample Weight Passed Through Sieves: 1 r r BENNE'T'T & ®1REILLY, Inc. Sheet of 1573 Main Street 508-896-6630 ' PO Box 1667 508-896-4687 Fax Brewster, MA 02631 ' Job Number: Date: F-1 El E] I Job Name: SAND GRAVEL SILT SAND Test Hole Number: Witness: Drilling Contractor: PEAT CLAY Sampling Method: ' GEOLOGIC BOREHOLE LOG Type Well Lithology/Sediment ' of Blows per %of Lithology Depth Depth Specification&Remarks Description Sample 6"Drive Recovery PID Response 5 (PPm) 5- 10 15 20 25 SWL: 30 35 40 45 50 a BENNETT & UR IL REPORT NUMBER: 1573 Main Street 508-896-6630 ' PO Box 1667 508-896-4687 Fax Brewster, MA 02631 ' INSPECTORS DAILY RECORD OF WORK PROGRESS Job Number: Date: Job Name: Feature: ' Contractor: Type of Work: Weather Conditions: Temperature: Contractor's Work Force(Indicate classification, including Subcontractor personnel) ' Equipment in use or idled(identify which) ' Materials or equipment delivered,quantity or pay items placed Non-conforming materials or work,field problems,inspections of previously reported deficiencies Summary of construction activities 1BENNETT n EILI::,Y IBC. 1 Engineering, Environmental & Surveying Services 1573 Main Street PO Box 1667 Sanitary 21FJSite Remediation Property Line Site Development Hydrogeologic Survey Subdivision Brewster,MA 02631 1 Waste Water Treatment Water Quality Monitoring Land Court 508-896-6630 Water Supply Consulting Trial Court Witness 508-896-4687 Fax SOIL TEST REPORT CLIENT: ASSR'S MAP: DATE OF TEST: AGENT: PCL: TYPE OF TEST: ENGINEER: STREET: DEEP HOLE: HEALTH REP: PERC TEST: ' EXCAVATOR: TOWN: BORING: SOIL LOGS SKETCH OF LOT (not to scale) TEST TEST 1 1 PROPERTY INFORMATION DEPTH TO GROUNDWATER: WATER SUPPLY: ' PERCOLATION RATE: SITE FEATURES: TEST RESULTS: PURPOSE OF TESTING: 1 CERTIFICATION: WE HEREBY CERTIFY THAT THE ABOVE TESTS WERE PERFORMED AND THE RESULTS ARE AS SHOWN ON THIS REPORT. 1 b Pesticide and Herbicide Analyses ' Minimum Recommended Required Holding Category Methods Qty., Container(s)2 Preservation Time' Aqueous Samples Carbamate Pesticides 531.1 60mL 2 x 125 Glass Bottle Cool to 4°C3 28 Days (Drinking Water) w/teflon liner" Add Sodium Thiosulfatell Adjust pH to 3 with Monochloroacetic Acid Buffer Organochlorine 608/8080 1 L 2 x 1 L Amber Cool to 4°C3 7 Days' Pesticides&PCBs Glass Bottle Check pH;Adjust 5-9' w/teflon liner" Remove Chlorine' Organochlorine Pesticides 508 1 L 2 x 1 L Amber Cool to 4°C3 7 Days21 &PCBs Glass Bottle Add Sodium Thiosulfate26 (Drinking Water) w/teflon liner" Polychlorinated Biphenyls 508A 1 L 2 x 1 L Amber Cool to 4'C3 14 Days zz by Perchlorination Glass Bottle (Drinking Water) w/teflon liner" ' Organohalide Pesticides 505 40 mL 3 x 40 mL Glass Vials Cool to 4°C3 7 Days20 &PCBs w/teflon septa caps" Add Sodium Thiosulfate26 (Drinking Water) Organophosphorus 614/8140 1 L 2 x 11-Amber Cool to 4°C3 7 Days' Pesticides Glass Bottle Check pH;Adjust 6-86 w/teflon liner" Remove Chlorine? Chlorinated 615/8150 1 L 2 x 1 L Amber Cool to 4°C3 7 Days' Herbicides Glass Bottle Remove Chlorine? w/teflon liner" Chlorinated Herbicides 515.1 1 L 2 x 1 L Amber Cool to 4'C3 14 Days 23 (Drinking Water) Glass Bottle Add Sodium w/teflon liner" Thiosulfate26 ' Glyphosate 547 40 mL 2 x 40 mL Glass Cool to 4°C3 14 Days (Drinking Water) Vial w/teflon liner Add Sodium Thiosulfate26 Endothall 548.1 100 mL 2 x 125 mL Glass Cool to 41C3 7 Days 21 (Drinking Water) Bottle w/teflon liner17 HCI to pH<21 Add Sodium Thiosulfate26 Diquat and Paraquat 549.1 250 mL 1 x 1 LAmber Cool to 4°C3 7 Days27 (D'rinking Water) Glass Bottle H2SOI to pH<21 w/teflon liner" Add Sodium Thiosulfate26 EDB and DBCP 504.1 40 mL 3 x 40 mL Glass Cool to 4°C3 14 Days (Drinking Water) Vials w/teflon Add Sodium Thiosulfate26 septa caps 12.11 ' EDB and DBCP 8011 40 mL 3 x 40 mL Glass Cool to 4°C3 14 Days Vials w/teflon HCI to pH<21 septa caps 12.17 Remove Chlorine? Solid Samples Organochlorine 8080 30 g Glass Jar Cool to 4°C3 14 Days10 Pesticides&PCBs w/teflon liner" Organophosphorus 8140 30 g Glass Jar Cool to 4°C3 14 Days10 Pesticides w/teflon liner17 Herbicides 8150 30 g Glass Jar Cool to 4°C3 14 Days10 w/teflon liner17 EDB and DBCP 8260 10 g 1 x 125 mL Glass Cool to 4'C3 14 Days Vial w/teflon septa cap 12,17 ' OR 2 x 40 mL Glass Vials w/teflon septa caps 12.13.17 I. 28 TOWN OF BARNSTABLE LOCATION Jr . Z e/G# A*& SEWAGE # VILLAGE o57e*V,Ile- ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. C SEPTIC TANK CAPACITY LEACHING FACILITY: i NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: i 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 r vJ Igo b � �� �Q� TOWN'OF BARNSTABLE LOCATION IS Roe Z e%;'A' A* SEWAGE # f `VILLAGE 0.5C4 'Ile- ASSESSOR'S MAP & 10—V---OOC,; INSTALLER'S NAME&PHONE NO. G SEPTIC TANK CAkCITY �S�® LEACHING,FACILrrY: (ty NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: COMPLIANCE�DATE Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet fib;, ,Private Water Supply Well and Leaching Facility (If any wells exist r " . 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 .. � . ,. -�- ;. �. - �� . . � :�� � 't a t ,�, _.;� �� � t � �� � . � W � � . �' s,�/ e .� v � - . ��, o 0 o �� -,��?, . �; , t ,.� ;� ,. . f 2 N"o. �� w► Fee THE COMMONWEALTH OF S C NWEAL H MA SA HUSETTS Entered in computer: Yes �v PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE., MASSACHUSETTS Application for ]Digpogaf *potent Cougtructiou Permit Application for a Permit to Construct( )Repair(K )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �,E t6-F ,�'� Owne'ss Name,A}�d j!st a9�Tel.No. Assessor's Map/Parcel Z 1 / �� "`G�� LEG 4A S Installer's Name Address and Tell.No. D ner's NarnA Address and Tel.No. �i e-IE- 'tOjLl VA---La Type of Building: Dwelling No.of Bedrooms Lot Size �g,mo sq.ft. Garbage Grinder( @ Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 1550 gallons per day. Calculated daily flow aS 4 gallons. Plan Date Apa Number of sheets 2 Revision Date {.1owL tr Title `� 1� L�f� IS LC tCa¢A t Size of Septic Tank Type of S.A.S. C2X 44. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Certifi- cate of Compliance has been issued his Board of Heakj4 Signed o Date /0-6 —n Application Approved by m Date OF Application Disapproved for the following reason on Permit No. Date Issued ,, r r- r _ 1:..4tiw . ✓ �� ,. a �'.. Fee p THE CfOIIONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISI N ,TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprication for 3i.5pogar *p! tem Construction Permit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑:Individual Components Location Address or Lot No. ej j?I N "".�, [lit{ f�`"}\ Owner's Name,Adde�sslad Tel.No. OYS �l2�F,0�S So6e�p+a U C..�O►.��.1 O Q� Assessor's Map/Parcel ' gS i't(0C--LEE A-A i�P`� 1 "t1 f o2 UysiT;;Yz S Installers Name,Address,and Tel.No. D igner's Name Address and Tel.No. Type of Building:,-. Dwelling No. of Bedrooms Jr Lot Size 46-MO sq. ft. Garbage Grinder 'Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 560 gallons per day. Calculated daily flow 55 -A gallons. Plan Date AuG Number of sheets 2 Revision Date ►a L- Title r `J 1— LA,NJ 9`3 Fj p E LGIG 44 � rtA 1 Size of Septic Tank 1 Type of S.A.S. Q-X -4.4 Description of Soil., Nature of Repairs or Alterations(Answer when applicable) 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 Certifi- cate of Compliance has been issued bt�khis Board f ea Signed o IIIDate Application Approved by n Date Application Disapproved for the followin-�easo " Permit No. r Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CE TI , that he On-sit ewaA e i ,gsat System Codstructed( )Repaired ( )Upgraded(j( ) Abandoned )by +✓ i !� 1� /r at I til E L 9 I'C� P-1 9 S h s n constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer r Designer n - The issuance of this permrrail-not 6 conytrued as a guarantee thathe sy m wimyetriion a�desigrt/�d� f�,Date l�f Inspector ll It� '�1/lIa/11 -:i { f u J No.-- ✓ -------- --------------------Fee _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi!6poga1 6pelem Con.5truction Permit Permission is hereby granted toConstruct( ),Repair( )Upgrade(x )Abandon( ) System located at gs `1"! IJEL t'=1C� H �lT 1& and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must bl co lete within three years of the date oftRpe it. Date: f t/ Approved b �� ��r / I FG.35.7 F.G.33.5 SYSTEM t DESIGN DATA Single Family-3 Bedroom(Design) With no Garbage Grinder T I 31.5 Daily Flow=110 x 3=330 GPD �. 33.4 1500Gallon Top E1.32.5 , Septic Tank: GPD 33.2 �a � Septic Tank 319 Bat.E1.29.5 Use 1500 Gallon Septic Tank ., 31.7 — LEACHING AREA Bedding as Ground Water @Elev.Less Than 330 GPD/0,74=44fi SF Required Per Title 5 5.0,As Per T.O.B.Grou nd Water , Map. Sidewall=2(124-25)2=148 S.F. Bottom Area=12'x25'= 300 S,F, 448 S.F.Total Provided SYSTEM I LEACHING CHAMBER DESIGN DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM Al Pipes to be Schedule 40. Use 2-500 Gal.Leaching Chambers Ina Not to Scale 12'x 25'Washed Stone Field as Shown • ._ �.. -FG.357 F.G.34.0 SYSTEM 2 DESIGN DATA Single Family-5 Bedroom(See Note 8) 33.7 32 0 With no Garbage Grinder Top El.33.0 Daily Flows 110 x 5=550 GPD 32.8 1500 Gallon 32 Septic Tank:550 GPD x 200%=1100 GPD Septic Tank 32 32,2 Bat.E1.30.0 Use 1500 Gallon Septic Tank „ LEACHING AREA Bedding as 550 GPD/0.74=744 SF Required Per Title 5 Ground WateriViElev.Less Than Sidewall=2(12+44)2=224S.F, 5.0,As Per T.O.B,Ground Water Bottom Areas 12'x44= 528 S,F, Map' 752 S.F.Total Provided SYSTEM 2 LEACHING CHAMBER DESIGN All Pipes to be Schedule 40.Use DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM 5-500 Gal.Leaching Chambers ina Not to Scale 12'x 44'Washed Stone Field as Shown Finish Grade NOTES I.Water Supply ForThis Lot is Municipal Water. Filter 2 Location of Utilities Shown on This Plan Are Approx. Fabric Compacted FIII At Least 72 Hours Prior to Any Excavation gForThis N IleProeNotif cat on to Dig Safe(1 The I800-3 s4844)ed 1 Pea Stone 3,The Contractor is Required to Secure Appropriate Permits From Town Agencies For Construction . Defined byThis Plan. ro 4: Install Risers as Requiredto Within 12"of Leaching 3/4"-1 1/2": Finished Grade. CIA Chamber DoubletWashedStone 5.All Structures Buried Four Feet or More or Subject to Vehicular Traffic tobe H-20 Loading. I r 4-I I I 6 Septic System to be Installed in Accordance With 12'-0" 310 C M R 15.00 Latest Revision And The Town of Barnstable Board of Health Regulations TYPICAL BOTH SYSTEMS 7. All Piping lobe Sch.40 PVC. CROSS SECTION OF CHAMBER. 8.Bedroom Count Per Title 5.Total Room Coent '-.:NOT TO SCALE Divided ByTwo(2).See Architectual Plans.- - OF �, L SULLIVANP N0,297J9 CIVIL �4 f SULLIVAN ENGINEERING INC. JOSEPH O'CONNOR OS.TERVILLE MASS. 95 PINELEIGH PATH SHEET 2 of 2 AUG. 5119199 OSTERVILLE, MASS. %VI / ASSESSORSMAP NQ ? - No.- - -- ---- PARCPh N0: _ - d��-_. Fee--:��=- ------- BOARD OF HEALTH TOWN OF BARNSTABLE Application_*r3VelC'Con9tructionPermit Application is hereby, made for a permit to Construct (V), Alter ( ), or Repair ( )an individual Well at: ------------------------------------------------------------------------------- Location — Address Assessors Map and Parcel fV4�- __--_____ /_a __________ 9 l /� 7� /l G( h — -- — -- — — J!----- �N —�C /va:/ G_ O STCJ U r G e Owne//r `f--- Address --------------------------------------- A: _CGc N `�! -0/�- .. --------------------- �a.�0 -9 �----�`` s ------�"-`-----a - --�I--------- Installer — Driller Address Type of Building Dwelling---------------------------------------------------------------- Other - Type of Building ------ No. of Persons------------------------------------------------------ ri Typeof Well 4�: --�J c- ----------- -------j-- - - - Capacity--------------------------------------------------------- --— Purpose of Well-i sr,4gT°_--------0-f -/------------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Co pliance has been issued by the Board of Health. Signed -------------- Si d. - � �_ �g - - date Application Approved By -- - �� ----- ----- " � date Application Disapproved for the following reasons:------- ------------------------------------------------------------------------- --- ----------------------------------------------------------------------------------------------------------- date Permit No. __ A/ ---- ,r^ --------- Issued ----------- date BOARD OF HEALTH TOWN OF BARNSTABLE �'Qlllertifirate ®f Compliance THIS IS TO CERTIFY, That the Indivioyal Well onstructed (�), Altered ( ), or Repaired ( ) l/ Installer at----I S__ ry l__j 6 L S-S---�a --¢S t"e/c�� F_r--------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit N(4/ -?V,44;�ated---{1�" r` � THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- ---- —- - -- Inspector---------------------------------------------— ------------ 11/ Ga 7-ia 0 .07 / -° No. Fee--- - -- BOARD OF HEALTH TOWN OF BARNSTABLE �� ���htatton,�ior�ell �ongtruttton�ertntt A�pplitcation is hereby made for a permit to Construct (V), Alter ( ), or Repair ( )an individual Well at: - S �L c----- e f- ------P4 - QS ---— --------------------------- -- ------ -- ------ ---------------------------- Location - Address Assessors Map and Parcel A S ---v,_!i u��.� -- -=- =¢ --- - - �f. ��, t r`f ---Al —��c!u t( �----------- ----------N�- ---- ---- ------ Owner / Address e. _1�- .S_ -�-' - Q f- ---------------------- -�°--!4x------------------------ �-`-'-'------ - �------ Installer - Driller Address Type of Building Dwelling------- ----------------------------==------------------------- Other - Type of Building---------------------------------- No. of Persons-------------------------------------------------- �i ----- Capacity - ----— Type of Well���-----��� ---�-------------------�---------------- P Y------------------------- ----------------------------- Purpose of Well--i?�-' G jt "------02" - - - Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certifcate.,of Cor ppliance has been issued by the Board of Health. Si ned!� -•4- `d « ------------- ----------------------- date Application Approved By- .. x = `d - - - - -— � - - �lE� �'1���� date Application Disapproved for the following reasons:-----------------------/------------------------------------------------------_____-__-_ --------------------------------------- — ---- --------------------------------------------------------------------------------------------- - date Permit No. --- -' _10— ® ----- Issued--- -- -- y.:.d.�.«..,:.�:.:arm+�+...�.�..,�:�,,r.�v...�.�.�� ��,.,. .� •��.�«.-�c�s. _.— ". ..,..p ... _ .. BOARD OF HEALTH TOWN OF BARNSTABLE t Certiftcate ®f Compliance THIS IS TO CpERTIFY, That the Indiviopal Well Constructed ('✓), Altered ( ), or Repaired ( ) bY----------�1_It__SGu ivn c-�� w" 1__�/i �l --- --------------- —��------------------------------- -------------------- Installer ---------------- p at tJt ,n has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit N - P000- , ted-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- —---- ------------ - - - Inspector------------------------------------------------------------------------ ac�:...rr.�:.r'w..�:r�r r.�.4iar+�arws.ar....w...� .ai�§.aa.l��A1 Aaawt.K+i� .�x�t.M.+��..M+�. . +'a'R4�a�+.-s�..,nw�w+�s�.�aM -. .._ .. �w•+�:4s�9� BOARD OF HEALTH TOWN OF BARNSTABLE _ Vett Construct ion Permit No. --------- Fee��----- -� Permission is hereby granted-&L&C4 njA.,y //w_� (_1 !� </}_ to Construct (''), Alter ( , ), or Repair ( ) an Individual Well at: No. -�5' --n��-`-' L-� `�` - 4 �- - --� T��U1 rf(a------------------------------------------------------------------------------------------- Street as shown on the ap lication for a Well Construction Permit No.- `_~ j✓_'�"v_ --- -- - - Dated ---------------------- - �i2�"Board of Health DATE-- - ---�` - ------— - ENVIROTECH LABORATORIES, INC. MA Cert. No.: M-MA 063 449 Rte. 130 . Sandwich, MA 02563 (508)888-646.0 • 1=800-339-6460 FAX(508)888-6446 CLIENT: Mrs. Callahan LOCATION: 95 Pine Leigh Path ADDRESS: Osterville, MA SAMPLE DATE: 5-2-96 COLLECTED BY: D. Pennini/ DA Scannell DATE RECEIVED: 5-2-96 TIME: 1:OOPM LAB I.D. #: E5-056 JOB TYPE: New well SAMPLE I.D. #: E5-056 WELL SPECS.: 42, RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/100m1 (MF Method) 0 0 pH pH units 6.0-8.5 5.56 Conductance umhos/cm 500 161 Sodium mg/L 28.0 14.4 Nitrate-N/Nitrite-N. mg/L 10.0 2.60 Iron mg/L 0.3 0.20 Manganese mg/L 0.05 0.080 COMMENTS: Low pH indicates high corrosive characteristics. - Manganese is not a health hazard. Yes. WATER IS SUITABLE FOR DRINKING PURPOSESIOR PARAMETERS TESTED15O XXX Date S Ro ld J. aari Laborato Director LT = Less Than TOWN OF BARNSTABLE LOCATION SEWAGE # 0// VILLAGE ASSESSO 'S MAP & LOT 0� .VSPGt'VR& NAME&PHONE N 7` SEPTIC TANK CAPACITY f ��� (/ LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER C)"RO�VINER \ 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 , � -. � �� � � �' 4 �`® ' (� N c .r. TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION. A ' '/ OWNER AND INSTALLER INFORMATION 0 7 / 3 ADDRESS: a' `1 C I~ f� L-r.1 '(1'� MAP NO. ,'- PARCEL NO._" 4� ( OWNER NAME: --��.�an�...,.'�n �•.\�-1r's r`rs,.t-_ f'Y-Y`o VILLAGE: � r INSTALLATION DATE: BY: ADDRESS: ,.CERT. NO. _ A.1r , �-. '' ' S47b TANK INFORMATION r LOCATION OF TANK: _ t i:_.. 1 CAPACITY 1f' ��� TYPE AGE =,Z, S FUEL/CHEMICALS S. TESTING CERTIFICATION C I PASS C I FAIL DATE s LEAK DETECTION C I CHECK IF N/A TYPE/BRAND ,, ZONE OF CONTRIBUTION C ] YES C NO , DATE TO ,BE REMOVEDu�� $ , t r FIRE DEPT. PERMIT ISSUED C ] YES C7 NO DATE UUNSERVATION, C I CHECK IF N/A DATE BOARD OF HEALTH -TAG NO. ]'C 7C ]C 11 ]! DATE dunfil 13KM 1L� PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD r .� � ��� � rr o ���„ �a� J __-------- _ f LPB c s f\gpe ' Grass ►� ,tif ;>� °o - "R / 1 7i l I F Fe"Ep % I Ft arbra o 60. PRIMAR' Y SC-PT(C ?ANK a J G / ry Po pr &o4se 66.2' LOCUS PLAN ho�°,Sosed P �j� J► MAP 71 PARCEL 02 e 001 ZONING DISTRICT RF-1 / 3� i i / � � Front/Side / Rear 30'/15'/15' , 0 FEMA Flood Zone C let Gross\ l Q Add and h0�seI .Ole ' 'Y \ Gross cfcv Grass o W A; N \ Ex/sting 3 / Existing ,-, \ e Cesspool ry N, O f EXIST. SEPTfC SYSTEM TO SE I PUMPtP AND FILLED WITH CLEAN, CLASS 1 NIArERIA<_ \ / / 2 t .35 Proposed House Gran / C�-E,cX aar y I 7 i Addition \ � 1 - 1 Bird House O o \ Swing Set \ \ _ �/� -rA N K 68.6 i \ 0 1 SYSTEM EM LCB \ I \\ Fn d / •'` 0 Sty W� \ 49.9, \ ` i 7� 0 c Shed �� Stone Drive . / \ "' oa � � � r Asphalt) ' `� � Cl) � --34 ge PETER S 6 Lot \\ `.... SUED a¢¢;.3) ?3 33 46,200fS CIVIL ' Is PLAN VIEW I 0 Scale: I' =20' 1 PREPARED BY: PREPARED FOR: IVotes/Revisionr Ttle: - ZIP SITE PLAN Sullivan Engineering, Inc. UclPa Ury JOSEPH O'CONNOR 1)The topographic information shown CD CD, 95 PINELEIGH PATH Pa Box 659 Po Bax 71E 3 COMMONWEALTH AVE: hereon was obtained by Conventional OYSTER HARBORS % 0stervllle, MA 02655 3oe Hyrsnn/s MA 02601 ?718 BOSTON MASS. survey methods. ( za-, �soeza-J��a fox r5 )�o-�oz (aoe)� �o- ,'s , 2)The property information shown hereon OSTERVILLE, MASS. PSWPEftol.00m ooP.,uMleop.ran.t was complied from available record o Information and does not represent an 20 0 10 20 40 i so Field: RRL RJM Draft: actual on the ground survey. N Dote: Scale: Comp.: Review: 3)The datum used is approximate August 5, 1999 1 .-20 Prof. # Drawing ` C35,3 2 E q 3 152 i LPB F y �$rr° �. ► Grass / r Pt ► ► 22.2 v qb 1 1 ► ► \ \ K L0 ► ► b-Bdx \ \ i i I SYSTE / M 'V it O� �,` — •bP a oo � SC-PTIC TANK �s O CC\ \ a * •p p 1� h n Po tj k. R v / / Pro �S°4se JI 66.2 LOCUS PLAN N / No►°,Sesed Po ��• i MAP 71 PARCEL 02 ZONING DISTRICT RF-1 Front I Side / Rear 30715715' FEMA Flood Zone C o/a `pr q opos Grass / Q° dditiond y0Use r Gross Gross o � W .ry N \ "S —Existing, ^ .ry Existing ,, Cesspool h O i / F_7C1ST. SEPTfC. SYSTEM TO BE PUMPtP AND FILLED WITH CLEAN, CLASS 1 MATERIAL \ / t~ \ /2' S Proposed House Gras ,�/ r !�-e,ox a ,� Addition \ c / y / Bird House QQ o r _ \ 68.6 44 Swing Set \ \ \ — — — — � -rA U K 1 0 / / \ / QQ• v I LCB \ SYSTEM 2 !� ry, 4 Fnd \ \\ c \\ / /m c° 0, m o \ Shed \\ u 49.9 0 \ o \ Stone Drive r Asphalt) •�` / Q * ve S E Lot O�¢3jy ,236 46,200fS PLAN VIEW �� # NOl_2 Illy`, ` S I�o.29r Scale: I"=20' CIVIL Title: PREPARED BK PREPARED FOR Notes/Revision: SITE .- PLAN Sullivan Engineering, Inc. ��1 ?' i�iu V JOSEPH O'CONNOR 1)The topographic information shown CD 95 PINELEIGH PATH PO Box 659 PO Box 718 "-+- - 3 COMMONWEALTH AVE f hereon was obtained by conventional OYSTER HARBORS Osterville, MA 02655 H)Mnls MA 02601-0718 BOSTON MASS. i survey.methods. O ST E R V I L L E MASS. loos)4za-s34 (sae)4zs-3115 fm (WB)M-7902 (soe)»o�-»or wx ' _ , P&OPEIno%com eop.a,►vaeP.cee:n.t 2)The property information shown hereon was complied from available record Information and does not represent an 20 0 10 20 40 80 actual on the round survey. N Field: RRL RJM Draft: g y, Date: Scale: Camp.: Review: 3)The datum used is approximate August 5, 1999 1**20' Proj f Drawing jo C353 2 �\\ q 152