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0108 BREED'S HILL ROAD - Health
108 BREEDS HILL Rb A p, � �-4-)-f -60 Z 09 v L - i M u u , M , r :r r r • y. ., .. :. .. .. , r r 1 yc. , „ G , x s , C .. - k ,1 r . w e 4 , * � y � 7 , s, A 0 c 5. y Kl � T r. I., c .t No. _S® 94 Fe THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Migo�,ar �&pgt - oh5truction Permit Application for a Permit to Construct O Repair O Upgrade O/baridon ) .Complete System ❑Individual Components r Location Address or Lot No. ame,Address,and Tel.No. Assessor's Map/Parcel � O "K W1 S �. -Name,Addres y and Tel.IT' (( S Ly�t 6w esig s Name,Address and Tel.No. �SS�. V�IiI \�` . Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil w Nature of Repairs or Alteratio s(Ans er when applicable) e� Date last inspected: Agreement: The undersigned agrees to ensure thei construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of'the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this B f ealth. s , Signed Date _ plication Approve by Date Application Disapproved by: Date a for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,'that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by at has been co tru i cted_i��ccordance with the provisions of Title 5 and the for Disposal System Construction Permit No.C= ! dated Installer Designer #bedrooms Approve flow gpd The issuance of this permit shall not be onstrued as a guarantee that the sy em will fug o as esigned. Date / � Inspecto No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Di.5po!5al *pg;tcm Con!5tructiou Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at 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 condition Provided: Construct' st be ccinpleted within three years of the date f this Date Approved b fir." ♦, , N _ _ _ _ �____ _ , . { l" /} e � �J Fee THe.COMMONWEALTH OF MASSACHUSETTS Entered it 41 computer: P UBLIC-HE' LTH DIVISION'-`TOWN OF BARNSTABLE, MASSACHU ETTS , Yes :;: -' Application for i� o� f y pgtei -�Co !6tructton Permit .Application for a Permit to Construct(. ), Repair(. ) Upgrade O r Bandon ).`/ Complete System El Individual Components Y Location Address or Lot No. r S { O. ner�s:Na e,Address,and aTel.No. w, Assessor's Map/Parcel ( �`�Q, (1 Vi 1 S ,• ? .LnstalderZsName,Address;and Tel. ` s»'� IC C•,�� ODP 's Name,Address and Tel.No: rx` Type of Building:' Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons 'i Showers( ) Cafeteria( ) Other Fixture`.; s Design Flow(min.required) gpd Design flow provided 'gpd Plan Date p'•.- Number of sheets Revision Date' i Title 4 jc Size of Septic Tank + Type of S.A.S. t. Description of Soil . +r g 0, Nature of Repairs or Alteratio s(Answer when applicable) ' Vn p 11. p �. °. , o ®t)sAv b•Q eV\ ,,�jA Ark rVS.' e4l. r Date last inspected: ;_ .f Agreement: _ The undersigned agrees,to ensure thelconstruction 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 operatio until a Certificate of Compliance has been issued by this Board-,-of-Health. ,.. . =� GDate Application Approved(,Signed y 1 " Date, y/ Application Disapproved by: ;i ° l ryes. , Date A for the following reasons Permit No. ti'?� Date-Issued THE COMMONWEALTH OF MASSACHUSETNTS _- BARNSTABLE, MASSACHUSETTS. Certificate ,of Compliance., r ` THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired( _ )j Upgraded nJR Abandoned( )by ' rl at has been constru led' ccordatice with the provisions of Title 5 and the for Disposal Systein_QC Tstruction Permit-No.. dated Installer c Designer _ bedrooms Approve •esv,g flow t gpd The issuance of this permit sha I not be oust ed,�as a guarantee that the sy �Cnm will'.fu e o as designed. Date � 7e �/ Inspec No .is*?�sfswF.±3sws:C�'7�t,•(,/J' ��a�i�� _ / Fee . THE COMMONWEALTH OF MASSACHUSETTS �. . . PUBLIC HEALTH DIVh-ION BARNSTABLE, MASSACHUSETTS Y -� lkgpool �&p!9terrY �Cor�6tructior� Permit r Permission is hereby granted to Construct-( ) Repair (�,,, Upgrade ( ) Abandon ( ) System located at M and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty . to comply with Title S and the following local provisions or special conditions. ti Provided: Constructio must be co' pleted within three years of the date o his pi*. ' Date Approved b�y� i -,_ J 1 EAVIROTECH LABORATORIES,INC IUA CERT. NO.:M MA 063 8 Jars Sebastian Drive Unit 12 . Sandwich,li'A 02563 (508)888-6460 1-800-339-6460 FA%(508)888-6446 Client N anie Desmond Well Drilling Location FW Webb-#108 Breed Hill Road Address PO Box 2783 Hyannis MA Orleans MA 02653 Stattaple Date 07/20/09 Collected By Desmond-Wells Sttttaple Tinae 3:30 Stanaple Type Geothermal well Irate Received 07/21/09 Lab order Nuitzber DW-91884 Well Specs NA Loctatiot1 Sotarce Date C611ectetl Ziiaae aroldecterl C'otartreetats . . A 7120/09 3:30 Analysis Requested Units Recorrtntettded Limits Analysis Result Method ®ate Anal--ed Analyzed Bj H pH units 6.5-8.5 5.99 SM4500-H-B 7121/2009 - LL P - - __ 330 EPA 1201 7/21/2009 LL Specific----- tancen umhoslcm 500 _- __ _.......- 7 ._ 00 <0.004 EPA 300.0 7121/2009 LL .._ . Nitrite-N m91L 1.10 EPA 300.0 7121/2009 LL Nitrate-N _.._ -- -- 20,0 60 5 . EPA 200.7 7/22l2009 MC Sodium m91L _ - <0.05 EPA 200.7 7/22/2009 MCI- Total Ironn mg/L - -- __ __. .-_ _ _ m 0 05 018 EPA 200.7 7/22/2009 AMC �. Manganesen g/L _. ._. _ - _._ 20 0 3 5 EPA 200 7 7/22/P009 AMC Potassiumn mglL _ .____ __ - 4.5 EPA 200.7 7,21 009 MC Calcium _.gll N/A U __ --------- -- --- ---- - -- N/A 5.0 EPA 200.7 7/22/2009 �VIC Magnesiumn mg/L -_- - - -�rt- __. - - - - - - - 50 200 31.8 EPA 200.7 7/2212009 Total Hardnessa m9/l . _ —.__. .. .. .. _. - ,._ ._...... --- r _. _ 200 61 SM2320B 7/21f2Q09 ALL Alkalinity mg/L _ - -- EPA 300 0 7/21/2,09 250 _ _ _.._Sulfate mg1L �._ — -- Chlonden mgfL - 109 - EPA 300.0 7/21/2b09 ' C L - - - - NTU 5.0 0 75 SM2130 B 7/21/2009 "'LLCp Turbidity1 _ — APC units 15 <5 0 SM2120 B 7/21/2009 XEL r r� _.. Colorn - - Volatile Organic Compounds' ug/L See comment ND EPA 524.2 7/28/2009 RIA* Arsenic" mg/L 0.010 <0 001 EPA 200.8 7l2412009 RIA' ` - _ * See attached 8/11/2009 PREMIER* Radionuclides" - - - - -- CilL 10 000 **142 5 EPA 913 7122/2009 a a a * - - - --- Radon .._------ --- _..._— ..____ ___--.---------------- --_. _ ._. 11.9 Calculation 7/21/2009 LL mg/L 50 Free CO2a Conanaetits: Sodium level is not a health hazard,but if on a low soduim diet,consult a physician before drinking Low pH indicates high corrosive characteristics. -Radon limit=10,000-Analysis follows. ***ND=None Detected-Analysis follows. Date 1/0 or r a tri La or r} irector BRL=Below Reportable Limits 'See Attached Page 1 of 1 oCertifrcation is not available for this analyte for non potable water samples.. Premier PFEY�EA Laboratory, Inc - - tAnOAA7naY - 61 Louisa Vens Drive Dayville,CT 06241 Fax:860-774-2689 860-774-6814 860-774-6814 800-932-1150 ANALYTICAL DATA REPORT prepared for: Envirotech Laboratories, Inc. 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 Attn: Ronald Saari Report Number: E907E49 Project: Desmond Well Received Date: 07/22/2009 Report Date: 08/18/2009 reel Premier Laboratory,Inc Authorized Signature ,A ACCpq /- � c Certified and Compliant with: "¢ CT(PH-0465),EPA(CT00008),MA(M-CT008),MD(332),ME(Cr0050),NH(2020),NJ(Cr007),NY(11549).PA(68-04413),RI (LA000300),UCMR2(CI00008),VT(VT11549) III Illlllllhoi-ooloOW247873 lil 111 ill111 Page I of 3 Premier Pncµ�EN Laboratory, Inc IABOI ATOAY 61 Louisa yens Drive Dayville,CT 06241 Fax:860-774-2689 860-774-6814 860-774-6814 800-932-1150 Report No: E907E49 Client: Envirotech Laboratories,Inc Project: Desmond Well CASE NARRATIVE METHOD CONFORMANCE SUMMARY Premier Laboratory,Inc received one sample from Envirotech Laboratories,Inc on 07/22/2009. The sample was analyzed for the following list of analyses: Radiological-Radium 226+228 Radiological Gross Alpha EPA 90 .0,1.EPA 904.0 900.0 Radiological-Uranium by EPA 200.8 200.8 Non-Conformances: Work Order: None Sample: None Analysis: None Page 2 of 3 III IIIIIIII11101-000000247 873III III III III Premier Laboratory, Inc. Analytical Data Report Report No: E907E49 Customer: Envirotech Laboratories,Inc Date Received: 07/22/2009 16:57 Project: Desmond Well Parameter Result DL Units Com leted Bv Dilution (1)DW-91884 Date Collected: 07/20/200915:30 Matrix: Aqueou0.35 0.72 pCi/L 08/01/2009 BAL Radioacitivity:Radium-226 Radioactivity:Gross Alpha 0.60 2.53 pCi/L 07/3 1/2009 BAL Radioactivity:Radium-228 0.73 0.61 pCi/L 08/11/2009 BAL ND 0.0010 mg/L 07/27/2009 11:44 AKB Uranium by 200.8 Page 3 of 3 LAB ID: M-PA153 BENCHMARK ANALYTICS, INC. 4777 Saucon Creek Road Center Valley, PA 18034-9004 Work Order: 09074274" PHONE (610) 974-8100 FAX (610) 974-8104 SEND DATA TO: NAME: Jake Rusconi WO#: 09074274 COMPANY: Premier Laboratory. PAGE: 1 of 1 ADDRESS: 61 Louisa Viens Drive Dayville,CT 06241 PO#: TEST REPORT PWS ID# PHONE: (800) 334-0103 FAX: (860) 774-2689 E907E49 RECEIVED FOR LAB BY: MAK DATE: 07/29/2009 9:47 Page 1 of 1 SAMPLE: E907E49-1 Lab to: 09074274-001A Grab SAMPLED BY: Client , Sample Time 07/20/200915:30 Test Result Uncert. MDA Units Method MCL Analysis Start Analysis End Analyst' Gross Alpha 0.60 ± 0.66 2Z3 pCi/L EPA 900.0 15 07/31/09 8:30 08/04/09 BPS-CV SAMPLE: E907E49-1 Lab ID: 09074274-001B Grab SAMPLED BY: Client Sample Time 07/20/200915:30 Test Result Uncert. MDA Units Method MCL Analysis Start Analysis End Analyst' Radium-226 0.35 ± 0.08 0.72 pCi/L EPA 903.0 08/01/09 11:00 08/14/09 BH-CV SAMPLE: E907E49-1 Lab iD: 09074274-OO1C Grab SAMPLED BY: Client Sample Time 07/20/200915:30 Test Result Uncert. MDA Units Method MCL Analysis Start Analysis End Analyst' Radium-228 0.73 ± 0.51 0.61 pCi/L EPA 904.0 08/11/09 8:45 08/17/09 KLE-CV REMARKS: The above test procedures meet all the requirements of NELAC and relate only to these samples. ' CV=Benchmark Analytics, Inc. Center Valley,PA; SA=Benchmark Analytics, Inc. Sayre,PA MANAGER DATE: 811812009 I R.B. UCAL Page I of 3 Specialists in Environmental Services CERTIFICATE OF.ANALYSIS Envirotech Laboratories, Inc. Date Received: 7/23/09Date Reported; 7/29/09 Attn: Mr.Ron Saari P.O.#: _ 8 Jan Sebastian Drive Sandwich,MA 02563 Work Order#: 0907-13055 DESCRIPTION: DESMOND WELL DRILLING Subject sample(s)has/have been analyzed by our Warwick,R.I. laboratory with the attached results. Reference: All parameters.were analyzed e U.S.EA approvelisted in the methods column thooft esCertificate Of Analysis. The specific methodologies a Data qualifiers (if present) are explained in full at to end of a given sample's analytical results. Certification#: l 1033, MA-RI015, CT-PH-0508,ME-RI015 l H" -253700 A&B,USDA�S-4184 If you ha e an questions regarding this work, or if we may be of further assistance,please contact our Gusto ner eivicle department. Ap v i On Data Rpp g enc: Chai�a f Custody 131 Coolidge Street,suite}105,Hudson,MAO1749 41 Illinois Avenue,Warwick,RI 02888 ® Phone:978.568.0041 Fax:978.568.0078 Phone:401.737.8500 Fax:401.738.1970 Page 2 of 3 /r R.I. Analytical Laboratories,Inc. t CERTIFICATE OF ANALYSIS Envirotech Laboratories,Inc. Date Received: 7/23/09 Approved by: Work Order#: 0907-13055 Data Repor '` 1� Sample# 001 SAMPLE DESCRIPTION: DW-91884 108 BREED HILL ROAD HYANNIS, AMPLE DATE/TIME: 7/20/2009 @ 5:30 SAMPLE TYPE: GRAB SAMPLE DET. DATE PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST Volatile Organic Compounds <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM Bromodichloromethane EPA 524.2 7/28/09 MMM Bromoform <0.5 0.5 ug/1 <0.5 0.5 ug/1 -EPA 524.2 7/28/09 MMM Dibromochioromethane EPA 524.2 7/28109 MMM Chloroform <0.5 0.5 ug/1 <0.5 0.5 ug/1 EPA 524.2 7/28/09 MMM 1,2-Dibromoethane(EDB) <0.5. 0.5 ug/l EPA 524.2 7/28/09 MMM Benzene MMM EPA 524.2 7/28/09 <0.5 0.5 ug/1 Carbon Tetrachloride EPA 524.2 7/28/09 MMM <0.5 0.5 ug/l 1,2-Dichloroethane EPA 524.2 7/28/09 MMM Trichloroethene <0.5 0.5 ug/1 <0.5 0.5 ug/l EPA 524.2 7/28109 MMM 1,4-Dichlorobenzene <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM I,1-Dichloroethane <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM l,l,l-Trichloroethane EPA 524.2 7/28/09 MMM Vinyl Chloride <0.5 0.5 ug/l Bromobenzene <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM Bromomethane EPA 524.2 7/28/09 MNIM Chlorobenzene <0.5 0 5 ug/l Chloroethane <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM <0.5 0.5 ug11 EPA 524.2 7/28/09 MMM Chloromethane EPA 524.2 7/28/09 MMM 2-Chlorotoluene <0'5 0.5 ug/1 <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM 4-Chlorotoluene <0.5 0.5 ug/l EPA 524 2 7/28/09 MMM ` Dibromomethane <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM 1,3-Dichlorobenzene <0.5 0.5 ug/1 EPA 524.2 7/28/09 MMM 1,2-Dichlorobenzene <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM. trans-1,2-Dichloroethene <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM cis-1,2-Dichloroethene <0.5 0:5 ug/1 EPA 524.2 7/28/09 MMM Methylene Chloride <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM l,l-Dichloroethene <0.5 0.5 ug/1 EPA 524.2 7/28/09 MMM l,l-Dichloropropene <0.5 0.5 ug11 EPA 524.2 7/28/09 MMM 1,2-Dichloropropane <0:5 0.5 ug/1 EPA 524.2 7/28/09 MMM 1,3-Dichloropropane <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM cis-1,3-Dichloroprop-ene <0.5 0.5 ug/1 EPA 524.2 7/28/09 MMM trans-1,3-Dichloropropylene <0.5 0:5 ug/l EPA 524.2 7/28/09 MMM 2,2-Dichloropropane 0<0.5 g/1 EPA 524.2 7/28/09 MMM Ethylbenzene .55 u <0.5 0. ug/l EPA 524.2 7/28/09 MMM Styrene 5 0.5 ug/l<0. EPA 524.2 7/28/09 MMM 1,1,2-Trichloroethan <0:$ 0.5 e ug/lEPA 524.2 7/28109 MMM 1,1,1,2-Tetrachloroethane l Page 3 of 3 R.I.Analytical Laboratories,Inc. E� CERTIFICATE OF ANALYSIS / } Envirotech Laboratories,Inc. Date Received: 7/23/09 Approved by: Work Order#: 0907-13055 Da Repo t Sample# 001 SAMPLE DESCRIPTION: DW-91884 108 BREED HILL ROAD HYANNIS,MA , SAMPLE TYPE: GRAB SAMPLE DATE/TIME: 7/20/200 15:30 SAMPLE DET. DATE PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST 1,1,2,2-Tetrachloroethane <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM Tetrachloroethene <0.5 0.5 ug/1 EPA 524.2 7/28/09 MMM 1,2,3-Trichloropropane <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM _ oluene <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM T oluene <0.5 0.5 ug/1 EPA 524.2 7/28/09 MMM Xylenes 1,2-Dibromo-3-Chloropropane <0.5 0.5 ug/1 EPA 524.2 7/28/09 MMM Bromochloromethane <0.5 0.5 ug/1 EPA 524.2 7/28/09 MMM n-Butylbenzene <0.5 0.5 ug/1 EPA 524.2 7/28/09 MMM <0.5 0.5 ug/1 EPA 524.2 7/28/09 MMM Dichlorodifluoromethane <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM Trichlorofluoromethane 7/28l09 MMMIsopropylbenzene <0.5 0.5 ug/1 EPA 524.2 Hexachlorobutadiene <0.5 0.5 ug/1 EPA 524.2 7/28/09 MMM p Isopropyltoluene <0.5 0.5 ug/1 EPA 524.2 7/28/09 MMM <0.5 0.5 ug/1 EPA 524.2 7/28/09' MMM Naphthalene n-Propylbenzene <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM Sec-Butylbenzene <0.5 0.5 ug/1 EPA 524.2 7/28/09 MMM <0.5 0.5 ug/1 EPA 524.2 7/28/09 MMM tert-Butylbenzene 1,2,3-Trichlorobenzene <0.5 0.5 ug/1 EPA 524.2 7/28l09 MMM 1,2,4-Trichlorobenzene <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM 1,2,4-Trimethylbenzene <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM <0.5 0.5 ug/l EPA 524.2 7/28109 MMM 1,3,5-Trimethylbenzene M <0.5 0.5 ug/l EPA 524.2 7/28/09 MMM Methyl Tertiary Butyl Ether(MTBE) <10 10 ug/l EPA 524.2 7/28/09 MMM n-Hexane RANGE EPA 524.2 7/28/09 MMM Surrogates 4-Bromofluorobenzene 95 80-I20%. EPA 524.2 7/28/09 MMM 106 80-120% EPA 524.2 7/28/09 'MMM 1,2-Dichlorobenzene-d4 { Total Metals Analyzed by lCPMS <0.001 0.001 m W g/l EPA 200.8 7/24/09 L Arsenic RAdata, Inc. 27 Ironia Road, Unit 2 Flanders, NJ 07836 973-927-7303 ■11■II■II■II■11■11■II■11■11■11■II■11■11■11■II■II■11■11■11■II■II■11■11■II■II�11■11�11■11■11■II■tl■11■II■11■11■11■11■11■li■11�111 July 28,2009 Enviro Tech Ron Saari 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 Radon Test Results/Information: FileNum: Name: Envirotech Laboratories, Inc., Test Location: 108 Breed Hill Rd Hyannis MA Avg.Radon Test# Test Date Test Device Location Concentration Date Analyzed Unknown 142.5 pCi(L 7/22/2009,19:33 213484- 7/20/2009,15:30- Radon in Water well head-new well +1-2.92 Analyzed by:Deborah Van Dyk 605748 7/20/2009,15:30 accurae measures of the radon in water level at the time If you followed the test instruction o can will fluctuate slightly oveetime. s ults are WE ARE NOTtRESPONSIBLE FOR INACCURACIES CAUSED the test was taken, radon in water levels BY THE IMPROPER USE OF THE VIALS,INCORRECT OR INCOMPLETED TEST INFORMATION,OR DAMAGE TO THE VIALS IN TRANSIT. re The accuracy of the radon not levels determined n Rat the time of the radon sampling sults'indicated represent tated by proper the evels found loyment and in the test devicditions in the e as sec received deployment in the fieldcompleted at our lab. 'Sample(s)analyzed using EPA Standard Methods 750ORN (+/-=2 sigma(95%confidence level)counting uncertainty) NEHA Cert#101196 Page"I of 2 � I LIMITATIONS OF DATA AND PRODUCT LIABILITY a specific location. It can not guarantee the overall level of radon present in a home or building,or that people will not be exposed to This product is designed to detect radon levels in s product is based solely on the value of the monitoring,and is unrelated to the value of any customers'property or health. potentially harmful levels of radon. The cost of thi RAdata,Inc.EXPRESSLY DISCLAIMS ALL LIABILITY FOR ANY SPECIAL,INCIDENTAL.OR CONSEQUENTIAL DAMAGES.INCLUDING BUT NOT LIMITED TO DAMAGES RESULTING FROM THE IMPROPER USE OF THE PRODUCT OR THE IMPROPER INTERPRETATION E DATA GENERATED BY THE PRODUCT. 's AND ITS SOLE AND EXCLUSIVE LIABILITY AND THE USTOMER'S SOLE LIABIL D LIABILITY AND EXCLUS E REMEDY W LL NOT EXCEED THE LESSER OF THE COST OFIREPAIR OR AGENTS REPLACEMENT OF THE PRODUCT. Neither RAdata.Inc.nor its agents accepts any liability for improper deployment of any device and shall not be responsible for the consequences of the results derived frcm same. Confidentiality Notice: These test results,including any attachments are for the sole use of the intended recipient(s)and may contain confidential and privileged information.Any unauthorized review,use,copying,disclosure,or distribution by other than the intended recipient or authorized agent is prohibited.RAdata,Inc. will not disclose to anyone the identification of a client or results of sample analysis without the expressed consent of the client,except where required by law or by state/federal agency.In situations where information or results are being subpoenaed by a regulatory agency or the courts,RAdata,Inc.will notify the client promptly. Jeffrey Kaplan, Lab Director NEH A Cert#101196 Page 2 of 2 RAdata, Inc. 27 Ironia Road,Unit 2 Flanders,New Jersey 07836 973-927-7303 973-927-4980 fax 1-800-447-2366 I WATERBORNE RADON LABORATORY REPORT a ompanyng�re�ort�rrdi�cate�-t'he-�^�Its�f�o�� in water evaluation. You Will find all necessary data for determining the radon level for a specific sample. Interpretation of the results should be done in compliance with the EPA and your local state and environmental bodies. Although the EPA has not yet set an acceptable level for radon in water, the agency is considering a.maximum level in the range of 300 pCi/L for municipal water supplies, The EPA is also considering a maximum level of 1 ,000 pCi/L for well supplies. However, some health physicist'sregard 5,000-10,000 pCi/L a reasonable level for private well supplies. No agency has formally adopted an action level for radon in water. "As such, please coniact your�raaon office-for-spee Jfic - --- regional advice should you require additional explanation. *RAdata, Inc. is certified to do radon analysis in every state. *Radon in Water sample analyzed by EPA standard Method 750ORN r �` e r i RADON RISK IF YOU SMOKE Radon If 1,000 people who The risk of cancer from WHAT ro DOs Level smoked were exposed radon exposure compares to**., Stop Smoking and.... to this level over'a. lifetime*.. i 20 pCl/L About 260 people 4 250 times the risk Fix your home i could get lung cancer of drowning ;I 10 pCUL About 150 people - 4 200 times the disk of Fix your home ! could get lung cancer dying in a home fire 8 pCK About 120 people- 4 30 Umes the►fsk of Fhr your home could get lung cancer dying In a fall 4 pCUL About 62 people 4 5 Umes His risk of dying fix your home could get lung cancer In a car crash 2 pCK About 32 people 4 6 times the risk of dying Consider tlxing, could jet lung cancer' hoer poison "' between 2 and 4 pCl/l 1.3 pCI& About 20 people (Average indoor radon level) (Reducing It's never too " could get lung cancer' radon levels below late to reduce D.a PCB (Average outdoor radon level) 2 pC11L Is difficult) your risk of lung Note:If you are a former smoker,your risk may.be lower. cancer. ` Don't wait to test and R. ADON RISK If YOUTE NEVER SMOKED;:.. .. fix a radon Radon if 1000 people who The risk of cancer from W)UT V D& ol/ �troble/1�• if Level never smoked were radon exposure'compares to r y allposed to this level are a smoker, over.a Ilfe6me* 20 pCK About 36 people 35 Imes the rhk Fix your home sto Smoking, p ;could get lung,cancer. .;�„ , -or dmewning •, , 10 pCl/L About 18 people 4 20 times the risk of dying Fbr your home could get lung cancer In a`home fire 8 pCK About 15 people 4 4 times the risk of fix yew home could get lung cancer dying In a fall 4 pCl/L About 7,people Tho risk of dying In: Fix your.home could get lung cancer car crash Consrderfixing 2 pCVL About 4 people 4 The dsk of dying between 2 and 4 pCVL could get lung cancer from poison 1.3 pca About 2 people (Average Indoor radon love# (Reducing could get lung cancer radon levels below 0.4 pCl/L (Average outdoor radon level) 2 pCUL Is difficult) Note:If you are a former smoker,your risk may be higher. •Ufetime risk of lung cancer deaths from EPA Assessment of Risks from Radon in Homes(EPA 402-R-03-003). "Comparison data calculated using the Centers for Disease Control and Prevention's 1999-2001 National Center for injury Prevention and Control Reports. i RAdata, Inc. 27 Ironia Road,Unit 2 Flanders,New Jersey 07836 973-927-7303 973-927-4980 fax 1-800-447 2366 - WATERBORNE RADONLABORATORYREPOR T The accompanying report indicates the results of your recent radon in-water evaluation. You will find all necessary data for determining the radon level for a specific sample. Interpretation of the results should be done in compliance with the EPA and your local state and environmental bodies. Although the EPA has not yet set an acceptable level.for radon in water' the Agency is considering a In level in the range of 300 pCi/L for Municipal water supplies. The EPA is also considering a maximum level of 1000 PCi/L, for well supplies. However, some health physicists.regaxd 5000- 10000 pCi/L a reasonable level for private well supplies. . No agency has formally adopted an action level for rad on. on in water. As please contact your radon office for specific regional advice, should ou suck require additional explanation. y RAdata, Inc. is certified to`do radon analysis in every state. RAdat used EPA standard Method 520/5-83-027. a, Inc. RADON IN DRINKING RINKING WATER OccurrenCe of Rad on B al c KklarQund In I991, the U.S. Environmental Protection Agency(EPA) ro Drinking Water Regulations (NPDyVR) for radionuclides including a maximum contaminant level PD )f 3 proposed National Primary both community water supplies(CWS)and non-transient in ing radon. EPA proposed drinking water, affecting (NT/NCWS). nt non-corrununi�,water supplies EPA occurrence profiles have been largely based upon the results pplies National Inorganics and Radionuclides Survey the mid-1980s. Based upon the LAIRS data, ults of the (LAIRS) which the Agency conducted in CWS and NT/NCWS serving 19 million EPA estimated that appromately 27,000 to the U.S. Congress on Radon 9 People have levels exceeding300 ��g Water, 1994, EPA 811-R 94-001). (Report The main issue raised by commenters was that the occurrence water are higher than those projected by EPA. Subsequently, and levels of radon in well State data on the occurrence of radon,and found EPA reviewed additional.. general concurrence with the EP that this additional information was in. A/IVIRS data, Those commenting raised additional issues related to radon exposure that may warrant additional attention such as higher average Population occurrence, radon temporal variability, onal water),radon decay, P°mt of compliance(wellhead vs distrregibuted and differences in exposure tributed Po ure between CWS and NT/NCWS. Propo d A ivi i EPA will be reviewing existing and any new information to es and scientifically defensible occurrence and exposure distributions of establish the most accurate groundwater supplies, for both CWS and NT/NCWS, radon in public exposure analysis will be used by EPA to assess the costs and benefits associated various MCLs considered for radon. The radon occurrence and human and exposure update b S The Agency plans to complete a radon occurrence Pd y piing 1998, and a health risk reduction and cost analysis February 1999. by u i n 1. What factors and methods may t be important in interpreting occurrence data for radon? g national,regional,and state 2• What sources of additional radon occurrence data should EPA NT/NCWS analyses)? include(e.g.,for 3. Would mapping of radon in public water systems and of radon in national assessment,particularly for state multimedia mitigation homes be useful-to program planning? This discussion paper was ro prepared for an Environmental Protection Agency/QCe o Water stakeholder meeting,June 26, 1997 and does not represent agency �'Ground Water and Drinking g cy policy. 1 RADON IN DRINKING WATER Treatment Technolo ies: Removal moval Back round In 1991, the U.S. Environmental Protection Agency (EPA)proposed aeration as the Best Available Technology(BAT) for radon in drinking water'. Because radon readily escapes from water into air: 1) aeration is widely recognized as an extremely efficient method for treatment, with removal efficiencies greater than 99.9%possible, and 2) low air/water ratios'are sufficient for treatment, which leads to lower operation requirements and costs. Because of the relatively low costs associated with aeration, treatment technology should not be a limiting feasibility factor in setting Contaminant Level (MCL). the Maximum Filtration using granular activated carbon(GAQ is anot her effective treatment technologyfor radon in water, but EPA reason ed' that it would be too expensive municipal Pe a to treat. the amounts of water required for large . pal systems, rendering-it it infeasible proposed BAT in 1991. For smaller systems GAC may be cheaper than aeration, but at that time large municipal systems were the"yardstick"for measuring costs. Since the 1996 amendments to SDWA require EPA to determine small system compliance technologies for the small system size categories', in addition to the BAT for systems serving more than 10,000 persons., GAC will be considered as a small system compliance treatment technology. However, there are serious concerns regarding the safe daily operation of GAC treatment and the proper disposal of the spent carbon bed. When large amounts of raw water with high radon levels are treated with GAC for sufficiently long periods of time, the GAC carbon bed becomes radioactive enough to cause concern about safe and legal disposal.'Also, similar conditions may result in dangerous gamma radiation levels near the GAC unit. Unless it can be decisively shown that GAC can be effectively used by small water systems without generating additional radiation hazards, EPA will not propose GAC as a compliance technology. 'U.S.Environmental Protection Agency. "40 CFR Parts 141 and 142:National Prim Water Regulations;Radionuclides;Proposed Rule." FederalRe iste 33050,V.56,N. 138,Julyy 18 991. 'The air/water ratio refers to the amount of air brought into contact with a given amount of raw water. Contaminants that are difficult to remove using aeration require larger air/water ratios. 3 These system sizes correspond to those serving populations of25-500,501-3,300,and 3,301-10,000. This discussion paper was developed for an Environmental Protection Agency/Ofce of Groundwater and Drinking Water stakeholder meeting and does not represent agency policy. 1 Massachusetts Department of Environmental Protection - Drinking Water Program CIO.- . Perchlorate Report I PWS JNFOR.MATION Please refer;to your DEP Water Quality Sampling Schedule(INQSS)to.help complete this form - PWS ID M (— City/Town: Jorleans PWS Name: Desmond Well Drilling IMS Class: COM NTNC ❑ TNC DEP LOCATION DEP Location Name r Sample Information Date Collected_ Collected By (LOCj;ID# r 108 Breed Hill Road Hyannis,MA ❑ (M)ultiple ❑ (R)aw 9/1/2009 Customer ❑d (S)ingle ❑ flinished Routine or Original or Resubrnitted:Report t If resubmitted Report list,below,„ Special Sample , . - _ „. <, (1)Reason for Resubmission (2)Collection Date of Onginat Sample 66 RS ❑ SS 0 Original ❑ Resubmitted ❑ Resample❑ Reanalysis❑ Report Correction SAMPLE NOTES (Such_as,if;a:Manifold/Multipjesample, list,anysources that were on line'.dunng collection) I it ANALYTICAL LABORATORY INFORMATION v _.... .. ._.. .-._.. _ -. _ .... .._ �_..- ,... .., _ �. :�. ��.. �. ....�. . .... ..,..� �., .. �.. .. ...E .E Primary Lab MA Cert.#: M-MA009 Primary Lab Name: Barnstable County Health Laboratory Subcontracted?(YIN) N Analysis Lab MA Cert.M Analysis Lab Name: CONTAMINANT: Result UOM MCL MDL MRL Lali Method Date Analyzed Lab Sample ID# PERCHLORATE ND ug/L 2 0 0.050 1.0 EPA 314.0 9/1/2009 95450101 CONDUCTIVITY 590 umhos/cm 1.0 2.0 EPA 120.1 9/1/2009 95450101 Perchlorat analysisrequires the use of a Massachusetts DEP approved laboratory. Perchlorate-con centrationsbetween the'Minimum Detection Limit(MDL)and the Minimum Reporting Lavel(MRL)'must be reported as e,stihiated(J)values::; (i.e,perchlorate is'positively present but tentatively quantified). All field samples with measured native perchlorate concentrations between 0.8 ug/L and 2.0 ug/L must be tested with and without a perchlorate spike approximately equal to the native perchlorate concentration; .,LAB SAMPLE NOTES Reanalysis and Spike Recovery(required for results between 0.8ug/L and 2.0 ug/L or samples subject to pretreatment in method EPA 314.0) Compound Result(ug/L) Y MDL(ug/Lj .MRL{ug/L) Spike:Concentratwn Spike'Recovery t Lab Method Date Analyzed Perchlorate (Reanalysis) _. Perchlorate (Spike) (_certify under penalties of law fhata am the Primary Lab.Director Signature; person authorized to fill out this form and;the mformahon contained herein is true accurate antl complete to the best extent ofiny knowledge Date: '= � t:if not submitting these results electronically,mail TWO copies of this report to your DEP Regional Ofr<ce no later than 10 days after the end of the month m which you received this report or no later than 10 days after the end of the reporting period, whichever is sooner. DEP.REVIEW STATUS(Initial and Date) Review - .. WQTS -~ ❑ �[]:'Accepted ❑ Disapproved Comments Data Entered.; THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) M \-ko&, L DATA L1C�r Massachusetts Department of Conservation and Recreation Office of Water Resources Well Completion Report 08-OCT- WELL LOCATION GPS .North: 410 40.9161 GPS West: -700 17.5331 Address: 108, Breeds Hill goad Property Owner/Client: c/o JM Coull Subdivision Name:Webb building/Hyannis Mailing Address: 20 Powder Mill Road City/Town: Barnstable City/Town, State:Maynard MA Assessors Map: Assessors Lot #: Permit Number nV2009-018 Board of Health permit obtained: Y Date Issued: 08/20/2009 Work Performed Proposed use Drilling Method Overburden Drilling Method `Bediock New Well Geothermal Open Loop Auger CASING From (ft) To (ft) Type Thickness Diameter 1.00 -50.00 PVC Schedule 40 4.d0 SCREEN-- From (ft) To (ft) Type Slot Size Diameter -50.00 -70.00 Stainless Steel, Well .012 4.00 Point WELL SEAL / FILTER PACK / ABANDONMENT MATERIAL From (ft) To (ft) Material Description Purpose WELL TEST`" DATA (ALL SECTIONS MANDATORY FOR .PRODUCTIONr'WELLS) '. Date Method Yield Time Pumped Pumping Level Time to Recover Recovery (GPM) (hrs & min) (Ft. BGS) (Hrs & Min) (Ft. BGS) 09/01/2009 Constant Rate Pump 85.0000 2:00' 41.4000 0:50 27.2 STATIC WATER LEVEL (ALL WELLS) PERMANENT PUMP (IF AVAILABLE) ` Date Depth Below Ground Pump Description: Measured Surface (ft) Type: Intake Depth: 09./01/2009 27.2 Nominal Pump Capacity: Horsepower: WELL DRILLER'S STATEMENT ADDITIONAL WELL -INFORMATION Driller: Thomas .E Desmond III Developed: Yes Fracture Enhancement:No Supervisor: Thomas Desmond }III Rig #: 100 Disinfected:Yes Well Seal Type:None Firm: Desmond Well Drilling Inc. Total Well Depth: 70.000 Depth to Bedrock: Registration #: 764 Date Complete:09/25/2009 Comments: 3 supply wells, 4 discharge wells. All wells have the, same depth and construction. OVERBURDEN From To 'Description" Color - Comment Water ' Loss/Add Drill Drill (ft) (ft) Zone of Fluid Stem Drop Rate .00 30.00 Fine to Coarse Sand Brown Yes N/A 30.00 67.00 Silty Clay Brown Yes N/A 67.00 70.00 Fine to Coarse Sand BrownYes N/A BEDROCK From To Code Comment Water Drill Extra Drill Rust Loss/ # of (ft) (ft) Zone Stem Large Rate Stain Add of Frac Drop per ft 1/1 ENVIROTECII LABORATORIES,INC. MA CERT.NO.:M AM 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name Desmond Well Drilling Location FW Webb, 108 Breeds Hill Rd. Address PO Box 2783 Hyannis,MA Orleans MA 02653 Sample Date 09/21/09 Collected By Desmond wells Sample Time 15:30 Sample Type New well/S1 A Date Received 09/22/09 Lab Order Number DW-92804 Well Specs 4"X 70' Supply Well Location Source Date Collected Time.Collected , Comments A 9121/09' ;.: 15:30 SUPPLY IWELL-S1 A Analysis Requested Units Recommended Limits Analysis Result Method ,Date Analyzed Analyzed By Total Coliform /100ml 0 0 SM9222B- 9/22/2009 MC OH pH units 6.5-8.5 5.63 SM4500-H-B 9/22/2009 LL Specific Conductances umhos/cm 500 1,043 EPA 120.1 9/24/2009 LL Nitrite-4 mg/L 1.00 <0.004 EPA 300.0 9/22/2009 LL Nitrate-N mg/L 10.0 1.30 EPA 300.0 9/22/2009 LL Sodium mg/L 20.0 186 EPA 200.7 9/23/2009 MC Total Ironn mg/L 0.3 <0.10 EPA 200.7 9/23/2009 MC Manganesen mg/L 0.05 0.350 EPA 200.7 9/23/2009 MC Comments: Sodium indicates possible salt water intrusion or road salt run off. Manganese is not a health hazard,but may cause staining and/or give water an odor or taste. Low pH indicates high corrosive characteristics. Date Ron !d aari Laboratory Director BRL=Below Reportable Limits *See Attached Page 1 of 1 ❑Certification is not available for this analyze for non potable water samples.. ENVIROTECII LABORATORIES, INC NIA CERT. NO.:NI-NIA 063 8 Jan Sebastian Drive Unit 12 Sanrhvich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name Desmond Well Drilling.. Location FW Webb, 108 Breeds Hill Rd. Address PO Box 2783 Hyannis,MA Orleans MA 02653 Sample Date 09/21/09 Collected By Desmond Wells Sample Time 14:00 Sample Type New Well/D-5 Date Received 09/22/09 Lab Order Number DW-92803 Well Specs 4"X 70'Discharge Well Location Source' Date Collected Time Collected Comrents w q 9121109 :` 14:00 .` D-5 DISCHARGE WELL Analysis Requested Units Recommended Limits Analysis Resutt Method Date Analyzed Analyzed By Total Coliform /100ml 0 0 SM9222B 9/22/2009 — MC pH pH units _6.5-8.5 _ _ 5.49 SM4500-H-B 9/22/2009_ - LL Specific Conductancen umhos/cm 500 1,030 EPA 120.1 9/24/2009 LL —.__-----------.__r.__.___.—_.._.---------_--------------_-..-..__. _._._<0 004 EPA 300 0 9/22l2009 LL Nitrite-N mg/L 1.00 Nitrate-N mg/L 10.0 0.30 EPA 300.0 9/22/2009 LL Sodium mg/L 20.0 171 EPA 200.7 9/23/2009 MC Total Ironp mg/L 0.3 <0.1 EPA 200.7 9/23/2009 MC Manganesen mg/L 0.05 0.230 EPA 200.7 9/23/2009 MC Comments: Sodium indicates possible salt water intrusion or road salt run off. Manganese is not a health hazard,but may cause staining and/or give water an odor or taste. Low pH indicates high corrosive characteristics.. Date Z'0 Ronald-J. t ri Laboratory Director BRL=Below Reportable Limits *See Attached Page 1 of 1 oCertification is not available for this analyte for non potable water samples.. ENVIROTECII LABORATORIES,INC MA CERT. NO.:M-MA 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name Desmond Well Drilling Location S-2,FW Webb,108 Breeds Hill Rd. Address PO Box 2783 Hyannis, MA Orleans MA 02653 Sample Date 09/02/20 Collected By Desmond wells Sample Time 15:30 Sample Type New Well Date Received 09/23/09 Lab Order Number DW-92832 Well Specs Geothermal Supply. Y 3 Location Source bate Collected' Time`Collected s „n Comments 5-1 . A 15:30 S-2 Analysis Requested _ Units Recommender)Limits Analysis Result Method Date Analyzed Analyzed By Total Coliform /100ml 0 0 SM92228 9/23/2009 RS pH pH units 6.5-8.5 5.88 SM4500-H-B 9/23/2009 LL -- ----— ------ —_— -----------------.. _ --_.__..-- _Specific Conductances umhos/cm— 500 260 EPA 120.1 9/23/2009 LL Nitrite-N mg/L 1.00 <0.004 EPA 300.0 9/24/2009 LL Nitrate-N mg/L 10.0 0.74 EPA 300.0 9/24/2009 LL ..-. .--— Sodium mg/L 20.0 42.4 EPA 200.7_-_--9/2- 3—/20.09___. MC--- otaf Irons mg/L 0.3 <0.01 EPA 200.7 9/23/2009 MC Manganesen mg/L 0.05 0.052 EPA 200.7 9/23/2009 MC Comments: Sodium level is not a health hazard. I. Low pH indicates high corrosive characteristics. Water meets EPA standards and is su" ble for drinking for parameters tested. v� ��. Date Ronald J.So i Laboratory rector BRL=Below Reportable Limits *See Attached Page 1 of 1 aCerttflcation is not available for this analyte for non potable water samples.. ENVIROTECII LADORA,TOItIES,INC MA CERT. NO.:M NIA 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name Desmond Well Drilling Location D-7,FW Webb 108 Breeds Hill Rd. Address PO Box 2783 Hyannis,MA Orleans MA 02653 Sample Date 09/22/09 Collected B Desmond Wells y Sample Time 15:30 Sample Type New Well Date Received 09/23/09 Lab Order Number DW-92831 Well Specs Geothermal Discharge Location Source Date Collected ;, Time Collected A._ _ :9/22109 15.30 D-7, Y -� Recommended Analyz Limits Analysis Result Method Date - Analysis Requester! Units � ed Analyzed By Total Coliform /100ml 0 0 SM9222B 9/23/2009 RS pH pH units 6.5-8.5 5.81 SM4500-H-B 9/23/2009 LL Specific Conductances umhos/cm 500 450 EPA 120.1 9/23/2009 LL Nitrite-N mg/L 1.00 <0.004 EPA 300.0 9/24/2009 LL -- -- — ------ ---- -- ----------- ----___ - - ---- - Nitrate-N mg/L 10.0 0.73 EPA 300.0 9/24/2009-----—_—L—_L Sodium mg/L 20.0 69.0 EPA 200.7 9/23/2009 MC Total Irons mg/L 0.3 0.01 EPA 200.7 9/23/2009 MC Manganese= mg/L 0.05 0.053. EPA 200.7 9/23/2009 MC Comments: Sodium level is not a health hazard,but if on a low soduim diet,consult a physician before drinking Manganese is not a health hazard. Low pH indicates high corrosive characteristics. Water meets EPA standards and is suitable for drinking for parameters tested. _ Date Rotta4d' ri Laboratory Direct BRL=Below Reportable Limits *See Attached Page 1 of 1 oCertifrcation is not available for this analyte for non potable water samples.. 0 ENVIROTECH LABORATORIES,INC. MA CERT.NO.:M-MA 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name Desmond Well Drilling Location FW Webb,108 Breeds Hill Rd. Address PO Box 2783 Hyannis,MA ' Orleans MA 02653 Sample Date 09/21/09 Collected By Desmond Wells Sample Time 15:00 Sample Type Existing Well/ D-2 Date Received 09/22/09 Lab Order Number DW-92802 Well Specs NA Location Source ' ' Date Collected Time Collected Comments , w v Analysis Requested units Recommended Limits Analysis Result Method Date Analyzed Analyzed By Total Coliform /100ml 0 0 SM9222B 9/21/2009 MC Comments: - Water meets EPA standards and is suita a for drinking for parameters tested. Date Ronald J.Saar Laboratory D for BRL=Below Reportable Limits *See Attached Page 1 of 1 ❑Certification is not available for this analyte for non potable water samples.. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A- m 7��- IL DATA F.W. WEBB COMPANY Serving New England&New York Sin�f y: ® PLUMBING -HVAC/R- PIPES VALVES, Affilm Z©O I Wa p4ta4c �N ti A \``P�DISTq�eG 880 Attucks Lane•Hyannis,MA 02601 0'4 oos=o4 09 TEL:508-775-3890.800-352-3159 MA only•FAX:508-778-0409' www.fwwebb.com 9 u 50"� f 09/09/2009 WED 15: 23 FAX 5083627103 Barnstable CTY HealthLab --- Barnstable Health 12001/003 ' CERTIFICATE OF ANALYSIS Page: I-- Barnstable County Health Laboratory ' �tcnu Report Prepared For: Report Dated: 9/9/2009 Sally Desmond Desmond Well Drilling Order No.: G0954502 P O Box 2783 Orleans, MA 02653 , p E Laboratory ID#: 0954502-01 Description: Water- Sample#; D2 Sampling Location 108 Breed Hill Rd. ',MA Collected: 9/1/2009 Collected by: Customer D2 Received: 9/1/2009 Routine ITEM RESULT UNITS RL MCL -Meth od# Tested Nitrate as Nitrogen 2.8 mg/L 0.10 10 EPA 300.0 9/1/2009 Copper ND mg/L 0.10 1.3 SM 3111B 9/9/2009 Iton... 0.18 mg/L 0.10 0.3 SM 3111B 9/9/2009 Sodium. 68 mg/L 1.0 20 SM 3111B 9/9/2009 Total Coliform Present P/A 0 0 SM9223 9/1/2009 Conductance 460 umohs/cm 2.0 EPA 120.1 9/l/2009 ` pH 6,2 pH-units 0 SM 4500 H-B 9/I/2009 The recommended maximum contamination level for drinking water exceeded due to Coliform Bacteria and Sodium. Those on a i low sodium diet may wish to consult a physician:Retesting is recommended s t f f}} t ' F S f i i t ND=None Detected, RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 t 09/09/2009 WED 15: 23 FAX 5083627103 Barnstable CTY HealthLab — Barnstable Health 12002/003 I z, oF� CERTIFICATE OF ANALYSIS Page: 2 I � Barnstable County Health Laboratory Report Prepared For: Report Dated: 9/9/2009 Sally Desmond Desmond Well Drilling Order No.: G0954502 P O Box 2783 Orleans, MA 02653 Laboratory ID'#: 0954502-02 Description: Water-Drinking Water Sample#: D3 Sampling Location 108 Breed Hill Rd.Hyannis,MA . ......._.. Collected: 9/1/2009 t Collected by: Customer D3 E Received: 9/1/2009 Routine ITEM RESULT UNITS RL MCL Method# Tested Nitrate as Nitrogen 1.4 mg/L 0.10 10 EPA 300.0 9/l/2009 -- Copper ND mg/L 6.10 1.3 SM 3111 B 9/9/2009 Iron ND mg/L 0.10 0.3 SM3111B 9/9/2009 V Sodium 120 mg/L 2.0 20 SM 3111B 9/9/2009 Total Coliform Absent P/A 0 0 SM9223 9/l/2009 Conductance 780 umohs/cm 2.0 EPA 120.1 9/1/2009 pH 6.2 pH-units 0 SM 4500 H-B 9/1/2009 Sodium level is above the maxium contaminant level. Those on a low sodium diet may wish to consult a physician. f 4 ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph:508-375-6605 09/09/2009 WED 15: 23 FAX 5083627103 Barnstable CTY HealthLab --- Barnstable Health 0003/003 CERTIFICATE OF ANALYSIS Page: 3 Barnstable County Health Laboratory Report Prepared For: Report Dated: 9/9/2009 Sally Desmond a Desmond Well Drilling Order No.: G0954502 t. P�O Box 2783 Orleans, MA 02653 Laboratory ID#: 0954502-03 Description: Water-Drinking Water Sample#: S3 Sampling Location 108 Breed Hill Rd.Hyannis,MA Collected: 9/1/2009 E Collected by: Customer S3 Received: 9/1/2009 Routine ITEM RESULT UNITS RL MCL Method# Tested Nitrate as Nitrogen 1.3 mg/L 0.10 10 EPA 300.0 9/l/2009 -- Copper ND mg/L 0.10 1.3 SM 3111 B 9/9/2009 Iron 0.11 mg/L 0.10 0.3 SM 3111B 9/9/2009 Sodium 93 mg/L 1.0 20 SM 3111B 9/9/2009 Total0iliform Absent P/A 0 0. SM9223 9/1/2009 Conductance 590 umohs/cm 2.0 EPA 120.1 9/1/2009 pH 6.4 pH-units 0 SM 4500 H-B 9/1/2009 Sodium level is above the maxium contaminant level. Those on a low sodium diet may wish to consult a physician. Attached please find the laboratory certified parameter list Approved By: (Lab ector) h0a7 ND=Norie Detected RL = Reporting Limit MCL=Maximum Contaminant Level . Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph:508-375-6605 _..._............. ............ .. �• .... ........... 3. No.w �-�-I �4 Fee—XE---------- BOARD OF HEALTH t TOWN OF BARNSTABLE �- - Zippticat ion-for; elt'Conar ctionPermit Apoi hereby fora permit to Constuc ), Alter ( ), or Repair (- )an individual Well at: 06 Location —,Address Assessors Map and Parcel Gc ?tF'9 --— -- _ L � CAS_ Owner Address Installer — Driller Address Type of Building Dwelling-_— ------_---_ Other - Type of Building—=--_—__—.______ No. of Persons------- Type poi E : --{, &_e rYPe of Well — -- --- —— Capacity— _------_=_------n/i, Pd ose of Well, _-- Agreement: J}I So uiC / The undersigned agrees to install the afbredescribed individual well in accordance with the provisions of The Town of Barnstable Board of Hea h Private Well Protection Regulation — The undersignedtfirther agrees not to place,the well in operation until ertificate.of CorpRilliance has been issued by the Board of Health. y Signed --- --- - 1 ��-- datf Application Approved By a° date Application Disapproved for the following reasons: date PermitNo. ___ - _-- Issued---------------___—___------__ --_-_--- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THI TO CERTIFY, That the Individual Well Constructed ( tered ( ), or Repair d ( ) Installer - 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 No. --------------Dated-- ------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE ------- __ Inspector No.- ----- - - Fee------.-------------- BOARD OF HEALTH TOWN OF BARNSTABLE � �----� Ztpplicat ion for Well Congtruct ion Permit M GE-oItEFAPvtAi— SOV�'��� l�/Sc QG� Application is hereby made for a permit to Construc ( )),, Alter ( ), or Repair( )an individual Well at: j®� G� i" 5 Alt [. _�04D - o°✓r �I,P, _--_ t;�c� C.)v c�_ _ Location — Address --J'� --�,— --— --- Assessors Map and Parcel Owner Address -too _g A. - --- - -----Installer ---_._-------------- — Driller Address Type of Building Dwelling 'Other - Type of Building No. of Persons-- _._-______—_—_—_ ___ Type of Y-- - Well G t=Utz, ______—__ CaP � acit Purpose of Well-�`T _— Agreement: l S o �Pl V C fry r (j r f moo/), ow,t, SP 6vP(- 3 S The undersigned agrees to install the afbredescribed individual /well in accordance with the provisions of The Town of Barnstable Board of Heal Tertificate.of Private Well Protection Regulation - The undersigned f>,irther agrees not to place the well in operation until Compliance has been issued by the Board of Health. Signed `"=- --------,-- — dat ---- Application Approved By r F-J --------- �/'2&X/C7 -- date Application Disapproved for the following reasons: date Permit No. Issued — ------ date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance a.. THIS IS TO CERTIFY, That the Individual Well Constructed ( tered ( _), or Repair d l; ) by _ _Installer at— ,�D -( � ! C�446 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 No. ------s--_______Dated—_----------__--- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE --- _-_ Inspector---------------------____�__-�_---____-- Af- _ BOARD OF HEALTH TOWN` OF BARNSTABLE Well Con4truct ion Permit No. U if Fee Ad-- - c/ Permission is hereby granted--� '� - - -------- -- -- — to Construct (}r), Alter ( ), or Repair ( ) an Individual Well at: No. 1` if -l�` ---- greet as shown on the application for a Well Construction Permit No.- c,-- _-- Dated- GC7� d�a � Board of Health DATE __ I - ! I I I I !I I l I II I I I i I � r I i5 -__.. .. L..... ... _....... ........_..._............ ....._ _... � —I wusmwio�� J I --- { J .: I f I I I j M I I I I I i I ���•� I , C. \J ::.......... �D� f +� �_��� TURN&R % �.a : a AL MECHANICAL F.w.WEBBCOWANY -,-. ., wow M-2C µ � �, r�..� GROUP �v , „�•,.® ^,c> I o va���, SITE &UNDER—SLAB PLAN C ay+ Town of Barnstable 'THE h Regulatory Services Thomas F. Geiler,Director Public Health Division BARNSTASLE, Thomas McKean,Director MASS. g 9Qj 1639. ♦0 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 Email: healthatown.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 July 31,2008 Mr. Matt Lyons, RE: Toxic and Hazardous Materials F.W.Webb Company On-Site Inventory and Inspection, 880 Attucks Lane F.W.Webb Company, Hyannis,MA 02601 880 Attucks Lane, Hyannis Dear Mr.Lyons: On July 17,2008,a Toxic and Hazardous Materials On-Site Inventory and Inspection of the above referenced site was conducted by the Public Health Division(PHD).An On-Site Inventory and Inspection is a review of the sites storage,transport,utilization and/or disposal of toxic and hazardous materials as it relates to the Town of Barnstable Ordinance,Chapter 108:Hazardous Materials. This Ordinance was adopted to protect the public health and welfare,especially as it pertains to the public drinking water supply. The following is a description of the results of the Inventory(enclosed)and Inspection. MATERIALS INVENTORY AMOUNT AND PURPOSE: The Inventory of this site indicates the use or storage of approximately one-hundred and seventy-three (173)gallons of toxic and hazardous material. This material is stored for the retail and wholesale HVAC, refrigeration and plumbing business. Please be aware that the Town of Barnstable has determined that a minimum of one-hundred and eleven(111)gallons of toxic and hazardous materials requires an annual license. GENERAL STORAGE AREAS AND CONDITIONS: • The building consists of office space,a retail sales area and a warehouse.The building is constructed with a cement floor,there were no floor drains observed. • The fleet of company trucks is maintained by a mobil service or the trucks are sent to an off site garage. • The site building is served by the town sewer system. • The Material Safety Data Sheets were available on site. I r, -2- • The business does store cylinders of various refrigerants,by weight the inventory consisted of 4,355 pounds of gases. SAFETY AND DOCUMENTATION: F.W.Webb is in receipt of a License for Storing or Handling of 111 Gallons or More of Hazardous Materials and a Contingency Plan.There are several bags of Speedy Dry stored in the warehouse for sale, and is available to use on in-house spills. There are no activities which produce hazardous waste at the facility,therefore manifests are not available. Any deficiencies which were discovered in the course of this inspection with regards to the Hazardous Materials Ordinance are described below. CORRECTIVE ACTIONS TO BE TAKEN: A Spill Kit specifically suited for the facility is to be available on site. The PHD appreciates your cooperation and acknowledges your intent to maintain compliance with the Hazardous Materials Ordinance. This office will conduct a follow-up inspection within four weeks to verify that all corrective actions have been taken. Please contact me at the above telephone number should you have any questions or comments regarding the Inspection of your site. Very truly yours, Cynthia A.Martin Hazardous Materials Specialist All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials shall be completed upon receipt of this letter Thomas A.McKean,RS,CHO Director of Public Health Enclosures: Toxic and Hazardous Materials On-Site Inventory d _1Message Page 1 of 2 Martin, Cynthia From: Martin, Cynthia Sent: Thursday, April 02, 2009 3:00 PM To: 'Nichole Dunphy' Cc: Andy McBeth; Doug Hartnett; McKean, Thomas Subject: RE: Haz Mat Report- 108 Breeds Hill Road Nichole, I spoke to Thomas McKean, Director of Public Health, and offer the following regarding the previously attached Board of Health, "Major Materials" list. At a minimum The Mill Store inventory was one-hundred and five gallon, but not more than two-hundred and fifty-eight gallons. Sixty-four gallons of hazardous materials can be accounted for in the form of fifty-eight gallons of oil and six gallons of antifreeze. The discrepancy originates in whether the "Colors" quantities, one-hundred and four and one-hundred and twenty, respectively, are quarts/pints or cases. (Unfortunately, the inspector who performed this inventory is deceased.) Additionally, the Town Ordinance requires any facility that uses, stores, or handles one-hundred and eleven gallons of hazardous material to obtain an annual license and is then subject to an inspection. Based on the fact that The Mill Store was inventoried/inspected only once, and not required to obtain a license, the Public Health Division interprets this action to support a total inventory of one-hundred and five gallons. Should you have any further questions please call me at 508-862-4645. Cindy -----Original Message----- From: Nichole Dunphy [mailto:ndunphy@cubellis.com] Sent: Thursday, April 02, 2009 10:04 AM To: Martin, Cynthia Cc: Andy McBeth; Doug Hartnett Subject: Haz Mat Report - 108 Breeds Hill Road Cindy, Attached is the report I received from your office. Any insight with regards to this report or additional information you could provide would be helpful. Please call me if you have any questions. Thank you very much for your assistance. Nichole Dunphy Project Manager, Civil Engineering cubellis 281 Summer Street Boston, MA 02210 direct 617-603-2247 cell 781-686-4460 t 617-338-0009 f 617-338-0088 www.cubellis.com 4/9/2009 'Message Page 2 of 2 Think Sustainable. Keep e-1llail.Electronic. We've Moved!As of January 12, 2009, our new address is 281 Summer Street, Boston,NIA 4/9/2009 Page 1 of 1 .r Martin, Cynthia From: Nichole Dunphy [ndunphy@cubellis.com] Sent: Tuesday, April 07, 2009 9:32 AM To: Martin, Cynthia Cc: Andy McBeth; Doug Hartnett Subject: Mill Stores Inventory Cindy, Attached is the inventory list from the Taunton facility. Thanks again, Nichole Dunphy Project Manager, Civil Engineering cubellis 281 Summer Street Boston, MA 02210 direct 617-603-2247 cell 781-686-4460 t 617-338-0009 f 617-338-0088 www.cubellis.com Think Sustainable.keep e-Mail Electronic. We've Moved!As of'January 12, 2009, our new address is 281 Summer Street, Boston, MA 4/9/2009 04/03/2009 @ 2:44 PM A On Hand Item by Store Mill Stores Taunton Warehouse (Location 3) O/H 1 Loc ALU Desc1 Qty 61-21117 OV-Oil-RITTENHOUSE RED 8 3 61-21118 OV-Oil-RITTENHOUSE BLUE 23 3 61-21119 OV-Oil-SOCIETY BLUE 34 3 61-21120 OV-Oil-VILLAGE TAV BLUE 4 3 61-21121 OV-Oil-RITTENHOUSE GREEN 4 3 61-21122 OV-Oil-TEA CADDY GREEN 23 3 61-21123 OV-Oil-RITTENHOUSE IVORY 3 3 61-21124 OV-Oil-VILLAGE TAV YELLO 6 3 61-21125 OV-Oil-VALLEY FORGE MUST 20 3 61-21201 OV-Oil-PURE WHITE 11 3 61-21202 OV-Oil-COLONIAL WHITE 19 3 61-21203 OV-Oil-PEAR WOOD 15 3 61-21205 OV-Oil-BRITISH RED 11 3 61-21206 OV-Oil-SALEM BRICK 8 3 61-21208 OV-Oil-SOLDIER BLUE 20 3 61-21209 OV-Oil-ANTIQUE YELLOW 28 3 61-21211 OV-Oil-GOLDEN MUSTARD 19 3 61-21212 OV-Oil-COLONIAL GREEN 13 3 61-21214 OV-Oil-WILD BAYBERRY 6 3 61-21215 OV-Oil-FOREST GREEN 5 3 61-21216 OV-Oil-CABINETMKRS BLUE 67 3 61-21217 OV-Oil-CUPBOARD BLUE 33 3 61-21226 OV-Oil-BLACK SATIN 2 3 total quarts 382 95.5 gallons 61-31117 OV-Oil-RITTENHOUSE RED 7 3 61-31118 OV-Oil-RITTENHOUSE BLUE 51 3 61-31119 OV-Oil-SOCIETY BLUE 66 3 61-31122 OV-Oil-TEA CADDY GREEN 81 3 61-31123 OV-Oil-RITTENHOUSE IVORY 21 3 61-31124 OV-Oil-VILLAGE TAV YELLO 37 3 61-31125 OV-Oil-VALLEY FORGE MUST . 12 3 61-31201 OV-Oil-PURE WHITE 73 3 61-31202 OV-Oil-COLONIAL WHITE 19 3 61-31203 OV-Oil-PEAR WOOD 6 3 61-31204 OV-Oil-ANTIQUE PEWTER 53 3 61-31205 OV-Oil-BRITISH RED 46 3 61-31206 OV-Oil-SALEM BRICK 6 3 61-31208 OV-Oil-SOLDIER BLUE 44 3 61-31209 OV-Oil-ANTIQUE YELLOW 39 3 i 61-31211 OV-Oil-GOLDEN MUSTARD 20 3 61-31212 OV-Oil-COLONIAL GREEN 27 3 61-31214 OV-Oil-WILD BAYBERRY 7 3 61-31215 OV-Oil-FOREST GREEN 36 3 61-31216 OV-Oil-CABINETMKRS BLUE 7 3 61-31217 OV-Oil-CUPBOARD BLUE 24 3 61-31230 OV-Oil-TRANS SATIN XXX 155 3 61-31232 OV-Oil-GRAINING LIQUIDXXX 42 3 total pints 879 109.88 gallons 205.38 Total Galloi x r Page 1 of 1 Martin, Cynthia From: Nichole Dunphy [ndunphy@cubellis.com] Sent: Tuesday, April 07, 2009 11:21 AM To: Andrea Adams; Kristy Senatori; Gabrielle Belfit; pdaley@capecodcommission.org Cc: Martin, Cynthia; Andy McBeth; Doug Hartnett Subject: FW Webb- Hyannis Good Morning, This email is a follow up to our conversation last Thursday regarding the proposed hazardous material quantity for the above referenced project. Cubellis spoke to Cindy Martin, Hazardous Materials Specialist for the Town of Barnstable this morning. Based on Cindy's work schedule of two days per week, Tuesdays and Thursdays, the conversation today was a continuation from last Thursday on the Town of Barnstable Board of Health "Major Materials" inspection report for the Mill Stores dated November 1999. Attached is an email received from Cindy with the Board of Health's determination on the hazardous material quantities outlined in the aforementioned report. Cindy discussed the report with Tom McKean, Director of Public Health, and they determined that hazardous materials existing on-site in excess of household quantities. Their interpretation states a minimum of 105 gallons to a maximum of 258 gallons on site at the time of the inspection. In addition to the quantities shown in the attached email, Cindy determined that 2 gallons for the two cases of spray paint could be added to the total minimum and maximum quantities, resulting in a minimum of 107 gallons to a maximum of 260 gallon of hazardous materials. We would like to schedule a conference call with the Cape Cod Commission to review this new information and the Mill Stores Taunton Oil Based Inventory list sent to you last Friday. We would also like to discuss how the project can move forward from here and try to firm up the schedule to get a better grasp on the process timeframe. Please respond to me with your availability or if you have any questions. Thank you, Nichole Dunphy Project Manager, Civil Engineering cubellis 281 Summer Street Boston, MA 02210 direct 617-603-2247 cell 781-686-4460 t 617-338-0009 f 617-338-0088 www.cubellis.com Think Sustainable.Keep e-Mail Electronic. We've Moved!As of'January 12, 200.9, our new address is 281 Summer Street, Boston, MA 4/9/2009 l.. MAR..23..200S 12:08PM BARNSTA$LE BOARDOF HEALTH' NO,.291 P.1/1:_.. . TWIT OF SAR 'S�'tL napu CE. cuss: BOARD OF HEALT�I �' `� a. ANY % dle unsad �aT a5.RMentn�ulf nscrn (030 r bvrcr g G.Feelgpp]See� A3)DP SS L3$ 7.Mi9C8�1��wcnB QUAN7`ITIES AND SMRAGF (W=indoors-,OUTyvatdoomV WJOR MATER ]x oum IN onT IN oU T d& a e� Test Fuels; Gasoline Jet Fuel W Diesel,Xm%ene,42(B) I-A I Heavy Oil& Waste motor 00(0) new zotor oil(C) trsnsmiaiouttrdrnme Synthetic Organics; a � degreasoss �� �� , CGS �1 Q �, a Z6 i WSPOSALSECLAMATION RZ]113AR8�: 1.sanitary sewage 2.Water Supply O Town Seaver OPublio ' O On-site OPHVate S.Indoor Moor Drains YID$-1y0- 0 Holding tank:=C O Catch basioMiry w.eeU '7 ` O On-site system *� i A.Outdoor Surtme drains:YES' v x 0_ O Holding tank:=0 O Oatah bas]n/Dry wall • 6 `' �v� mV. O On- � , ter 5.Wake Trancporter s. Date o nw' d oU k4k•r 771-S TOWN OF BARNSTABLECOMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers Cam'COMPANY IIV Xl (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS /zo - / i ti C� , ggg; 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATER*S Drums Above Tanks Undeqn,-ound IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) �yr transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: /* co y / r DISPOSALMECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply ' O Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES !/ NO O Holding tank:MDC - O Catch basin/Dry well_ /`"" �' r O On-site system 4. Outdoor Surface drains:YES NO O - O Holding tank:MDC -� z"11 � O Catch basin/Dry well O On-sites tem 4 , 5.Waste Transporter Name of Hauler �Destination Waste Product YES NO 2. Person (s) Intervi wed Inspector Date ' 0 i r >s,r�MAR.13..2009-: 12 08FM BARNSTAELE .BOARD,OF. HEALTH ' N0:291 ..., , P:1/1 { .. TOWN OF BAR STI L naprr ce: . Crass: 1.�;M,C�atait aa$Repidr BOARD OF-HEALT�I �' Cle •eatiOeOctory s,Anto Sody shooge. nnOatisfaoto a Mnnnfsalvrcrs , �,�� (ess'Ordere 1 S.Reid SWMn COMP. �dr� TY. i.��4i _y 6,Etel How A1)DP'i 5 7.ittiOca °ne QUANnTYRB AND 8TORAGF (IN=indoors.,OTJT-=tdoMAJORUATERtk-,71,0"r orO) IN OUT W OUT IN OUT d&gellana Age 'Test I+ueis; Gaeolina Jet Fuel W Diesel,I=asene,#2(B) Heavy Oils: waste motor oA(0) new motor oil(C) tranamfssion/k4vdraalic .. . Synthetic Organics., a degreasass �� � ' a r m5pokkLMECLAXATION REMARKS: 1.Sanitary Sawage 2.Water Supply aeAe O Town Sewer OPublio O On-Oita OPrivate S.Indoor Floor brains YB3—XyO— sbraal O I3o)diag tank:MDC 041 O Catch basiwDry well O On-sito sptem i 4.Outdoor Surface drains: O.,Molding teak MDC O Oatch basimMry wall • 6 pn ds,.!✓ A� ' OOn- ' .t s; ;N Q G.Waste Transporter 2. A , - •� � Dste er�on(a)Iat"v% d ter �,� a.9= ..g100 THE COMMONWEALTH OF MASSACHUSETTS BOARD O-E HEALTH ..................................O F.................—...�..... Trr#ff irtt#r of TompliaYtrr THIS IS TO CERTIFY That the I dividual Sewage Disposal System constructed ( ) or Repaired ( } ....... .. .�---................................................................. iC��j Install has been installed in accordance with the pro isions of TIT-E j of The State Sanitary Code s described in the application for Disposal Works Construction Permit No.------��..--..tr�.�.�.... dated---,,.,).La��---7.a:�i2�nF_-_.--. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................:....................................................... Inspector.................................................................................... s TOWN OF BARNSTABLE LOCATION/O9 ga90 5 / /7 /?,0:. SEWAGE # 98-S/� VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.1- C' �- v � ���-3 SEPTIC TANK CAPACITY LEACHING FACILITY:(type 2 ZC-R-ca a,rS (size) /6!E!??a1 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER pu_&z'C, BUILDER OR OWNER NyErs Fv ruri._ _ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED_ VARIANCE GRANTED: Yes No __ 5� POL� R n� J � N BAXTER & NYE, I t Professional Land Surveyors and Civil Engineers 812 Main Street • Osterville, Massachusetts 02655 • Tel. (508) 428-9131 WILLIAM C. NYE, P.L.S. - President PETER SULLIVAN, P.E. -Vice President-Engineering RICHARD A. BAXTER, P.L.S.. -Vice President November 16 , 1988 Town of Barnstable Board of Health 267 Main Street Hyannis , MA 02601 RE: Septic System Inspection . Myers Furniture, Breeds Hill Road #8852 Members of the Board : This letter is to inform you that the septic system for this project was installed in substantial compliance with the plan dated August 16 , 1988 . Manhole frames and covers will be installed prior to paving the parking lot . IT you have any questions or comments , please do not hesitate to contact this office . Very truly yours , Stephen A. Wilson , R. E. Baxter & Nye, Inc . SAW/fmj CC : S. Myers O. R . Gunn W. Shaw MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS No . No.t a.. ..�. .-�.. �++ ii1 .. �� '`� Fxs..../..................�...... OE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..............OF..........�c... G�.s�s..c�,�� ..- r ---•--------•---- �J �J 1 0 plifiratiou for DaupuuFal Wurk,i Tomitrurttuu Famit Application is hereby made for a Permit to Construct (Repair ( ) an Individual Sewage Disposal System at: 11 ,, 2 ......_.�.1°D�.._'�+� 1�- � �a.46 -------------------- ----------------------------------------------------- Location-- --- --Address or Lot No. .... - ►►-'*� ---------1E`-k b..t-...---. ... .......................... ..........------------...__.._._.._..---- Owrrer Addre s ` —` tpeevtl —' Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.......... -Expansion Attic ( ) Garbage Grinder ( ) �+ Other—Type of Building of persons___________________________ Showers ( ) — Caaeteria �K) Q, Other fixtures ----42flo --- �-_ ------- =Ga-a.., �------- 1 Desi n Flow.._-._.---_ allons er person per day. Total daily flow_____________ �-+ W g - --g P P P Y• Y ���-'�3---------------gallons. WSeptic Tank—Liquid capacity•.j 04allons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......2 ....... Diameter._4_X_(j.._. Depth below inlet-------------------- Total leaching area..................sq. ft. Z Other Distribution box (��- Dosing tank ( ) `" Percolation Test Results Performed by.......................................................................... Date....................................... aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------------ P4 :- -- --------••---•------1-=------------------------------------ O Description of Soil------------�.3Gr_L#_'T-•------ .....:!;5t4&j*,j-0.................................................................................... x DESIGNING_ENGINEER_-MUS�T__SUPERVISE_. - --- INSTALLATION AND CERTIFI(-1Bl_V11R1T1��!�;. - ------------------------------------------------------------------------------------ - - ------------ ---------- x THE SYSTEM VNAS INSTALLED_-iN-_STF?lOT_. U Nature of Repairs or Alterations—Answer when applicable______________ HCGQRUANCE-7`(5 PLAN. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with T r1tt--. the provisions of!•1 T � 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance hap bee issue b oard of health.. Signed ............ ................. Date Application Approved By.. ��_.--=------�-,--=---------=-•-----...__.._._.-..----------------------•------ Z� l�? J `�\ Date Application Disapproved for the following reasons-----------------------------------------------------------------------------------•---•-•-•-------•--...-•---•-- Dau Permit No. �.. .5 11 I------•-------- Issued..... _! 4 ...................o A No.. ......... f -• FIB$..../... ''�.._ ; ; THE COMMONWEALTH O:.F MASSACHUSETTS BOARD OF HEALTH ..............OF............. ApplirFa#ion for Uinpniial Worko Taaantrurtiun Famit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at* VA 12 .-J-- • ............ ----•-- Location-Address or Lot No. Address r. _ �� I� �t tJ Address Type of B ItTlding L Size Lot............._..............Sq. feet .a Dwelling—No. of Bedrooms..___.___.C)............................Expansion Attic ( ) Garbage Grinder ( ) ..� ( ) p., Other—Type of Building Q_�.ti�� _,�i-�,�2 No. of persons____________________________ Showers ( ) — Ca eteria �C Other fixtures _...._�l_� ��n : - -......---7--- �-�. e--'•,rye,.. ,�_ . Design Flow...........��_& g P P P y y gal allons er person per day. Total daily �iow_______________�`4 gallons. Ix Septic Tank—Liquid capacity.' Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-_____�_------ Diameter__. Depth below inlet____________________ Total leaching area.................sq. ft. Z Other Distribution box ( � Dosing tank ( ) Percolation Test Results Performed by___________________________________________________________ - ---------- Date........................................ --.�•. Test Pit No. ________________minutes per inch Depth of Test Pit.................... Depth to ground water..................... fT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --------------•--------•------------------•----------------...••-•--------............--------------......................................................... Description of Soil............... ..........j:_14>1�--------- A.1 �-----------------------------------•----•----------------------------______________ x v -•••--------------•---•----•••••---•-•----...----••••--••--------•-----•-•-----•-•------...........-------•-------•••-•-•--•••••-----•----•----•----••-------------------------.......-••••------------ w U Nature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TT T L4: p 5 of the State Sanitar Code—The undersi ned furt't er agrees not to place the system in operation until a Certificate of Compliance has een iss ed by e of health. •`Signed_ •c---.......................................................... ............................. y { Date Application Approved B ..� c =��jf-, ................................... -``j'CJ "==. .... -- i 1 -`` PP pP y. U Date Application Disapproved for the following reasons________________________________________________________________________________________________________________ I Date Permit No. �. _....._.. -------------------- Issued. »y- -----•=r-- THE 1- v� COMMONWEALTH OF MASSACHUSETTS BOARD OI-F". ,HEALTH 1. ........I.......... '-,.._? 1....3..►�. ,,,� t-(�.......!`� oF................I Trdifirtttr of TnnapliFana THIS fS TO CERTIFY, That the I dividual Sewage Disposal System constructed ( ) or Repaired ( } by----------------- .......... ..------....---------------••--------•------•----••••------...---•--•=------........_•-••- t Installer i ++ OJT _- Ct I 1 � C / at.••--•••••---. -.............. _�h._ ........ -Y�-xc a ._.�.._S. l f=-�..L. _CQ_ 7 has been installed in accordance with the pro isions of r I t I E _5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__....: ks------=11-�___. dated_.. s.: :_t__.__ -1-/--_•-_ .o_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. _T_AA i V11b DATE........_/ (_9____1........ Inspector---------------- ........................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HER ING ENGINEER MUST SUPERVISE 9T QN AND CERTIFY IN WRITIP,'G T I ...........Lr:�................oF........ �'`y-I•►`:-��':-•-��;�..._ I�?1_.1JVAS..INSTALL F -I'� F�T NO.................. a In EE.../.. ............. YNCE TO PLAN, Disposal Workii Tonstnuton ranfit Permission is hereby granted--•-- � ..-•---------------•-•-----------•----..._......-•------._._...---.......-•-- ............. to Constlft!Ei or Repair I� vidua di Sewag Disposal System , T J _ Street i ,r _ ., as shown on the application for Disposal Works Construction Permit �No..... Dated:=_ . ......... ........ ......... M .......I.. _. Board of Health DATE ------•----- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS i���rz� is T�I6 E���iiri�� '� �-(�F�2 � rJIJ wn��,�26 /� ��r 7Jr 5/ zn� o_ a Jfle,amcE MAY-19-1994 07:19 FROM TO 7753344 P.01 _ BAXTER & NYE, INC. Professional Land Surveyors and Civil Engineers 812 Main Street . Osterville, Massachusetts 02655 . Tel. (508) 428.9131 WILLIAM C. NYE. P.L.S. - President PETER SULLIVAN, P.E. - Vice President-Engineering RICHARD A. BAXTER, P.L.S.-Vice President November 16 , 1988 Town of Barnstable Board of Health 267 Tin Street Hyannis , MA 02601 r �I RE: Septic System Inspection Ayers Furniture, Breeds H4, 17 Road #a8S2 Members of the Board : 'This letter is to inform you that the septic :system for this project was installed. in substantial comnl ,iance w4t.-h the plan dated Augusta 1 6 , 1988 . Manhole f rarnes and covers will be installed prior to paving the parking "ot .- if you have any questions or cormmern is , please dr, nac hesitate to contact this office . Very truly yours , Stephen A . Wilton , P . E . Baxter Nye , Inc . SAW/fm, cc: S .' Myers C. R . Gunn ?' 'W . Shaw DeFEO, WAIT 6B oSSOC IATES, INC. adw P.O. Box 730 RAYNHAM CENTER, MA 02768-0730 DATE JOB NO. (617) 823-7136 ATTENTION J��� l�t.%;.fJ�,✓rs� Le, RE: TO WE ARE SENDING YOU Attached ❑ Under separate cover via the following items: ❑ Shop drawings Cgo*Prints 2/Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order L c �� COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval eFor your use ❑ Approved as noted ❑ Submit copies for distribution ffl/As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: PRODUCT 240-2 Jn e Inc,Gramm,Mm 0I471. if enclosures are not as noted, kindly notify us at once. L UEr E0, WAIT & ASSOCIATES, INC. 890 Broadway P.O. Box 730 RAYNHAM CENTER. MASSACHUSEM 02768-0730 - �OII...S �XAt�t11JAT101`1 / PQQC. TQST Ina TP'° 1 T.P" 2 TP'm TP" s �4L G�iT l o 1,.1�-r>c � 51-�ow P�e�1��z 1-10���Wv-rEe T4�.� O►.� Soles. 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DRAWN BY:S.A.T. REVISED: s�-/6- A/E PtOJ. NO. 87-12