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�REwsr ❑�' of gLO ER 89��� 2 e �•a 3 a q 0 Board of Health Carmen Scherzo Chair Penny Holeman Vice Chair Annette Graczewski Joe Ford Jeannie Kampas Health Director Amy von Hone Assistant Health Director Sherrie McCullough Senior Department Assistant Tammi Mason Town of Brewster Board of Health 2198 Main St., Brewster, MA 02631 brhealth@brewster-ma.gov (508)896-3701 MEETING AGENDA Remote Participation Only March 17, 2021 at 7:OOPM This meeting will be conducted by remote participation pursuant to Governor Bakers March 2020 orders suspending certain open Meeting Law provisions and imposing limits on public gatherings. No in-person meeting attendance will be permitted. If the Town is unable to live broadcast this meeting, a record of the proceedings will be provided on the Town website as soon as possible The meeting may be viewed by: Live broadcast (Brewster Government TV Channell 18), Livestream (livestream.brewster-ma.gov) , or Video recording (tv.brews ter- ma.gov) Meetings may be joined by: 1. Phone: Call (929) 436-2866 or (301) 715- 8592 Webinar ID: 872 0748 6359 Passcode: 862104 To request to speak: Press *9 and wait to be recognized 2. Zoom Webinar: https://us02web.xoom.us/l/872074863597pwd=N2hNZ1J00VFLbEj 65070NTIRhZpyQT69 enter password; 662104 To request to speak: Tap Zoom "Raise Hand" button or type "Chat" comment with your name and address, then wait to be recognized 1. Call to Order 2. Chairman's announcements 3. Citizen's forum 4. Richard Peter - Weston & Sampson - annual report for Ocean Edge 5. Joe Smith - NSU Water - annual report for Pleasant Bay Health & Living Center 6. Joe Smith - NSU Water - annual report for Maplewood 7. Robert Reedy -- J,M. O'Reilly & Associates, Inc. - annual report for White Rock Common 8. Chad Simmons - Coastal Engineering Co., Inc. - annual report for Brewster Landing 9. David Michniewicz - Coastal Engineering Co., Inc. - annual report for CCSC 10. Discuss proposed revised Tobacco Regulations 11. Appoint Animal Inspectors 12. Discuss Food Service Permit in house approvals 13. Discuss Eversouce Yearly Operational Plan 14. Liason reports 15. Matters not reasonably anticipated by the Chair 16. Next meeting April 7, 2021 17. Informational items: a. 2021 Household & Small Buisness Hazardous Waste Collection Days b. Brewster Water Department - April PFAS sampling requirement c. Monthly report for Maplewood d. Monthly report for Pleasant Bay Health & Living Centersbz e. Monthly report for Ocean Edge f. Monthly report For icings Landing g. Monthly report for Kings Landing h. Monthly report for Cape Cod Sea Camps i. Monthly report for Cape Cod Sea Camps j. Monthly report for Wingate k. Monthly report for White Rock Commoms 1. Maintenance & Routine Operation Report for 225 Robbins Hill Road m. Maintenance & Routine Operation Report for 26 Nancy May Path n. Maintenance & Routine Operation Report for 200 Brier Lane o. Maintenance & Routine Operation Report for 75 Johnson Cartway p, Maintenance & Routine Operation Report for 19 Cedar Hill Road q. Implemenation of Brewster Plastic Bag Ban 18. Adjournment Date Posted: 3/11/2021 Date Revised: Recevied by Town Clerk: N;1HealthIBOH Agendas and Minutes and Remote SChedulelBOH AgendasWarch 1721 a.docx q OCEAN EDGE WWTF ANNUAL PERFORMANCE REPORT Calendar year 2020 Ocean Edge Resort Submitted by Richard V Peter Weston & Sampson March 2, 2021 Tammi Mason Senior Department Assistant Brewster Health Department 2198 Main Street Brewster, MA 02631-1898 Re: 2020 Annual Operations and Maintenance Report Ocean Edge Wastewater Treatment Facility Dear Ms. Mason: Weston & Sampson Services, Inc. is pleased to present you with our Annual Operations and Maintenance (O&M) Report for the Ocean Edge Wastewater Treatment Facility (WWTF). Included you will find a synopsis of our O&M activities, effluent flows, and effluent quality and parameters for the January 2020 through December 2020 reporting period. Sincerely, WESTON & SAMPSON SERVICES, INC. Richard V. Peter Regional Manager westanan d sa mpson. co m Offices in: MA, CT, NH, VT, NY, PA. MD, NC, SC& FL WestonUSampson TABLE OF CONTENTS Cover Letter Table of Contents 2 Introduction 3 VAVTF Performance and Compliance 3 Repair and Maintenance 4 Observations, Communications, Pumping 4 Effluent Flaw Graph, Summary, Conclusion, and Recommendations 5 westona ndsampson. co m Offices in: MA, CT, NH, VT, NY, PA, MD, NC, SC & FL Weston 3 Introduction This annual report highlights Weston & Sampson Services, Ine.'s (WSS) contract Operations and Maintenance {O&M} involvement with the Ocean Edge Wastewater Treatment Facility (WWTF) during the 2020 calendar year. Specific information regarding O&M is included in each section, as outlined in the Table of Contents. WSS has been the operator of record for the Ocean Edge WWTF since October 2005 (formerly through CHA Tech Services, LLC prior to December 2015). Calendar year 2020 was another successful year of operations for the WWTF. Pollution reduction performance was effective with few maintenance issues experienced throughout the year. The remainder of this report will present the data and provide comments on various aspects of the facility's O&M. WWVfF Performance and Compliance The table below summarizes the pollution reduction results for the 2020 monitoring period. Overall, the WWT='s effluent quality was been very good throughout the calendar year. There were a few effluent results that exceeded the allowable parameters as established in the facility's groundwater discharge permit (GWDP# 633). Specificaily, on February 17, 2020, effluent total nitrogen was reported to be 13,0 mg1L, which is over the maximum limit of 10 mg/L. On December 7, effluent total nitrogen was reported to be 14.8 mg/L. Results from a december 31 retest were reported to be 92 mg/L, which is within permissible limits. Process changes to the air flow and the chemical feed pumps were made to optimize treatment during offseason months, which show sporadic flows through the treatment facility. Also, process control changes implemented over the last twelve (12) months have resulted in a significant reduction in energy and chemical consumption. weston a ndsampson.co m Offices in! MA, CT, NH, Vi, NY, PA, MQ, NC, SC & FL Weston(D- if BOD TSS Gil & Grease Nitrate Total N Influent m Effluent m % removal Influent mg/L Effluent mg/L % removal Effluent mg/L Effluent mg/L Effluent m IL January 33 <3.0 100 26 <2.0 100 1,6 0.36 0.36 February 71 13 82 79 7.7 90 1.3 4.6 13.0 March 53 4.8 91 49 3.3 93 11 5.2 6.6 April 13 <10 100 5.0 <2.0 100 <0.5 1.7 2.97 May <8.0 <10 100 2.5 <2.0 100 0.9 2.0 2.88 June 16 <10 100 9.3 <2.0 100 1.2 1.2 2.20 July 130 <10 100 280 4.7 98 0.5 0.47 8.47 August 110 9,0 92 160 12 93 0.5 2.2 7,5 September 140 <10 100 170 2.8 98 1.6 0.85 3.45 October 62 <3.0 100 120 <2.0 100 0.6 2.9 4,4 November 36 <10 100 40 <2.0 100 <0.5 3.3 5.5 December 1 26 <10 100 34 1 <2,0 100 0.7 3.8 14.8 Minimum <8.0 <3.0 82 2.5 <2,0 93 <0,5 0.36 0.36 Maximum 140 13 100 280 12 100 1.6 5.2 14.8 Average 57,5 2.2 96 81.2 2.5 97 0.83 2.38 6.02 Overall, the WWT='s effluent quality was been very good throughout the calendar year. There were a few effluent results that exceeded the allowable parameters as established in the facility's groundwater discharge permit (GWDP# 633). Specificaily, on February 17, 2020, effluent total nitrogen was reported to be 13,0 mg1L, which is over the maximum limit of 10 mg/L. On December 7, effluent total nitrogen was reported to be 14.8 mg/L. Results from a december 31 retest were reported to be 92 mg/L, which is within permissible limits. Process changes to the air flow and the chemical feed pumps were made to optimize treatment during offseason months, which show sporadic flows through the treatment facility. Also, process control changes implemented over the last twelve (12) months have resulted in a significant reduction in energy and chemical consumption. weston a ndsampson.co m Offices in! MA, CT, NH, Vi, NY, PA, MQ, NC, SC & FL Weston(D- if 4 Repairs and Maintenance Listed below is a summary of repairs and maintenance items that were completed throughout the 2020 calendar year; • On February 7, 2020, the denitrification (denite) pump #1 that was tripping the breaker was pulled, inspected, impeller resected, and amperage tested. • On February 19, 2020, FR Mahoney was onsite to change the V -Register programming in the control panel, allowing for delayed start times to the Amphidrome filter backwash cleaning cycles. • On March 9, 2020, Robert B. Our pumped out both plant anoxic tanks, the Carriage House anoxic tank, the Pavilion lift station, and the Main lift station, • On April 2, 2020, True North was onsite to calibrate the final flow meters. • On May 29, 2020, the air line actuator valve was not functioning properly. The operator made adjustments to the set points, but the issues were not resolved. On June 13, 2020, Roger Ling was onsite to install a new air line actuator valve. • On June 17, 2020, Roger Ling was onsite to pull denite pump #1 for inspection. The impeller bearing had failed. • On June 22, 2020, Roger Ling was onsite to install anew denite pump. ■ On August 31, 2020, the operator found a leak on the Amphidrome air line in the blower room. Temporary repairs were made to stop the leak. • On October 15, 2020, Robert B. Our made a permanent repair to fix the leak in the Amphidrome air line in the blower room. 2020 Pumping History Below is a table summarizing the pumping history for 2020. westonan d sampson. cam Offices in: MA, CT, NH, VT, NY, PA, MD. NC, SC & FL Weston (D5ampson Grease Trap Anoxic Tanks 1 Lift Stations Volume (gallons) Volume (gallons) March 2 3,500 - March 9 - 37,800 July 23 3,500 - Totals 7,000 37,800 westonan d sampson. cam Offices in: MA, CT, NH, VT, NY, PA, MD. NC, SC & FL Weston (D5ampson OCEAN EDGE EFFLUENT FLOW 2020 506,000 450,000 432,896 400,000 385,245 350,000 306,788 300,000 c 0 250,000 �s C7 198,994 290,000 171,394 150,900 - — 117,891 96,221 97,779 100,550 109,686 109,014 100,000 73,988 50,000 0 January February March 2020 April 2020 May 2020 June 2020 July 2020 August 2020 September October November Dacember 2020 2020 2020 2020 2020 2020 Month Summary, Conclusion and Recommendations The Ocean Edge WVVfF continues to maintain a very strong record of successful treatment performance, as it has throughout the years. It is our recommendation that the anoxic tanks be pumped out in their entirety at the beginning and end of each season. Additionally, by law, the grease trap is to be pumped every three (3) months, or when the tank reaches one quarter ('/4) of its capacity, whichever comes sooner. Once again, we pledge to continue working diligently and applying our extensive Amphidrome experience to ensure that the system continues operating optimally, according to its designed capabilities. Should you require any further information, please do not hesitate to contact us. westonand sa mpson.00 m Offices in: MA, CT, NH, VT, NY, PA, MD, NC, SC& FL Weston l&Sompson J.M. OrREILLY & ASSOCIATES, INC. PROFESSIONAL ENGINEERING, LAND SURVEYING & ENVIRONMENTAL SERVICES Site Development • Property Line • Subdivision • San' Land COUrt • Environmental Permitting February 19, 2021 Job # 8082W FEB � G 2021 Town of Brewster Board of Health rjt.EWS7ER FiEAi_TH 2198 Main Street Ia-PARTMEN7 Brewster, MA 02531 RE: 2020 Annual Wastewater Treatment Operation & Maintenance Report Request to Eliminate Monthly TN Sampling White Rock Commons Subdivision, White Rock Road Dear Board Members: On behalf of aur client, White Rock Partners, LLC, J.M. O'REILLY & ASSOCIATES, INC. has prepared a report summarizing the complete 2020 operational results of the Septitech Commercial Wastewater Treatment System, a shared system that serves the above referenced subdivision. Operational Results and Analysis J.M. O'REILLY & ASSOCIATES, INC. conducted 4 quarterly inspections of the wastewater treatment system, which included sampling and performing any necessary maintenance or cleaning tasks at the time of inspection. Inspections were conducted in: March, June, September, and december. Please see attached 2020 inspection reports. Additionally, J.M. O'REILLY & ASSOCIATES, INC. collected total nitrogen samples from the system monthly when a full quarterly inspection was not performed. Therefore, the system was tested for nitrogen in every month of 2020. Please see attached 2020 lab testing results. Effluent samples were tested for BOD5, pH, TSS, DO, Temperature, TKN, Nitrate, Nitrite and Total Nitrogen. Total Suspended Solids {TSS} and BOD5 have been found to be within the allowable threshold during all testing for 2020. The total nitrogen levels exceeded the 19mg/I limit for May and slightly exceeded for April. After May the total nitrogen level fell below the 19mg/I limit. Refer to table 1. Table 1. Monthly Total Nitrogen Levels in Effluent, 2420 Month Total Nitrogen (mg/I) Month Total Nitrogen (mg/1) January 15.0 July 2.1 February 15.0 August 12.0 March 15.0 September 9.7 April 20.0 October 12.0 May 39.0 November 11.0 Jude 16.0 December 14.0 The higher Total Nitrogen results for April and May could be attributed to the emergence of the COViD- 19 Virus Pandemic. Around this time the virus was more well known than previous, and as a result there was increased use of household cleaners and sanitizers. This combined with the possible seasonal 1573 MAIN STREET, P.O. Box T 773, BREWSTER, MA 0263 z • PHONE-. (508) 896-66or • FAx: (5o8) 896-66oz WWW.JMOREILLYASSOC.COM tment from winter to spring, resulting in increased usage and flow to the system. No process control tments were attempted, as the cause was thought to be bio -microbial inhibiting chemicals, and ed time to he processed out of the system. The lab results indicated that the system was doing a job of breaking down Kjeldhal nitrogen into nitrate during the aerobic treatment phase; but was not effectively converting nitrate into nitrogen gas during the anaerobic phase. Unlike previous years no modifications or process control adjustments were made to the systems operational controls. The last 6 months of 2020 total nitrogen levels showed significant improvement and dropped well below the 19mg/I allowance threshold. Lab testing results during this period show that the majority of total nitrogen in the system was still made up of nitrate but in much lower concentrations; with Kjeldhal nitrogen and nitrite making up the remaining portions of total nitrogen. The system is receiving daily wastewater flows consistent with the original intended design flow for the system. This is allowing the system to process and treat nitrogen much more effectively than in the past when wastewater flows were still increasing as subdivision construction progressed. Evidence of this can be seen by analyzing the yearly averages for total nitrogen for the system up to date. 2017 — First complete year of use: 23.9 mg/I s 2018 — Second complete year of use: 23.0mg/I • 2019 — Third complete year of use: 17.0mg/I ■ 2020 -- Fourth complete year of use: 15.07mg/I With construction of the subdivision complete and the dwellings occupied, the system should have a consistent flow of wastewater entering the system each day. This consistent supply of wastewater should provide a stable environment for microorganisms to continue to thrive and provide sufficient treatment of nitrogen. J.M. ❑'REILLY & ASSOCIATES, INC. will continue to monitor the system moving forward and make appropriate system adjustments should they become necessary. Request for Elimination of Monthly Total Nitrogen 5amplin At the request of the owners, J.M. O'Reilly & Associates, Inc. is requesting the Board of Health approve the elimination of the monthly sampling. Far the past 2 years the average total nitrogen has been 17mg/1 & 15mg/I respectively with the development completed. The system will continue with quarterly O&M as required. Please contact our office with any questions, comments, or concerns regarding this matter should they arise. Very truly yours, J. M. O'REILLY & ASSOCIATES, INC. John CY�ReiC , P.L.S., WWT 7746 Greg Brehm, WWTO #15749 Principal cc: John M. O'Reilly, P.E., P.L.S. Client J.M. O REILLY & ASSOCIATES, INC. PROFESSIONAL ENGINEERING, LAND SURVEYING & ENVIRONMENTAL SERVICES Site Development • Property Line • Subdivision • Sanitary • Land Court • Environmental Permitting February 19, 2021 Town of Brewster Board of Health 2198 Main Street Brewster, MA 02631 RE: Annual Wastewater Treatment Operation & Maintenance Report White Rock Commons Subdivision White Rock Road Table 1. Monthly Total Nitrogen Levels in Effluent, 2020 Month Total Nitrogen (mg/1) January 15.0 February 15.0 March 15.0 April 20.0 May 39.0 June 16.0 July 2.1 August 12,0 September 9.7 October 12.0 November 11.0 December 14.0 Average TN, 2020: 7.5.07 mg/l Job # 8082W 1573 MAIN STREET, pa. Box 1773, BREWSTER, MA 02631 • PHONE: (508) 896-66o1 • FAX: (5o8) 896-66o2 W W W.J MOREI LLYAS SO C.COM E]WIIROTECH LABORATORIES, INC. ALL CERT, NO.: M -MA 063 8 Jait Sebaviatt Drive SaitdHvich, MA 02563 (508)888-6460 1-800-339-6460 FAX (508)888-6446 Atn►rda3,, February 3, 2020 JAI O'Reilly & Associates, hic. ,Sample Time 11:34 1573 Afai►t Sr., PO Box 1773 Brewster, MA 02631 ProjectNartte: zippo Cott mews: Project Nitrrrber: 80821 Sampled By: Clier►t Lab Order Number: 973'-200138 Date Received: 0112;1/20 �a" ampk 7:)pe White Rock Effluent A ,Sample Time 11:34 Sample Date 01/24120 Comments Parap►►eeCFS Chits Test Results Reportable Litttlts Dose Analrzed A111111 -sr Method Kjeldhai Nitrogen mglL 3.2 1 0.60 01/30/20 KB M4500-Norg B Nitrate -N mg1L 12.0 aol 01/25/20 LL EPA 300.0 Nitrite -N mg1L 0.19 0.006 01125120 LL EPA 300.0 Total Nitrogen mg1L 15 NA 0=3120 KB Calculation riff sau►ples were analyzed within► the established guldeliues of U.S EPA approved methods with all regitire►►reptrs mel, finless olliersUrse noted at flee end of a give►t san►ple's analytical resalls. Me certify that diefollowing results are trite and accurate to the best ofo►►r knowledge. BRL=beloiv reportable limits °see anttched Ronald J. Saari Laboratory Director Page 1 of 1 Friday, February 14, 2020 J H O'Reilly & Associates, Inc, 1573 Maier St., PO Box 1773 Brewster, AIA 02631 ProjectNanre: Project Number. Sampled By: Lab Order Number: Date,Received. ENVIR0TECH LA BORA TORLES, INC. MA CERT. NO.: M -MA 063 8 Jan Sebastian Drive Sandwich, MA 02563 (508)888-6460 1-800-339-6460 FAX (508)888-6446 2ippo While Rock Partners LLC 8082 i3' JAlfO MY -200770 02/12120 Comments. sawle 7)W Effluent Su►rr,ple T►ne A 95.00 Sainple (late 02112120 Co►nn►enLs Septitech System Para►neters units Test Results Reportable Undis Bare Awdj•Zed Analjwl hlelhod KWdhal Nitrogen mglL 3.9 0.60 021x4120 KB M4500-Norg B - Nitrate -N mg1L 11.2 0.01 021izt20 KF EPA 340.0 Nitrite -N mg/L 0.345 0.005 0 112120 KF EPA 300.0 Total Nitrogen mglL 15 NA 02x14120 KB Calculation All sa►nples ivere analyzer! }vithin the established guidelines of US EPA approved methods with all requirements met, unless olhenvise noted at the end ofa given sample's analytical results We certify that the following results are true and accurate to the best of our knowledge, BILL -below reportable tindis 'see atrached By. Ronald J. Saari Laboratory Director Page 1 of 1 ENVIR D TECH LA BORA TORIES, INC MA CERT: Na,: MMA 063 8 Jun Sebtlsti m Drive Swidlvich, MA 02563 (-508)888-6460 1-800-339-6460 FAX (508)88,1-6446 H"ednesdgp, May 13, 2020 J. Al. ❑'Reith t & Associates, 117c. 13:3 Alaitt St., PQ Box 1773 Brewster, AM 02631 ProjectNtime: Zippo Con►►Rents: Project Number: seimpletd .By: GJB Lt►b Order Number. T'1.73! 200639 Dette Received.• 05101120 sample Tape Effluent White Finck Partneck Sample Tinse 12:30 Stsmpk gate 04/30120 comments 5eptileah System Parameters Units Test Results Reportable Chills Dnrr.Anfd1,.f!d 4 milrst Alelhad Kjeldhal Nitrogen mg1L 4.5 U0 05/11/20 KS M4500-Norg B- NRrate-N mglL 14.8 0.01 05101120 KF EPA 304.0 Nitrite -N mglL 0.357 0.006 05/01120 KF EPA 300.0 Total Nitrogen mglL 20 NA 05/13120 KB Calculation All samples avere analyzed within the established guidelines of US EPA apprured methods with rill rerlukements met, nrdess alhenvise anted at the end of a g!ven sa►aple s atralyaical results. Me certify ilial the fullosving results are lure and amirale to the best of am A-11oleledge. BRL=helmv reportable limits 'see aftehed Bi P: Rontlld J. Srrali Ltlboratojy Director _... .. Page 1 of 1 ENVIR0TECH LA BORA TORIES, INC, MA CERT: NO.: MMA 063 8 Am Sebusliatt Drive Stt►tdwich, AM 02563 (.508)888-6460 1-800-339-6460 FAX(508)888-6446 Fride s,, drllte 19, 2020 J. hl. O'Reilly & Associates, Ilrc. 1573 Haiti SI., PO Sox 1773 Brewsle�•. MA 02631 ProjeciNtarre: 2ippo Conlittellfs Project Nrettlber: 8082TV Sampled By. Lab Order Number: ff'TV-200783 Date Received. • 05129,Q0 SA►aple Tipe White Rock Part, EffluentA Sample Trete 10;30 Sample Dole 05/29/20 Cnnertre►rts Septitech System Parrmselers 011ts Test Results RepaHable Limits Date Analrled Anal rsr Method Kjeldhaf Nftrogen mg1L 4.9 MO 06/15/20 Ke M4500-Norg B - Nitrate -N mg1L 33.0 0.01 05130/20 LL EPA 300.0 Nitrite -N mg1L 0.86 0.006 05130/20 LL EPA 300.0 Total Nitrogen mglL 39 NA 08/79/20 KB Calculation All samples were analyzed willrin the establislred griideliues of US EPA approved urelhotls whir all requirements met, airless athendse noted al the end afa given sannple's analytical results. 1Ve cert fy that the followliig recalls are true and acen rale to the best of aur knowledge. BILL-belosp reportable liurrts `see attached Laboralory PIreetor Page 1 of 1 ENVIR0TECH LAB ORA TORIES, INC. HA CERT. N4.: M -MA 063 8 Jait Seba stia►t Drive Sairdwich, MA 02563 (508)888-6460 1-800-339-5460 + FAX (508)888-6446 ! Moarlity, September 7, 2020 J .U.. O'Rerllt! & Associates, Inc. 1573 Alailt St., PO Box 1,,"73 Brewster, MA 02631 ProjeefNattte: .Zippo CommefttS. Project ffiimber: Sampled ... JAI Lab Order Number: WW -201432 Date Received: 08118120 Sample 7)pe Effluent Weir Sample Time A 08;30 Sample Date 08/18/20 Conane►tts White Rock Partners LLC Parameters Urrlts Test Results Reportable Limits Dare Analysed Analyst Bferhod Kjeldhai Nitrogen mg1L 2.5 0.60 08127120 KB M4500-Norg B Nitrate -N mg11- 9.50 0.01 08/18/20 LL EPA 300.0 Nitrite -N mg1L 0.376 0.006 06116/26 LL EPA 300.0 Total Nitrogen mglL 12 NA 0910W20 KB Calculation A11 samples were analyzed arilhin the established gaidefinex of US EPA approved methods with all rerlrrirerraelsts Incl, ►aaaless Deb envise nater( tit the end of a -hpen sample's arialyfical resulls l e cert' f y that' flae following results are tare mad accaarate to rhe best of our karnvledpe. BRL=hetow reportable flaairs °-see atlached 4 Ronald J -Saari // - Laboratory Dir or Page 1 of 1 ENVIROTECH LABORATORIES, INC. MA VERT. Na : MMA 063 S .fun Sebetstian Drive Sandwich, MA 02563 (508)888-6460 1-800-339-6460 FAX (50,3)888-6446 Tuesdatf, Decefttber 1, 2020 J.M. O'Reill), cf Associates, lnc. 17:3 1Wait7 St., PD Box 17:3 $rewsler•, MA 02631 ProjectNujne: - Messier, IVl ile Rock Petrtners LLC Conunents: Project Number: 8082W Sampled By: . Lab nreler Nuniber: fflf-202140 Date Received, 10/30/20 Miample 7jipe Effluent Sample Tithe A 10:30 S'nttokDnte 10/30120 Comments Sepkitech System . Paratrteters Quits Test Reviles Reportahle Visits Date dnalyzed Analpst A7etlind KjeUhal Nitrogen mg1L 1.8 0.60 11/28/20 KE M4500-Norg 6- Ni#rata-N mg/L 9.60 0.01 10139/20 SQ EPA 300.0 Nitrite -N mglL 0.201 0.006 10/30120 SQ EPA 300.0 Total Nitrogen mglL 12 NA 11/27/20 KB Calculation All samples were analyzed within lite established guidelines• of US EPA approved unethod.v ivith all regedreneents met, runless othenvise mated at the end afn given sample's analytical results. We terrify that fire following results are tare and accurate to !lie best of our Aim ivledge, BRL-below reportable !!nits *see attaehed $1': Ronald J Suuri Lethoralou Director Page 1 of 1 J.M. O'Reilly & Associates, Inc. Engrneer•ing & Land Mir•veying Services 1573 Maiir Street, 23rd Flour, P.O. Bax 1773 Brewster, MA 02631 (508)896-6601 Fax (508) 896-6602 Department of Environmental Prolection DATE Attn: Title 5 Program 1 One Winter Street, 5th Floor DEP Approved Inspection Form wI Signed Operator Signature page Boston, MA 02108 Shlp&g Method: Regular Mail Q Federal Express Lab Results Certified Mail ❑ UPS 71 Priority Mail 7 Pick Up Express Mail n Hand Deliver LETTER OF TRANSMITTAL DATE: JOB NUMBER: 041151202fl 8082W White Rock Commons Subdivision, While Rock Road, Brewster COPIES DATE DESCRIPTION 1 03/19/20 DEP Approved Inspection Form wI Signed Operator Signature page SeptiTech Form Lab Results For review and comment; REMARKS: cc: John M. O'Reilly, P.E., P.L.S. Board of Health Client For approval: F-1 As Requested: F7 For your use: 0 From: GJB If enclosures are not as noted, kindly notify us at once Site/Address: White Rock Commons Subdivision White Rock Road Brewster, MA 02631 Date: 03/19/20 Ti117e: 9:00 am Rep. Greg Brehm I. Remove lids & covers on processor. Visually inspect inedia & spray pattern. GJB (Initial) 2. Exercise entire system in maintenance made, GJB a. Recirculation pump(s) (Initial) b. Punlpback punip(s) c. Discharge purnp(s) 3 • Perform maintenancelcicaning tasks required for Proper operation of unit. GJB a, Spray headers — (initial} h. Media C. Screen 4. Take effluent sample from sample tube GJB (Initial) 5. Record following values from controller read-out (Discharge Pump) GJB Days Runtime: s (Initial} Hours Runtime: so Seconds Runtime�fiss•a 6. Record controller program version: Commercial GJB (Initial) 7. Record controller firmware version: V121 GJB (Initis]) 8. List parts and supplies used: None GJB (Initial) 9. Return system to "run" made GJB (Initial) 10. Re -install covers and fids on processor. GJB (Initial) 11. Check air intake muffler for obstruction and proper draw. GJB (Initial) General Notes and Remarks: The system is operating and treating correctly at this time, c;HJsresWm1LAVVWuzmulN7imoft%Wrwk E111VIROI`ECH LABORA t DRIES, INC 8 Jim Sebastian Drive Sr111llrr Ich, MA 0256.3 (908)R88-6460 1-801)-339,6461) FAX (5118)888-6446 F 7ireerlr{r, dlrrrelr 31, 21130 ,1,111, OReillI-sr Associules, hrc. 157.316MM.41., PO fent• 1773 Breutsler, etltl 016.31 PpYeetNllllP: Ilrhite Rock prlrhlelw 1,1,C.' Comments: Prrljeecl Number. zippo St+mplerl ,f3Y: RR Lab QrderNilltober: Wffi 200474 Date Reedsiell.- 03119120 Afl.s imples uvere rum4,zerl x3,11111+1 lifer eslrrblisherlgrrlrlellrres of ON EPA o]+1+roreel methoels w11ir rlll regrrrrelxelrls e►je►, ro►11crr alhellyls'e 110ied at I/,,, -d of o given seuaPle'.s rrrlalylr`cat resrrlis, IVe cwtij l� hurl rhe folio Ialsg rLstrif$ OM101M, ORWelolrle to the hest efalrr knorpie dge. t1RL-bylaw reportable Arenis 'Sole otrrrchcd B r+: Ronald J. Saud, Lahorlllorrs Dirn�tur Page 1 of 1 important: When fliling out farms an the computer, use only the tab key to move your cursor - do not use [tae return key. 7eb rE� Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for 'Title a ]1A Treatment and Disposal Systems A. Installation White Rock Commons Subdivision Owner White Rock Road Facility Straet Address Brewster 02631 City ;rip Mailing address of owner, if different: P.O. Box 3843 Street AddressfP© Sox: New Haven CT 06525 city Stale Zip _(203) 312_- 3484 ext. ^ Telephone Number B. Authorized Service Provider J. M. O'Reilly & Associates, Inc. CAM Firm 1573 Main Street - P.O. Box 1773 Brewster MA 02631 City State Zip (508) 896 - 6601 ext, TOophone Number John O'Reilly 17746 Co ified Operator Name Certification Number G. FacilitylSystem Information BREW-Sou157-Sep Septitech M300ON DEP 10 Manufacturer ID Model Number Unknown January 2016 Installation Date Start of operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence — used less than 6 mo,/year: ❑ Yes ® No D. Operating Information 03/19/20 Inspaatlon Date 5" sludge, Y' scum Sludge Depth (to be checked yearly) 12/18119 Previous tnspecllon hate Pumping Recommended ❑ Yes ® No t5aiom.doc • rev. a4-11-13 Page 1 of Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 5 UA Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other (specify): Odor: ❑ musty ® earthy ❑ moldy ❑ offensive ❑ turbid Effluent 5clids: M no ❑ some pH 7.0 SU DO 4.0 mg1L Turbidity 14.7 NTLI 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ®;Affluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: glad Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ® TN ❑ Other (list below) See attached lab results Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Maintenance completed per manufacturer's checklist. Notes and Comments; The system is operating and treating correctly at this time, t5alom.doG - rev, 04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection m Title 5 DEP Approved Inspection and Q&i♦!l Form for Title 5 l!A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00 4/15/2020 operatorSignalum--.. bale System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use — by January 31M of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use — by Marcie 311h of each year for the previous 12 months General Use -- by September 301h of each year for, the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, Vh Floor Boston, MA 02108 tWom.doc - rev. 04.11-13 Page 3 of 3 1^-d, a �,r J.M. O'Reilly & Associates, Inc. Ejigineeriag & Laad Surveyhig Services 1573 Maid Street, 2nd Floor, P.O. Brix 1773 Brewster, MA. 02631 (508) 896-6601 Fax (508) 896-5602 TO: Department of Environmental Protection Attn: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 Shipping Method. Regular Mail IZI Federal Express ❑ Certified Mail ❑ UPS ❑ Priority Mail ❑ Pick Up ❑ Express Mail ❑ Hand Deliver ❑ LETTER OF TRANSMITTAL DATE: JOS NUMBER: 07/22/2020 1 8082W White Rock Commons Subdivision, White Rock Road, Brewster COPIES DATE DESCRIPTION 1 06/24/20 DEP Approved Inspection Form w/ Signed Operator Signature page SeptiTech Form Lab Resuits For review and comment: ❑ REMARKS: cc: ,john M. O'Reilly, P.E., P.L.S. Board of Health Client For approval: ❑ As Requested: ❑ For your use: ❑f From: GJB if enclosures are not as noted, kindly notify us at once IV Site/Address: White Rack Commons Subdivision While Rack Road Brewster, MA 02631 Date: 6124120 Time: 11:40 am Rep, Greg Brehm 1. Remove lids & covets on processor. Visually iuispect media & spray pattern. GJB (Initial) 2, Exercise entire system in maintenance mode. GJB (initial) a. Recirculation pump(s) b. Purnpback putnp(s) c. Discharge putnp(s) 3. Perform inaintenance/clewiing tasks required for proper operation ofimit. GJB (Initial) a. Spray headers b. Media c. Screen 4. Take effluent sample from sample tube GJB (initial) S. Record followutg values froth controller read-out (Discharge Primp) GJB (Initial) Days Runtime: 4 4 .1 -lours Runtittla: 19 Is Seconds Runtime: 181fi soos•® 6, Record contoiler program version: Commercial GJB (Initial) 7. Record controller firmware version: V121 GJB (Initial) 8. List parts and supplies used: None GJB (Initial) 9. Return system to "run" mode GJB (Initial) 10. Re -install covers and lids on processor. GJB (initial) 11. Cherk air intake muffler for obstuction and proper draw. GJB (Initial) General Notes and Remarks: The system is operating and treating correctly at this time. C=IVs2�sGds+1N��T+VAcahLYtteWA1RInS.ks�Tepporeq•iAu till.e4*Ua OWLQTFRIQYVOVi&n dw MA CERT. NO.: HMA 063 14 .I1ll► Seb(aIirrll Drive ,Sr11 divich, MA 02563 (506)N83-6460 1-800-339-6460 FAX(SON)N884446 31r1p 7, 20211 I.n r a'8c;1r3� �1Sfiuclals!S, ll:G. 1573 !ilei&! Sl„ PO Box 1773 ❑pe>itasler, 111rf 02631 prgjcerli4W"'GI; 7.1pp rlif"llile Rock Pru'loler.y LLC.' C(7111171e111s 1'rvieef Nul►lber: 8082[V S111111 led 41)., Mfo Lob Drrler Nwrt tu-: 11,7-1!201014 Dale Rewe hwd; 061251 )0 Srrnlplr 7) pe ' '...:: 'Snilr�rl� .7Ye►e-- • - - Sa►rrple Dwe .. Goat►►leuls .: .. ::..::.... ..: . : EffluenE .` A';:. :...:?2:x[3 USr24120 Sepllleah System parameters Ur►ll,s Test Rewlis Reporfuhlr 11mlrs AnrrAwOw'd rlrrrrll!u Ai+'llrsd ,Qy mglL 4.0 2.0 09126/20 TM 5M Nilragan mg1L 2.1 0.50 07/04/20 VR M'1 EPA Mg/L 1 0.172 0.006 1 00/29/29 NA 1 07ION20 1 KB I calculation All sanoples ivere arlrr&wd Weida the eshrblla-kerl galelefdres of US EPA 01Ylrored MelliOdS milk rrrl rerp►lresnesls seer, r►sless alkerwise soler! rrt Me end af►r gl;perr snslple'.s 011irb 11cal resslls Me eer 0l Mal rlre follon4hrg resrrflS are true and acearale 1u Ike best uforrr klro,VIL'11 e. HRl--helarr reportable 11+1111s 'see atlaeked By. It � Row ell Swiri Lrlborrrlorlr r eclor Pace 9 of i � Cl O 3: A z ff f 0 Rs 0 c N a° -a -C 7 A o X E n a -- 0) CD IM 0 � Cl O 3: A z ff f 0 Rs 0 c N a° -a -C 7 A o X E n a -- 0 sD A A X O y r-. x 'C -4 . -4 i W uj Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Tule 5 IIA Treatment and Disposal Systems A. Installation Important: When White Rack Commons Subdivision piling out forms Owner on the computer, White Rack Road use only the tab key to move your facility Street Address cursor -do not Brewster 02631 U50 the retum city - Zip key. Mailing address of owner, if different: P.a, Box 3843 Street Add resslPO Box: New Haven CT 06525 city state Zip X203 312 - 3484 ext. Telephone Number B. Authorized Service Provider J. M. O'Reilly & Associates, Inc. O&M Firm 1573 Main Street - P,O. Box 1773 Street Address Brewster MA 02531 city state zip (548) 896 - 6601 ext. Telephone Number Jahn O'Reilly 17746 Certified Operator Name Certification Number ^^ C. Facility/System Information BREW Sc,057-Sep Se titech M300ON DEP ID Manufacturer ID Model Number Unknown _ January 2016 Installation Date Start of operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence — used less than 6 mo./year: ❑ Yes ® No D. Operating Information 06/24/20 _ Inspection Date taken 03-19-20 Sludge Depth {to b checked yearly} 03/19/20 Previous inspection Date Pumping Recommended ❑ Yes ® No t5aiorn.doc • rev. 04-11-13 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title a IIA Treatment and Disposal Systems E. Field Testing Field Inspection: Color ❑ gray ❑ }gown ® clear ❑ turbid ❑ Other (specify): Odor: ❑ musty ® earthy Effluent Solids: ® no ❑ some ❑ moldy ❑ offensive ❑ turbid 7.0 SU 3.[l -' l'0,0 PH 5 fo 9 DO 2 or gr ater Turbidity 0 or f ss Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected Per Standard Methods and analyzed for BOT] and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: Parameters sampled: ❑ pH M BOD ❑ CBOD ® TSS ® TN ❑ Other (list below) See attached lab results Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous Inspection & during this inspection: Maintenance completed per manufacturer's checklist. Notes and Comments: The system is operating and treating correctly at this time fbaiQm.dQ� • rs�. flA••13-93 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and 4&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CNIR 2,00. J •� dparator Signvture Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use — by January 3161 of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use —lay March 311" of each year for the previous 12 months General Use -- by September 30th of each year for the previous 12 months Send to., Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5M Floor Roston, MA 02108 15aiom.doc • rev. 04-11-13 Page 3 of 3 J.M. O'ReiIly & Associates, Inc. Engineering & Land Surveying Services 1573 Main Street, 2nd Floor, P.O. Box 1773 Brewster, MA 02631 (508)896-6641 Fax (508) 896-6642 TO: Department of Environmental Protection Attn: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 Shipping Method: Regular Mail 0 Federal Express ❑ Certified Mail ❑ UPS ❑ Priority Mail ❑ Pick Up ❑ Express Mail n Hand Deliver ❑ DATE: 10/29/2020 KLA LETTER 0] TR.ANSMITT. JOB NUMBER: 8082W White Rock Commons Subdivision, White Rock Road, Brewster COPIES DATE DESCRIPTION 1 09/24/20 DEP Approved Inspection Form wl Signed Operator Signature page SeptiTech Form Lab Results For review and comment: ❑ REMARKS: cc. John M. O'Reilly, P.E., P.L.S. Board of Health Client For approval: ❑ As Requested: ❑ For your use: 171 From: GJB If enclosures are not as noted, kindly notify us at once epartment e ��u sachusetts eau of Pe'sauO e P a ectio of T tie 5 amental Protection EnvirOF-p Approved Inspection and 0&M Form for Title 5 IL Treatment and Disposal Systems State (203) 312 - 3484 ext. Telephone Number B. Authorized Service Provider J. M. O'Reilly & Associates, Inc 02631 05525 Zip O&M Firm 1573 Main Street - P.O. Box 1773 Street Address Brewster MA 02531 City State zip (508) 896 - 6601 ext. Telephone Number John O'Reilly 17746 Certified Operator Name Certification Number C. Facility/System Information BREW-Sou 157 -Sep DEP ID Unknown Installation Date Septitech Manufacturer 1D M300ON Model Number January 2015 Start of Operation -- Approval Type: ® General ❑ Provisional ❑ Piloting Seasonal Residence — used less than 6 mo./year: ❑ Yes D. Operating Information 09/24/20 Inspection Date taken 03-19-20 Sludge Depth (to be checked yearly) ❑ Remedial ® No 06/24/20 Previous Inspection Date Pumping Recommended ❑ Yes ® No t5aicm.doc • rev. 04-11-13 Page 1 of 3 A. Installation White Rock Commons Subdivision ; men {o9's Owner rputer. White Rock Road the tad pacility Street Address move your -do not Brewster return City Mailing address of owner, if different: P.O. Box 3843 Street Address/P0 Box: New Maven CT State (203) 312 - 3484 ext. Telephone Number B. Authorized Service Provider J. M. O'Reilly & Associates, Inc 02631 05525 Zip O&M Firm 1573 Main Street - P.O. Box 1773 Street Address Brewster MA 02531 City State zip (508) 896 - 6601 ext. Telephone Number John O'Reilly 17746 Certified Operator Name Certification Number C. Facility/System Information BREW-Sou 157 -Sep DEP ID Unknown Installation Date Septitech Manufacturer 1D M300ON Model Number January 2015 Start of Operation -- Approval Type: ® General ❑ Provisional ❑ Piloting Seasonal Residence — used less than 6 mo./year: ❑ Yes D. Operating Information 09/24/20 Inspection Date taken 03-19-20 Sludge Depth (to be checked yearly) ❑ Remedial ® No 06/24/20 Previous Inspection Date Pumping Recommended ❑ Yes ® No t5aicm.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field inspection: Color: ❑ gray ❑ brown ® clear ❑ Other (specify): Odor: ❑ musty ® earthy ❑ moldy Effluent Solids: M no ❑ some ❑ turbid ❑ offensive ❑ turbid 7.0 SU 4.O T9/L 1.33 NT pH 5 to 9 �� 2 or greater Turbidity 40 or fess Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: g� Parameters sampled: ❑ pH ® BOD ❑ CBOD ❑ TSS ® TN ❑ Other (list below) See attached lab results Q#her 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Maintenance completed per manufacturer's checklist. Notes and Comments: The system is operating and treatin correctly at this time. t5aiom.doc • rev. 04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 IIA Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. ra'71 (?oo� operator Signature 09/24/2020 Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed. Remedial Use — by January 31St of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use — by March 311" of each year for the previous 12 months General Use — by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc • rev. 04-11-13 Page 3 of 3 Site/Address: White Rock Commons Subdivision White Rock Road Brewster, MA 02631 Date: 9124120 Time: 2:20 pm Rep. Greg Brehm 1. Remove lids & covers on processor. Visually inspect media & spray pattern. GJB (Initial) 2. Exercise entire system in maintenance mode. GJB (Initial) a. Recirculation pump(s) b. Pumpback pump(s) c. Discharge pump(s) 3. Perform maintenance/cleaning tasks required for proper operation of unit. GJB (Initial) a. Spray headers b. Media c. Screen 4. Take effluent sample from sample tube GJB (Initial) 5. Record following values from controller read-out (Discharge Pump) GJS (Initial) Days Ruutime: s 5 Hours Runtime: 15 15 Seconds Runtime: 2578' 3240-8 b. Record controller program version: Commercial GJB (Initial) 7. Record controller firmware version: V121 GJB (Initial) 8. List parts and supplies used: clone GJB (Initial) 9. Return system to "run" mode GJB (Initial) 10. Re -install covers and lids on processor. GJB (Initial) 11. Check air intake muffler for obstruction and proper draw. GJB (Initial) General Notes and Remarks: The system is operating correctly mechanically- Effluent quality passed field tests. Effluent sample collected for lab analysis. C'l{fyaxWdmWpplkwtif.acolWlicramftlNindox%fCemporory ]n[cmc[ File9lCon[wu.Uu[lookl[.QEYYnQNeegvlch.doc ENVIROTECHLABORATORIES, INC. MA CERT, NO : MMA 063 8 Jan Sebastian Drive Sandwich, AlA 02563 (508)888-6960 1-800-339-6460 FAX (508)888-6446 Wednesday, October 21, 2020 J. M. O'Reilly & Associates, Inc, satrrple Time A 14:55 1573 Main S1., PO Box 1773 - - Brewster, MA 02631 ProjectName: Messier Comments: Project Number: 8082W Sampled By: MW Lab Order Number: WW -201809 Date Received: 09125120 ,Sample Type Effluent satrrple Time A 14:55 Sample Date 09/24120 - - - Comments White Rock Partners LLC Parameters Units Test Results Reportable Limits Date Analyzed Analyst 1Ylethad BOD 5 -Day mglL 9 2.0 09/28/20 TM 5M 5210 B Kjeldhal Nitrogen mg1L IA 0.60 10/14/20 Ke M4500-Norg B - Nitrate -N - mglL 7.90 0.01 09/26/20 LL EPA 30[3:0 Nitrite -N mglL 0.143 0.006 09128/20 LL EPA 300.0 Total Nitrogen mg1L 9.7 NA 10!20120 KB calculation Total suspended Solids mglL 5,0 1.5 09127/20 KI3 5M 2540 D All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met, unless otherwise noted at the end of a given sample's analytical results. We certify that the following results are true and accurate to the best of our knowledge. RRL=below reportable limifs 'see attached Ronald J. Saari Laboratory Dir C or Page 1 of 1 % Cl) S < � EA 2 v o ~� U CO LU o k0k a 2 O q / CO e a \\ co/ n %J 2 k 4 (L u R � @ C) 0 0 0 2 / 2 @ 2 C-4 [ 2 2 a. U § 2o /IleLLI CO « q � - ; \ e / k k L U) @ w / J 7 � A / / K _ M 2 k) 2 k 0 � ' \ \ � k S < � EA 2 U CO LU o 4 a § @ & O q / CO %J 2 k 4 (L 3$ C) 00R 0 0 2 L [ 2 2 U � - ; \ e / k k L � A / k 0 � ' � � s LL D O \ � ]� U 6 71— K Z . E kA D : I k i ) [ a F e R G .. 0 \ $ � r J.M. O'Reilly & Associates, Inc. Engineering & Land Surveying Services 1573 Main Street, 2nd Floor, P.O. Box 1773 Brewster, MA 02631 (508) 896-6601 Fax (508) 896-6602 TO: Department of Environmental Protection Attn: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 Shipping Method: Regular Mail Federal Express Certified Mail UPS Priority Mail Pick Up Express Mail ❑ Hand Deliver 'D C. Z00-6 LETTER OF TRANSMITTAL DATE: JOB NUMBER: 01111/2021 1 8082VV White Rock Commons Subdivision, White Rock Road, Brewster COPIES DATE DESCRIPTION 1 12/30/20 DEP Approved Inspection Form w/ Signed Operator Signature page SeptiTech Form Lab Results For review and comment: ❑ For approval: F7 As Requested: D For your use: RFMARKS- cc: John M. O'Reilly, P.E., P.L.S. Board of Health Client From: GJB If enclosures are not as noted, kindly notify us at once _ y 11=7 13 ,,5�== Zero Pollittinn Wade AVater Systems IF Site/Address: White Rock Commons Subdivision White Flock Road Brewster, MA 02631 Date: 12130/2020 Time: 11:x0 am Rep: Greg Brehm I. Remove lids & covers on processor. Visually inspect media & spray pattern. Gag (Initial) 2. Exercise entire system in maintenance mode. GJB (Initial) a. Recirculation pump(s) b. Pumpback pump(s) c, Discharge pump(s) 3. Perform maintenance/cleaning tasks required for proper operation of unit. a. Spray headers b. Media c. Screen 4. Take effluent sample from sample tube 5. Record following values from controller read-out (Discharge Pump) Days Runtime: s s Hours Runtime: 9 9 Seconds Runtime: 1611.6 434.7 6. Record controller program version: Commercial 7. Record controller fm ware version: V121 S. List parts and supplies used: None GJB (Initial) GJB (Initial) GJB (Initial) GJB (Initial) GJB (Initial) GJB (Initial) 9. Return system to "run" mode GJB (Initial) 10. Re -install covers and lids on processor. GJB (Initial) 11. Check air intake muffler for Obstruction and proper draw. GJB (Initial) General Notes and Remarks: The system is operating correctly mechanically. Effluent quality passed field tests. Effluent sample collected for lab analysis. c:w ����ayynal�vA�anfz�a�w��am�r=mpora+r �c��i r•,��coo��La�dw�.�xr�agr�a<<I=F.a« Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Important: When White Rock Commons Subdivision filling out forms Owner on the computer, use only the tab White Rock Road key to move your Facility Street Address cursor -do not Brewster 32631 use the return City Zip key. Mailing address of owner, if different: P.O. Box 3843 Street Address/PO Box: New Haven CT 06525 City State Zip (203) 312 - 3484 ext. Telephone Number B. Authorized Service Provider J. M. O'Reilly & Associates, Inc. O&M Firm 1573 Main Street - P,O. Box 1773 Street Address Brewster MA 02631 City State Zip 508) 896 - 6601 ext. Telephone Number John O'Reilly 17746 Certified Operator Name Certification Number C. Facility/System Information BREW-Soul57-Sep Septitech M300ON pBP I❑ Manufacturer Ip Model Number Unknown January 2016 Installation pate Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence — used less than 6 mo./year: ❑ Yes ® No De Operating information 12130/20 Inspection pate taken 03-19-20 Sludge Depth (to be checked yearly) 09/24120 Previous Inspection pate Pumping Recommended ❑ Yes ® No t5aiom.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 IIA Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other (specify): Odor: ❑ musty ® earthy Effluent Solids: ® no ❑ some ❑ moldy ❑ offensive ❑ turbid pH 5.5 SU DO 4.0 m IL Turbidity 4.05 NTLI E to 9 2 or greater 40 ar fess Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gAd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ® TN ❑ Other (list below) See attached lab results Other 7 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: [Maintenance completed per manufacturer's checklist. Notes and Comments: The system is operating correctly mechanically. t5aiom.doc • rev, 04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. l am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature Date System owner must submit this report, technology 0&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use — by January 31St of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use — by March 31t" of each year for the previous 12 months General Use — by September 301h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc o rev. 04-11-13 Page 3 of 3 1La C W V IR l��ij6'��1� 1��r�i 1L71 ��j1��LA �d P liilLli7�l,7�1 II��{{Sl�,yR IgC �lUrSy g .8 L Y C. 1V`l,4 CERT. 1 O o M 1VN�^ii 06 1' S Jinn Seh&StilaH DriVe Sran&vich, MA OIS63 (S O8) 6 85- 64 60 1-800-339-6460 FAX(SOS)888-6,146 Tieesday, January 19, ,2021 J..hf O'ReWY & AssOclates, Inc. 7573 Main ¢$1., PO Box 1773 Brewster, R14 02631 ProjectName. Messier Comments: Project Number. 8082fV Sampled By: GJB Lab OrderNaana6er: JFIIK-202608 Date Received. 12130120 sanvie Type Effluent A 91:20 Sa►riple hate 12J30120 CarnrsMents Parameters ilrlils Fest Results Reportable Limits Date Aaalyred Analyst Method BOD 5 -Day mglL 7 2.0 12131/20 TM SM 5210 B Kjeldhol Nitrogen mg/L 3.1 0.80 01/01121 KB M4500-Norg B - Nitrate -ht- -- - — — - —......m ._.� _._._._._.....11:0—.-......... --- ....-...0.111 - �-.1 0120 ..... --- -- Sp ...._.._ -.—FtPA300:0-..._ Nitrite -N mg/L 0.274 0.008 12/30/20 SQ EPA. 300.0 Total NArogen mglL 14 NA 01104/21 Ke Calculation Total Suspended Solids MA 4 1.5 12/31/20 AMB SM 2540 D A11 samples were analyzed within the establislredgrridelinas of US EPA approved Inoil, ods tivills all req alrenrep as mel, sejiless 91henvise noted at rho end of a given sample's anal0col MAWS. {ire Certify that thefolroiving regulrs are Inge and accurate to the best afoar knowledge. ERL—below reportable lhnrils ssee attached By. Roawfd J. Saari LIzpiiOF090KV Directur Page 1 of 1 = w e jv Ef 10 °. Q 0n n � a � M to —TT I Cl) lh Ca CD m , ,Ian F _ _._ _ w I ILI lu cl ® rn � c m s a Q �; coa a " v o°o Fau x a �a m 1e 1C m t17 � N• � K'r 2. �r9 � TITLE: BREWSTER LANDING BIOCLERE WASTEWATER TREATMENT SYSTEM 2020 ANNUAL OPERATION Gr MAINTENANCE REPORT PROJECT ID: WBR006.01 SITE LOCATION: BREWSTER LANDING SACHEMUS TRAIL BREWSTER, MA PREPARED FOR: ATTN: TAMMI MASON SENIOR DEPARTMENT ASSISTANT BREWSTER HEALTH DEPARTMENT BREWSTER TOWN HALL 2198 MAIN STREET BREWSTER, MA 02631 PREPARED BY: COASTAL ENGINEERING CO., INC. 260 CRANBERRY HIGHWAY ORLEANS, MA 02653 COASTAL engineering co. TECHNICAL SERVICES r 02/01/2021 Attn: Tammi Mason Senior Department Assistant Brewster Health Department Brewster Town Hall 2198 Main Street Brewster, MA 02631 Subject: Brewster Landing Sachemus Trail Brewster, MA 2020 Annual Report Dear Tammi: Rte COASTAL r engineering ca. TECHNICAL SERVICES Project No. WBR-006.01 Enclosed, please find the 2020 annual report for the Brewster Landing Wastewater Treatment Facility. Included in this report are the following: • Appendix A - Discharge Monitoring Report Form with Laboratory Test Results. • Appendix B - 06M Field Inspection Forms. A sampling of the system's effluent was conducted quarterly, The results are summarized in the enclosed discharge monitoring report form. The laboratory test results indicate the proper treatment of the system. Tested parameters for all four quarters met their respective minimum and maximum discharge limits. Fallowing the MA Standard Conditions for Secondary Treatment Units for General Use, we will collect effluent samples of BODS and TSS when field tests indicate a pH outside the specified range, an exceedance of the turbidity limit, or D.O. below the desired minimum. During the 03/09/2020 06M inspection, the system was operational and the Zabel filters were inspected and cleaned. During the 06/15/2020 ❑5M inspection, the system was operational with the exception of the Zabel filters being filled with wipes and needing to be unclogged. During the 09/15/20 inspection, the system was operational and the Zabel filters were inspected and cleaned. During the 11/05/2020 05M inspection, the system was operational and the Zabel filters was inspected and cleaned. Please nate, along with the quarterly OSM inspections, the site is also being visited monthly to check and clean the Zabel filters, check pump operation, and check tank levels. The system was last pumped an 08/02/18 by Robert B. Our Company, Inc., who pumped a combined 5000 gallons from the solids tank and Bioclere. The majority of these liquids were pumped from the solids tank, do not hesitate to contact us if you have any questions about the report or the wastewater treatment system. Sincerely, COASTAL ENGINEERING CO, INC. Cha �Im�m CASIacc f W NAME OF PROJECT: Brewster Landing FACILITY LOCATION: Sachemus Trail PROJECT NUMBER: WBR-006.01 DATE SAMPLED: 03/09/2020 PARAMETER UNITS EFFLUENT Solids, Total Settleable MIA X0.10 pH S.U. 6.70 Dissolved Oxygen mg/1 3.00 Turbidity I ntu 3.28 REMARKS: Field tests and laboratory test results indicate good treatment of the system. DATE SAMPLED: 06/15/2020 PARAMETER UNITS EFFLUENT Solids, Total Settleable MIA X0.10 pH s.u. 7.50 Dissolved Oxygen mg/I 2.00 Turbidity ntu 6.98 REMARKS: Field tests and laboratory test results indicate good treatment of the system. DATE SAMPLED: 09/15/2020 PARAMETER UNITS EFFLUENT Solids, Total Settleable MIA =0.10 pH S.U. 7.11 Dissolved Oxygen mg/l 2.00 Turbidity ntu 4.04 REMARKS: Field tests and laboratory test results indicate good treatment of the system. DATE SAMPLED: 11/05/2020 PARAMETER UNITS EFFLUENT Solids, Total Settleable ml/1 =0.3.0 pH S.U. 7.23 Dissolved Oxygen mg/1 2.00 Turbidity Into 5.03 REMARKS: Field tests and laboratory test results indicate good treatment of the system. NOTE: In accordance with the MA Standard Conditions for Secondary Treatment Units for General Use we will collect effluent samples of B005 and TSS when field tests indicate a pH outside the specified range, an exceedance of the turbidity limit, or D.O. below the desired minimum. D:\DOC\W\WBR\006.01\2020 Annual Report\[DMR.xlsx]2020 Report APPENDIX A: DISCHARGE MONITORING REPORT FORM WITH LABORATORY TEST RESULTS w L } F � �fr ■moi[ <14..N:t Serial No:03122018:30 ANALYTICAL REPORT Lab Number: L2010659 Client: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 02653 ATTN: Chad Simmons Phone: (508) 255-6511 Project Name: BREWSTER LANDING Project Number: WBR006.01 Report Date: 03/12/20 The original project report/data package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH -0574), IL (200077), ME (MA00086), M❑ (348), NJ (MA935), NY (11148), NC (25700/666), PA (68-03671), RI (LA000065), TX (T104704476), VT (VT -0935), VA (460195), USDA (Permit 4P330-17-00196). Eight Walkup Drive, Westborough, MA 01 581-1 01 9 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com .,AL Page 1 of 13 x Project Name: BREWSTER LANDING Project Number: WBR006.01 SAMPLE RESULTS Se rial_No:03122018:30 Lab Number: L2010659 Report Date: 03/12/20 Lab ID: L2010659-01 Date Collected: 03/09/20 14:30 Client ID: EFF Date Received: 03/10/20 Sample Location: BREWSTER Field Prep: Not Specified Sample Depth: Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab Solids, Total Settleable c0.1 mlll .1 NA 1 03/10/20 19:22 121,2540F AS .............................................. . ............. ..... ..... ...................................... ......... � HA Page 6 of 13 Serial No:03122018:30 /t! I f !l! I1r AY !M•Y 1'\l�YI I.�f _ 1 _�!�'� l %w fl Pkill N U r V -P M [ V LJ i ?A(N• Y LY: 1 ALPHA uxm.!IR '•o W1 Lam _7> 1 JQ ALPHA.iob g. 6_7k-'QjVM L Repuit I formation Y D Q FAX I".iM1Al3 SWM 4u (."RPM1C 1ttFra pci R' ©p(lEx I ❑ Add -1 Odirarshlss ]f _ _rt Limits sr m300Z Ws w—qh, UA 11lr.31.40. W4 1 F7W a,)"Vo M: ZZE.421.9.OD Projod Name: 7F a l- J FiliA 5o6aF 69193 FAX! 5DYi2Y ^'-L".R$ OREMV z� , f C IMe , G'oa5181 F Hrlpsrit3 Co., fnE. Pra ec1 #; Li V ay {s . l7 ` ■ a s s • Oyes Nn Arg CF Arug Methods Fk uir�T Address: 260 Cramb }i' d Pro act Manager: Chad A. Simm�v 8 ❑deans. MA 02653 ALPHA QoOe M 2011901rev 1 ❑ Yes 0140 Are CT FICA Fkwsonsbau COn5dtrvm Pm1]G�x �ra64 Phone: 508 255851 i Fa)c SM: 255-6700 ® Standard [3R -h (ONLY it AAPROVFCr Email: rslmmorp5*ceccapBGod.com ❑rOnsaam'e.raw ypw-pmiouyaa Yi dVyW's Duo Bate: Tlme: ANRLYSI5 y m � .ar 5A:dP'.� t#Ahi1l aJG [1 den. No[Hv�vd C] L.esnao ❑ r -.a6 rade fPfeaavdyeefry neb.n rojec Mar Pt 6peror F2equlrelnenislCi3rr rn�rslslPetect3an UMRS: f C: 4 �ei DG 'S•�,� } s „ [ r_nnnx.�s ALPHA Lab fp 1 $BmPle 10Co]Iadivn Srimiple Ssmplor>s (Lab VJ q Q00y) j+ 1416 Sime 4f�tix inlrraos Q in �E J i A 230 Lot,:3i'.0101 ❑ ❑ ❑ ❑ ❑ ❑ T juju 0- CF TT ❑ ❑ ❑ ❑ ❑ — ❑ 010 El 0 010 ❑ ❑ ❑ ❑ PLEASE ANSWER E7l1EST1QNS A60YE3 Co:lfairler 7Ype Preserrdriye IS YOUR PROJECT TOelkgqulshcd 8y: MA MCP or CT RCP?151� r s� u • �} 1%4.ma.pc drany.lagdy. ar4cwpid". i- f risnarwno ume n¢p xSll nor mnireBed ar� s�Xd b hlpho'a FYYr+�r Tame. -F� - " _ QaurTrtne Rem L7alolTKrre -3 +j .4a�"�ae -7 % f Page 13 or 13 W i HA ,4,.N, 1- Y T' I C A L Serial No:06172019:07 ANALYTICAL REPORT Lal? Number: L2025167 Client: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 02653 ATTN: Chad Simmons Phone: (508) 255-6511 Project Name: BREWSTER LANDING Project Number: WBR006.01 Report pate: 06/17/20 The original project report/data package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH -0574), IL (200077), ME (MA00086), AAD (348), NJ (MA935), NY (11148), NC (257001666), PA (68-03671), RI (LA000065), TX (T104704476), VT (VT -0935), VA (460195), USDA (Permit #P330-17-00196). Eight Walkup Drive, Westborough, MA 01 581-1 01 9 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com Page 1 of 13 31 R Project Name: BREWSTER LANDING Project Number: WBR006.01 SAMPLE RESULTS Lab ID: L2025167-01 Client ID: EFFLUENT Sample Location: 0 SACHEMUS TRAIL, BREWSTER Sample Depth: Matrix: Water Parameter Result Qualifier Units RL General Chemistry - Westborough Lab Solids, Total Settleable ¢0.1 mlll 1 ........... ............... Page 5 of 13 Serial No:05172019:07 Lab Number: L2025167 Report Date: 06/17/20 Date Collected: 06/15/20 13:00 Date Received: 06/16/20 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst NA 1 06/16/20 20:40 121,2540F AS .............. ....................... ........................................ ... .... L1Lr lira �. .. CHAIN OF CUSTODY PAG* I07`7 Dale RecdM1ab: SHA ❑ FAX W1015ML0. MA M&W*4� MA re- ses-e-.szm rF.:s s,mw Pfgjen dame' Srevvs[ar Landing SRX: b�R#'Yo sM FAX: MM4M23$EE I 61 MT/ d n9m PM'Ct Loeall0n: 0 Saehemua Tralt. Brewster Phone'S082558511 Fax: 5082556700 [K Staridard [] Rush (owY Iv Pru-Appnovi v, Ernalk cslmmesnsQroarx alezlgineeringcom ❑ Thi. senmlrc nw.I .- pt. iLj7r mw M by worse DLv Date: Time - Mer Project Specific RequiremenWCommenWiDetentipn UmilS- AH. 'i- 5o a z Ai IJiKLA M Sample ID comedwn $ar plc 5ampkr. a {Lreb Use.arsivj Date Fiera Mail* Initials � �S &? -ear 1� E �/�r11 .n. ,o Serial No:0617201807 ac I ALPRA Jnh: L c, 1 km [ wata Deli verables Billing Information (I EMAL I it Same as client Inra PO N' ❑ AddT Dolvnrablm .SaRfwa�l..inc PWT.f3nn GY ayrK R t�nl MtlEdtd ❑ Lao is da PI—ri- 0 Lab %a ua lr+easa wKiy W..) PLEASE ANSWER QUE.S*nONSABOVE I LomalnerType a r P P P"" PO4 0-ar.1.91* i�r83BrYaSiYC R h it A anp b>: 5rmp¢s Ears rwc�Iasawm ria S YOUR PROJECT Herm lehrd W, D'VoTilme Receiv d 8y- Dalelme wmb% 1M "d0a M1 ;at MA MCP or CT RCP? s, Pun.iae W � raswv�€. Ar samyxy Page 13 of 13 L y HA Serial No:09212018:58 ANALYTICAL REPORT Lab Number: L2038650 Client: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 02653 ATTN: Chad Simmons Phone: (508) 255-6511 Project Name: BREWSTER LANDING Project Number: WBR006.01 Report date: 09/21/20 The original project report/data package is held by Alpha Analytical. This reporVdata package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH -0574), IL (200077), ME (MA00086), MD (348), NJ (MA935), NY (11148), NC (25700/666), PA (68-03671), RI (LA000065), TX (T104704476), VT (VT -0935), VA (460195), USDA (Permit #P330-17-00196). Eight Walkup Drive, Westborough, MA 01 581-1 01 9 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com frT]tp}w,� Page 1 of 13 Project Name: BREWSTER LANDING Project Number: WBR006.01 SAMPLE RESULTS Serial No:09212018:58 Lab Number: 1-2038650 Report Date: 09/21/20 Lab 0: L2038650-01 Date Collected: 09/15/20 14:30 Client ID: EFFLUENT Date Received: 09/16/20 Sample Location: BREWSTER LANDING, 0 SACHEMUS TRAIL, BREWSTER Field Prep: Not Specified Sample Depth: Matrix: Water Dilution Rate date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab Solids, Total Settleable <0.1 mlll A NA 1 09/16/20 18:47 121,254OF AS ................ ........................................... ........................................................... ...................................................................................................... ...... ................... ;L�L'r�lir� Page 5 of 13 Serial NO:09212018:58 CHAIN OF CUSTODY AGE, JF, p - DaEeReed lrtLa4 ALPHAJob9: j -)V A f -TO ti;AReporti ` C . y I iliverabi S; ❑ FAX Ewa [] Somme sx C +3 Oro PC3 r: Wacrb—a§60A MWVT h6 MA Project Name! Browcor Landing ��®qq ❑ ACE% oek Remhles Tr1, 9o46949'3U TIFL W84M = FARC SM -899 -TM rAx. `sn 4377.321 - F�Mjeet Location: 6rewster Law ing, 0 Sachignus SrarwFed ProgF m C+Y.ena Trail. 8revrster. MA -. Ce1rInr- P orl m WBRms,01 9,,, Yes ®Nc Are MGP Anal � Methods � siireG? �CG2nl:C4astalEn�neerin . , 0 Y" PrD Arg Gi RCP licasnrra010 CenlovffA Fr6loca�¢ R airs Addra ss: 250 Granbe Highway P �t Man er: Chad A 53mmCaL� Orleans. MA 02rmALAHA Spate M 2011601r2�11 ANALYSIS PhPng: 5{39 235-6511 SAM" HAMLIWB FJu.ff- Fax_ 508 255-C7Q0 ® Standard 0 F4zsh pm.r of Fw�AP RmE;E» Q Dom 240 wt4*d Emait: LSIiFiR]O1S5' CBCC3 PeF:Od.Gf3IA ❑ La6166a © It es %M;4a mare teen p .W&,dy> Yq,� �'Y Afpha Dom Elated: ir.fw- PresmvWim ❑ Leh to do �>F,.rraauy Odle rProject Speclflc RequiremanislCommenWDeteda-L Limits: pH' ?r ; ❑ aeras, DO: Z, u w srmvl• ALPHA Lab In Sam P7e 10 col�,adlon Sxm $wrnplers ij7e Only} WkC I Tuna klm,s4 1011417 gfi.aG £m.w p ww 0 00Ll Ll❑ ❑ L1❑ El El U ❑ ❑ ❑Ll ❑ ❑ ❑ LT—LJ ❑ ❑ ❑ ❑ PLEASE ANSWER QUE5TIONSABOVE! .0 nWr w T P - - PfkSErJ3f1YP A�se pnnl C4eM1j, Ic�ri�y ..iitrd zi: RkklY dymplpx ran A - _ IS YOUR PROJECT Fi66YW Byr, i}aieil pop itecelveci 8 1'>So6Fi• as �' G e. L i Li 5 sura "tea "s are uoa*A;d y1�.W� AIiA ll�iCP car GT RCP? � .«ry.. �audmmlad r•6 5�!^dtG 1D '+L•9n i 7r4 i� � .Fk[dw'sfiayrT�Fll FermG. w A N AL YET f C A t ANALYTICAL REPORT Lab Number: L2048791 Client. Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 02653 ATTN: Chad Simmons Phone: (508) 255-6511 Project Name: BREWSTER LANDING Project Number: WBR006.01 Report Date: 11/12/20 Serial—No: 11122012:56 The original project report/data package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PFf-0574), IL (200077), ME (MA00086), MD (348), NJ (MA935), NY (11148), NC (25700/666), PA (68-03671), RI (LAO00065), TX (T104704476), VT (VT -0935), VA (460195), USDA (Permit #P330-17-00196). Eight Walkup Drive, Westborough, MA 01581-1019 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com PFA Page 1 of 13 Project Name: BREWSTER LANDING Project Number: WBR006.01 SAMPLE RESULTS Serial—No: 11122012:56 Lab Number: L2048791 Report Date: 11/12/20 Lab ID: L2048791-01 Date Collected: 11/05/20 13:15 Client ID: EFFLUENT Date Received: 11/05/20 Sample Location: BREWSTER LANDING, 0 SACHEMUS TRAIL, BREWSTER Field Prep: Not Specified Sample Depth: Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab Solids, Total Settleable <0.1 Page 5 of 13 mlll 1 NA 1 11/05/20 22:00 121,254OF AS .......................... ....... ................. ALPHA CHAIN OF CUSTODY A UhA Y1. n c WVg" mh. SAA uncsfleA AAP TCL; .,,n ,._ ...z0 UAL still tl= Phoria: 505 255-5511 PAGIE 1 pF 3 Pmjecl Fletne: Brewer Lancling Project LocaOanr Brevsier LanWN, G SaGbumus Fax: 506'1.65-G70 _._ _ ®SEeFid Emal: c5+mmons lxcapecod.car?a Q These 5,0m have aeon+ T',ww0y siW 94AV" Dene Date: Other Project Specific Requirerr[srsislCommentslbatee eon Li pF[: DD: * . Turgidity. ALPHA Lnh 10 Sample I❑ {Lab Vie Only} 1761, © Ru* (ONLY lF PRE-AIPRpVM Ti mv, im Ww Rearm Lou C © FAX 0 ADEX fl Sainplrk SamplFf� iufAliix In:liaEs m Serial Nol1122012:56 ALP -HA Job #- I& 04ArL © Same m CBent Into PDP. U AcMl [SeuveraMas SAWIE HANDURG rrrr�euwn Ci ons. CE M N-ded [� Lb Md. AL'SmAgrion [] LA, mn dP ePmri� Pi --ASE ANSWER OV"TIONS ABOVEI P Rrese valEved mmys pys rm IS YOUR PROJECT Ruf,, 9quisned aY p irn. �y gy to As vjvj 4 mOw- 1me WFn—,.bJ �6 � pol n rviA MCP or CT RCP? &art Vnir -AA-PIT14 az 1/ Cs �1 6S3 �wr- na �: '€1 1901 wPr :Pxr�mr�. n APPENDIX B: O&M FIELD INSPECTION FORMS 44 Austin Cahill - Coastal Engineering, Co. Inc, _........... _.... –..... _............. ..._.—._._.. _...-. - -.... ......... ............ --- - — Main Submit My Clients My Reports Help Cancel Inspection Print Inspection 8:23 am ..Inspection Details . ............. ...... ._. ......... ............................. Component: .........................................._........—..................._......._ ........ Biociere Date: 2024-03-09 Time: 14:D0 00 ............................................................................................................. .... .. !. Operator Name: Jeff Selens License #: . ....................... 11444 ............................... ...................... ...................... .................................................... ............................................! 70peration7andmain,tenance conducted —system operational at the time of the visit. Sampled. Color: Clear Odor: Musty .......... ....... _........... .......... Effluent Solids: . No � pH: 6.7 SU Dissolved Oxygen: 3.000 mg1L Turbidity: 3.28 NTU .........--- ............... Settleable Solids: Site Conditions ....... . ........................... Seasonal Residence: .. ........ No Air Temperature: °F .................................................. ........... ....... ................ .... ....... .. Weather Conditions: Operating Wormation Sludge Depth: _.. 8.04 in ............... .. ......: Scum Layer Thickness: 0.25 in ............................................. . Pumping Recommended: No Soil Absorption System Ob ........................................... Signs of Breakout. No ............................................................................................ Depth of Ponding: in Ponding Above Invert: No Maintenance Issues Any Apparent Violations of the Approval? None Reported Any Cleaning or Lubrication of Parts Cleaned and brushed nozzles to ensure an efficient spray. Performed? Any Control Adjustments Made? I None Reported Pumps, Switches, Alarms Tested? Checked panels, amps, switches, tank levels, alarms, and . general condition of the system. j . . ..................... .. Any Equipment Failures? None Reported IAny Parts Replaced? I None Reported I Any Recommended Corrective Actions? None Reported V.... .. .. .. ....... ..... .. ........................................... __._.............. -....... . ......... 'inspection Completed? Yes .................................................................................................. ....... ......... _.......... . -- OdorAround SiteYes, No C Source of Odor Not Reported. ............................................ ............ Check all that apply LjL' ................ ........ Li i f Scum Depth in Primary Tank 0.25" Sludge Depth in Primary Tank Does Grease Trap Need Pumping .............. _ ............... CYes❑ No ............. _. Unit 1 Bioclere Vents Yes No Air Passing Through Vent O Fan Operating General ................................................. ExtemaI Damage .................................... 0Y.2:N❑ . ..................................... CoverlFan BoxlCtri Panel Locked j . ... Yes[mm No ............... .................................................................................... Flies on the Unit ................................................................................................. No ...................................................................................... . ............ ................. ....... .... ........ Number of Flies € Few Many Location of flies Not Reported. .................................... Locks/Latches1H an dles 0 .......................................................................................................................................................... � Yes[ No ............................................. ........................ Lid Gasket Ok ................................. ......................................................................................................_. Yes CNo . . ...................................................................................... ................. Standing Water in Fan Box ........................................................................................................................................---......... r �Yes CNo Cancel Inspection ;Address Print Inspection Owner ........... __.......... Component: Date; Time - Operator Name: License #: ..... ......... 0 Sachemus Trail, Brewster ..... ........... Brewster Landing ..._...................................................................... Bioclere 2020-06-15 12:15:00 ................................ Jeff Selens ... .... ........... 11444 ..... . ....................................................... .. Operation and maintenance conducted — system operational at the time of the visit, Calor: Slight amber Odor: Earthy ........................................ ............................... ........... ................................... _ ...... .............................. ............................................................ Effluent Solids: No .................................. Pik:7,5 ......................................................................................... ............... SU .................................. ........ ... .............................. Dissolved Oxygen: 2,000 mg/L Turbidity: 6.98 NTU Settleable Solids: .................................. icite Conditions Seasonal Residence: No Air Temperature: °F Weather Conditions: ......................................................................................................... Any Apparent Violations of the Approval? ................................................................................................................................m...._........................................................ None Reported Any Gleaning or Lubrication of Parts Cleaned and brushed nozzles to ensure an efficient spray. Performed? Unclogged wipes in Zabel. ..................................... . I ;Any Control Adjustments Made? None Reported Pumps, Switches, Alarms Tested? Checked panels, timers, amps, switches, tank levels, alarms, and general condition of the system. .............. ... ....................... Any Equipment Failures? None Reported ;Any Parts Replaced? None Reported Any Recommended Corrective Actions? None Reported �y..................................................................................................................................................................................................---.........---._............— ... Inspection Completed? Yes Technology Odor Around Site Yes Nv Source of Odor Not Reported. Check all that apply Li Uj ........... ......... .............. Scum Depth in Primary Tank011 Sludge Depth in Primary Tank 0" r. Does Grease Trap Need Pumping k—j Yes_j No ............. ............. ................................................ Unit i ...................................................... Air Passing Through Vent Inside lid Locks/Latches/Handles Ok Fan Operating .............................................................. � ............ _.............. _................. . ❑ Yes G No General .... ............................................................................ ........ ............................... CD Yes CV] No ........................................................................................................ External DamageYes-No . ........................ ... .............................. .............. Cover/Fan Bax/Ctrl Panel Locked �--� ............. l J Yes( No ................................................................................. Flies on the Unit ................... !'!J Yes No ........... Number of Flies _ v; Few. Many Location of flies Inside lid Locks/Latches/Handles Ok CYes No Lid Gasket Ok ❑ Yes G No ....................................................... Standing Water in Fan Box .... ............................................................................ ........ ............................... CD Yes CV] No i• Austin Cahill -Coastal Engineering, Co. Inc. __._........., - - - -..... ... ...... ....... .... ..... ............. -. Main Submit My Clients My Reports Help ............. .... _.......... .. Cancel Slight amber Inspection Address Print Inspection owner i............ _.-....................................................................... _ _........................ 7.1 SU .................................... Dissolved Oxygen: _ ... _... ..._..................................... 2.000 mg/L Turbidity: Inspecti on Details Settleable Solids: None Reported ................. ................ Component: None Reported Date: Time: Operator Name: License #: 8:23 am 0 Sachemus Trail, Brewster Landing Bioclere 20213-09-15 14:00:40 ...................................... Jeff Selens 114-04 Operation and maintenance conducted — system operational at the time of the visit. Sampled. Color: Slight amber Odor: ... .............................. _.._........... ......... ...... Musty .......................... ........................................ Effluent Solids: No PH: _ _........................ 7.1 SU .................................... Dissolved Oxygen: _ ... _... ..._..................................... 2.000 mg/L Turbidity: 4.04 NTU Settleable Solids: None Reported Sludge Depth: n ..................................... . . ..................... ............. Scum Layer Thickness: in .............................................. ........................................ ._................ Pumping Recommended: No ........................................................ . Signs of Breakout: No ............_.......................................................... Depth of Ponding: in Ponding Above invert: No .......... -. ........................... Any Apparent Violations of the Approval? ......................................................................................................... ...... None Reported Any Cleaning or Lubrication of Parts Performed? ..................................... Cleaned and brushed nozzles to ensure an efficient spray. p y Any Control Adjustments Made? None Reported Pumps, Switches, Alarms Tested? ..................................... Checked panels, timers, amps, switches, tank levels, alarms, and general condition of the system. Any Equipment Failures? ................................................ None Reported Any Parts Replaced? None Reported Any Recommended Corrective Actions? None Reported Check all that apply 0 D Scum Depth in Primary Tank Not Reported. Sludge Depth in Primary Tank Not Reported. Does Grease Trap Need Pumping _YeSO No ............ .......... ........ ............ ............................... ............. Unit I .......... .............—......... _ ......... ...........— L1 Air Passing Through Vent Fan Operating C✓ General ..................... ExtemaI Damage Yes CNo Cover[Fan Box/Ctrl Panel Locked .. .............. ............... ...... ✓ Yes No .................. ............................... .... Flies on the Unit ....................... ....--......................---.................—_............. ....... .................. _................ .. w7Ye, 0No .................................. .... Number of Flies ......................... ............. _......... ..... ................. ............. Few iJ Many Location of flies Not Reported. . . ............. Locks/Latches/Handles Ok Yes No . ..............r.�... Lid GasketOk ........................................................................................................................................................................................................................................ . Yet;CjNo Standing Water in Fan Box ............................................................. Yes No Cancel Inspection Print inspection Component: .. ....................................................... -.................. Bioclere bate: 2020-11-05 ..... .... . Time: 12:45:04 . ........ ............................................ _ .............. Operator Name: Jeff Selens .......... ...... ..............: License #: 11444 Operation and maintenance conducted — system operational at the time of the visit. Field-tested and sampled. ..... ......... _-........................................... Color: _.. ....... - __ . ......... __ .......... . _.._ ... .. ............ ....... Clear ................... Odor: Musty . ..... .......__................._-.............................................. Effluent Solids: . ..... ................................ --.......... -- ............ _..._....... ..................................... . ........ No PH: 7.2 SU Dissolved Oxygen: ........................................................................................................ ......... .... 2.400 mg/L .................... .... ........... ......... -._.......................................... _.__.............. _...................... ............. .._......................................... ......... Turbidity: ......... . .......................... NTLI .............................. . Settleable Solids: No -- ............... ... . Seasonal Residence: No .................................... ..................... .._............................................ ................................................................................................... ......... Air Temperature: "F ............................................ ................. ............................................................................. . ........ Weather Conditions: Operating Information Sludge Depth: in ......... __..................................... Scum Layer Thickness: .............................. ................................... ............................ - . - - ........................ in .................._ ---- ......_.._ .............. Pumping Recommended: ......... ...... _... .......... ..... ..... ._ ................ No Soil Absorption Observations Signs of Breakout: ............ - w ................................ ....... No ........--...... _.... Depth of Ponding: in ............ ...... ............ ....................... .-.......................................... Ponding Above Invert: No Maintenance Issues Any Apparent Violations of the Approval? .............�j, None Reported 1 Any Cleaning or Lubrication of Parts Cleaned and brushed nozzles to ensure an efficient spray. Performed? Shook out Zable filter. ......................... Any Control Adjustments Madel ..................................................................... ............................... ............................ .............. None Reported ................................. ............................... ........ .................... Pumps, Switches, Alarms Tested? Checked pane's, timers, amps, switches, tank levels, .......... alarms, and general condition of the system. ....................... ....... . Any Equipment Failures? None Reported Any Parts Replaced? None Reported Anv Recommended Corrective Actions? Inspection Completed? Yes Technology Checklist Odor Around Site N.................. (Yes'—. No .............. Source of Odor Not Reported. Odor Description ...................... ... ......... ... ... Check all that apply ❑ ❑ j ............................................................................. Lj ❑ .... Scum Depth in Primary Tank Not Reported. .................................................................. Sludge Depth in Primary Tank Not Reported. Does Grease Trap Need Pumping Yesr No Unit 1 € ........................................................._............................................._._...........................; Air Passing Through Vent ❑ Fan Operating ...................:........ .... _.. _................................. 0 ....... ..... ............................ ❑ € General i € External Damage Yes l' No .................... CoverfFan BoxJCtrl Panel Locked ,moi Yes No .............................. Flies on the Unit .............................................................................................................................................................................................. Yes C. No Number of Flies ............................................................. Few; Many .......................................................................... ...... ...... ..... ........................... ... Location of flies Inside lid LocksfLatcheslHandles Ok ........................................................................................................................... ✓i YesI No .......................i Lid Gasket Ok ........................................................................................................................................................................................................._.._........................ ) Yes ❑ No = xi. Standing Water in Fan Box l YesNo { 260 Cranberry Highway f Orleans, MA 02653 COASTAL 508 .255,6511 P 508.255.5700 F Orleans I Sandwich I Nantucket engineering cc). coastalengineeringcompany.com To: Department of Environmental Protection Southeast Regional Office 20 Riverside Drive Lakeville, MA 02347 Subject: Cape Cod Sea Camps 3057 Main Street Brewster, MA Plans ® 2013 Annual Report We are sending the following items: TRANSMITTAL Date: 01/29/2021 Project No. C16845.02 Via: ®First class Mail Pick up EDelivery [Fed Ex [] Specifications ❑ Other Copies Date No. Description 1 January 2021 C16845.02 Groundwater Discharge Annual Report for 2020 DEP Permit #977-0 :J These are transmitted as checked below: for approval ®for your use Oas requested for review 5 comment Remarks: JGS/V5W Cc: MassDEP / Watershed Permitting Program / Boston Brewster Board of Health By: John G. 5chnaible, R.S. D:IDOCICI68QD116845.021aoc-Out12020-01-31 Tmns MassDEA SERO.dor NOTE: if enclosures are not as mated, please rontart us at (548) 255-6511 d --Da COASTAL engineering co. Project No.: 016845.02 GROUNDWATER DISCHARGE ANNUAL REPORT for 2020 Orleans I sandwich I Nantucket DEP Permit #977-0 Individual Permit for Groundwater Discharge Cape Cod Sea Camps 3057 Main Street Brewster, MA January 2021 Prepared for, Cape Cod Sea Camps 3057 Main Street Brewster, MA 02631 Prepared by: COASTAL ENGINEERING CO., INC. 260 Cranberry Highway Orleans, MA 02653 Cope Cod 5e❑ Comps January, 2021 Coastal Engineering Co., Inc. (CEC) has been retained by Cape Cod Sea Camps, for the property located at 3057 Main Street Brewster, MA, to prepare the 2020 annual report of the property relative to the Groundwater Discharge Permit Number 977-0 in accordance with 314 CMR 5.00. The property comprises approximately 54.9 acres of land located in Brewster, MA north of Main Street, also known as Route 6A, opposite Millstone Road {see the Locus Map, Figure 1A} and is bordered on the north by Cape Cod Bay. The area is predominately residential. The accompanying site sketch plan, SKC-1, shows the location of the property and the immediate surrounding area. Cape Cod Sea Camps is a seasonal summer camp for children. However, the camp was closed this past summer due to COVID-19 pandemic. There was minimal activity at the camp and the water usage reflects the lack of campers and day campers at the site. The summer camp was established in 1938. Currently, there are 92 buildings onsite, including residential cabins, kitchen and dining halls, function and meeting halls, recreational buildings, shower rooms and bathroom facilities, staff housing, administrative offices, and storage sheds. Traditionally, the camp is open from approximately April 28 to October 20 each year, but was not open this year. There are 29 Title 5 septic systems servicing various buildings to collect sanitary waste and discharge wastewater to the ground through subsurface leaching structures and a laundromat with a single pass sand filter. Some of the Title 5 systems serve several buildings, while some buildings do not have water fixtures and, therefore, do not generate wastewater and so are not connected to a septic system. One system, System 25, serving Building 43, is a cesspool, with plans for upgrading, The enclosed plan shows the location of each building and the location of the Title 5 septic systems serving these buildings. In 2020, 6 sewage disposal systems were Inspected. System 12 serves Buildings 1, 2, 4, and 15; System 14 serves Building 35 and 47; System 17 serves Building 50; System 18 serves Buildings 7, S, and 9; System 20 serves Building 82; and System 27 serves a portion of Building 80. Each system's septic tank had been pumped prior to the inspections. The buildings inspected for FVcpe Cad Sea Camps January, 2020 sewage disposal systems are used for housing except the portion of Building 80 that have bathrooms/showers dedicated for the campers. All sewage disposal systems inspected this past year flow by gravity into leaching systems that were found to be in good condition, System 14 requires a septic tank inlet tee replacement. The inspection reports were submitted to MassDEP within the last week, with the pumping documentation as required by the permit. Typically, the camp is open from April 28th through October 20th for a total of 147 days. The facility's water usage for 2020 was 63,000 gallons or 429 gallons per day (gpd). Water for the playing field irrigation system is provided by an onsite well. Using a 35 mg/L concentration for total nitrogen in sewage effluent, we calculated that 18.3 pounds of nitrogen were discharged in 2020, 847.7 pounds below the permitted limit of 866 pounds. The onsite laundr❑mat has a single pass sand filter for treatment of laundry waste. The quarterly monitoring sample reports show that surfactants were non-detectable in all wells, with the exception that low levels of surfactants were found in MW -4 and MW -5 in June, and in MW -4 in August. Annual VOC testing performed in August showed that VOC's were not detected with the exception that MW -1 showed Acetone. MW -1 is an upgradient monitor well that is near Route 6A and the likely source for the VOL in 2021, six more sewage disposal systems will be inspected and have their septic tanks pumped. There will be quarterly sampling of the monitor wells starting in February 2021 and the annual report for 2021 will be completed in January 2022. In 2021, six more sewage disposal systems will be inspected and have their septic tanks pumped. There will be quarterly sampling of the monitor wells starting in February 2021 and the annual report for 2021 will be completed in January 2022. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel gather and evaluate the information submitted. Based on my diligent inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, Cape Cod Sea Camps January, 2020 and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. am aware that submitting a false or misleading certification could lead to modification, suspension, or revocation of any permit granted pursuant to this application or report, as set forth in 314 CMR S.12. Coastal Engineering Company Inc. David Michniewicz, P.E. Senior Vice -President DJMljgs Enclosures cc: Department of Environmental Protection, Southeast Regional Office Watershed Permitting Program, Department of Environmental Protection Brewster Board of Health D;1DOC\C15800\16845.021Annual reportslAnnual Report.2020.doc 076" 04' 00.0000'• vv 070' 03' 00.0000" W 070° 02' 00.0000" W 070° 01' o 0 4 d - - o 0 o � d Zp— )_OCLiS kf ��v l - +t - 114' :.;'ate ". •�f^ 1 mile } P 41, gay L - e f wiry , . - , '=;Eagti ; �y 0.5 mileVi v s a N Seam � 0-3, `ashor • - z eq iv t Pa,ed�gd r -L` Q PIZ¢: ^" �,.�,..� �, p§ •�Y_ZD p�, �Oeolination;:�;_•` s o '., kv - U�'' d - .� ,F erne SCALE 1:24000 0.0 e.1 0.2 0.3 0.4 0.5 0.5 0.7 0.8 Mlles F7Ond tw �s ° ti 0 1000 Yards •nes- •Ad- �}��` MA! 15.62° W - 0 1 Kilometer �r 070° 04' 00.0000° W 070° 03' 00.0009° W 079° 02' a .0000" w 070'01'q Name: HARWICH QUADRANGLE Figure 1 A Location 0410 46'36.8857" N, 070" 02' 39.4538" W Date: 0112211 B Cape Cod Sea Camps Scale: 1 inch = 2,000 ft. 016845,02 C xidie MI 7000 MJTO" ❑alum: MAD27 ad �w .a svauv 3DunoM =►+M 6 ONIMON 5 N Vid Q ;• V41717iS.4IIIJEF 173N1SNIYWe 54K vmw 1 � I E File No.: 016845.42 211112419 N OTES: Monitoring WeIIs Analytical Test Results Cape Cod Sea Camps 3057 Main Street Brewster, MA GWDP SE 977-0 PARAMETER UNITS ccsC-1 MW -1 MW -4 MW -5 MW -7 TOC Elevation feet 52.27 35.82 22.7' 21.19 23.95 Depth To Water feet 29.69 13.69 2.50 6.57 5.13 GW Elevation feet 22.58 22.13 20.20 14.62 18.82 PH pH units 5.45 5.67 5.78 4.91 6.13 Sp. Conductance µLVCM 500 320 260 380 410 Nitrite -N mglL <0.050 <0.050 X0.050 E0.050 X0.050 Nitrate -N mg1L 2.1 0.15 2.2 2.2 3.5 TKN-N mg1L 0.685 0.88$ <0.600 1.22 1.56 Total Nitrogen mglL 2.79 1.04 EE 2.2 3.42 5.06 Total Phosphorus mg1L 0.35 1.08 1.68 0.649 0,437 Ortho -Phosphate ing/L 0.007 0.007 0.047 0.005 0.005 Surfactants mg/L X0.050 <0.050 <0.050 <0.05D <0.050 VOC's ug1L ___ -- -- NOTES: All tests performed at a state -certified laboratory, except pH and 5p. Conductivity, which were performed onsite with handheld test meters. ND = Not Detected, below the reporting limit of the laboratory. VOC's are tested anrivaly during the month of August. p:1DOCIC16800116845.021C71scharge Munitoringg2019 Monitor Well Reporting Forms.xls]02-11-2020 lMassachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 0 2026 QUARTERLY 2 3, Sampling Month &--requency C. Contaminant Analysis Information ■ For "0", below detectlon Ilmit, less than (<� value, or not detected, enter'ND" • TNTC = too numerous to count. (Fecal results only) ■ NS r Not Sampled C i 7A t7a, • DRY = Not enough water in well to sample. Parameter1Contaminant CC8C-1 MW -1 MW -4 MW -5 MW -7 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Weil #: 6 . PH 5.67 5.72 5.91 R�E= 6.05 S.U. NITRATE -N 1.4 13.3 Na MGA - TOTAL. N[TROGEN(NO3+NO2+TK 269 0.824 4.29 5.24 3.75 MCq- TOTAL PHOSPHORUS ASP q.545 3,67 0,742 4.34 6.13 MGf- ORTHO PHOSPHATE OA17 0.005 ND ND 0.044 MGIL FOAMING AGENTS (M13AS) D ND 10.050 ND —J Ma/L mwdgwp-bIank.doc • rev. 09/15/16 Monitoring Well Data for Groundwater Permit • Page 1 of 1 File No.: C16845.02 8/3112020 Monitoring Wells Analytical Test Results Cape Cod Sea Camps 3057 Main Street Brewster, MA GWDP SE 977-0 PARAMETER UNITS CCSC•1 MW -1 MW -4 MW -5 MW -7 TOC Elevation feet 52.27 35.82 22.7 21.19 23.95 Depth To Water feet 3.1.1 14.25 3.78 7.75 5.78 GW Elevation feet 21.17 21.57 18.921 13.44 18.17 PH pH units 5.87 5.91 5.77 4.87 5.95 Sp. Conductance µ31cm 600 430 460 510 200 Nitrite -N mg1L <0.050 <0.050 <0.050 <0.050 <0.050 Nitrate -N mg/L 0.98 <0.10 0.92 0.98 2A TKN•N mg/L 0.318 0.400 0.670 0.597 0.583 Total Nitrogen mg/L 1.30 0.400 1.591 1.58 2.98 Total Phosphorus mg1L 0.231 3.51 0.932 2.98 5.28 Ortho -Phosphate mg/L 0.022 0.005 0.005 X0.005 0.055 Surfactants mg1L X0.050 <0.050 4.050 X0,050 1X0.050 VOC's ug/L NO 14ug1L {Acetone} ND ND ND NOTES; All tests performed at a state -certified laboratory, except pH and Sp. Conductivity, which were performed onsite with handheld test meters. NO = Not Detected, below the reporting limit of the laboratory. VO C's are tested annualy during the month of August. D:%DOC1C16800116845.0210ischarge Monitaringl[2020 Monitor Well Reporting Forms.x1s]08-31-2020 File No., 016845.02 11110/2020 Monitoring Wells Analytical Test Results Cape Cod Sea Camps 3057 Main Street Brewster, MA GWDP SE 977-0 PARAMETER UNITS CCSC-1 MW -1 MW -4 MW -5 MW -7 TOC Elevation feet 52,27 35.82 22.7 21.19 23.95 Depth To Water feet 31.67 15.24 4.29 7.35 6.32 GW Elevation feet 20.6 20.58 18.41 13.84 17.63 PH pH units 5.99 5.12 6.05 5.32 5.54 5p. Conductance k81cm 400 290 380 470 300 Nitrite -N mgJL X0.050 <0.050 <0,050 X0.050 <0.050 Nitrate -N mg/L 14 0.67 2.6 0.52 2.3 TKN-N mg/L 0.6 2.33 0.325 3.53 5.96 Total Nitrogen mgtL 2.Q4 3,04 2.93 4.05 8.26 Total Phosphorus mg/L 0.197 9.07 1.41 7.45 23.6 Ortho -Phosphate mgJL 0.021 0.005 <0.005 <0.005 0.043 Surfactants mg/L X0.050 X0.050 <0,050 <0.050 X0.050 VOC's ug/L --- - i ----- I ----- I --- I ----- NOTES: All tests performed at a state -certified laboratory, except pH and Sp, Conductivity, which were performed onsite with handheld test meters. ND = Not Detected, below the reporting limit of the laboratory. VOC's are tested annualy during the month of August. E:IACah!KL_2020 Checklist.xlsx]2020 Checklist Massachusetts Department of Environmental Protection -i- Bureau of Resource Protection -Groundwater Discharge Program 1. Permit Number Groundwater Permit � 2. T MONITORING WELL DATA REPORT 202 3's ACETONE .Nla ND 14 ND ND ND UGIL BENZENE NQ ND IND ND N❑ NQ UG/L 1,1 BIGHLOROETHANE JND ND IND ND ND UG1L 1,2 i}IGHLOROETHANE ND ND ND ND N❑ ND UGIL 1,1 DICHLOROETHYLENE ND ND ND ND ND ND UGIL Cis-1,2-DICHLOROETHYLENE IND ND IND ND UGIL TRANS 1,2 CICHL-OROETHYLENE ND ND IND I ND IND NQ UUL ETHYL BENZENE ND ND ND ND NO :NO UGIL NIETHYLENECHLORDENQ N❑ T ND ND ND N[ uc�1L TOLUENE ND IND ND ND ND UC1L O XYLENE ND ND. �. _.__... NDND NQ SND UGIL PIM XYLENE ND ND ND ND ND ND UGIL CARBON TErRACHLORIDE ND ND Nd .... _............. N° ...... ND N� UGIL CHLOROFORMND ND ND NQ ND NQ UGIL 2-BUTANONE (MEK) IND.. I IND IND ND ND UGIL mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permlt • Page 1 of i ax dentiflcation Number OANNUAL ampling Mont & Frequency D. VOC Analysis Information • If VOCs are present, please indicate the amounts of the Individual compounds in pg11. • For "a", below detection limlt, less than (<) value, or not detected, enter "ND" ■ NS =Not Sampled ■ DRY = Not enough water in well to sample. Paramster1Contaminant ccsc4 LAUMDRYEFFL MW -1 MW -4 MW -5 MW -7 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 WeII #: 5 Well #: 6 ACETONE .Nla ND 14 ND ND ND UGIL BENZENE NQ ND IND ND N❑ NQ UG/L 1,1 BIGHLOROETHANE JND ND IND ND ND UG1L 1,2 i}IGHLOROETHANE ND ND ND ND N❑ ND UGIL 1,1 DICHLOROETHYLENE ND ND ND ND ND ND UGIL Cis-1,2-DICHLOROETHYLENE IND ND IND ND UGIL TRANS 1,2 CICHL-OROETHYLENE ND ND IND I ND IND NQ UUL ETHYL BENZENE ND ND ND ND NO :NO UGIL NIETHYLENECHLORDENQ N❑ T ND ND ND N[ uc�1L TOLUENE ND IND ND ND ND UC1L O XYLENE ND ND. �. _.__... NDND NQ SND UGIL PIM XYLENE ND ND ND ND ND ND UGIL CARBON TErRACHLORIDE ND ND Nd .... _............. N° ...... ND N� UGIL CHLOROFORMND ND ND NQ ND NQ UGIL 2-BUTANONE (MEK) IND.. I IND IND ND ND UGIL mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permlt • Page 1 of i Massachusetts Department of Environmental Protection 977 Bureau Of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit MONITORING WELL DATA REPORT 2. Tax identification Nurnber 2020 ANNUAL TSampling Month & Fr6que—nc D. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pg1. • For roa, below detection It mit, less than (a) value, or not detected, enter "N D" ■ NS =Not Sampled • DRY = Not enough water in well to sample. ISararneter/Contalninant CCSC-1 LAUNDRY EFFL MVV -1 MW -4 MvV-5 MW -7 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #; 6 4-METHYL-2-PENTANONIy (MIBK NQ �p ND ND NI] ND UGIL TRICHLOROETHYLENE ND IND NQ L Np ND ND UGIL TETRACHLOROETHYLENE ND ND ND ND ND ND UCWL 1,1,1 TRICHLOROETHANE JGIL VINYLCHLORIDN E D ND ND ND ND ND STYRENE N�. CHLOROSENZENE ND FID �,� ND ND ND ND uc�r KETHYLTERTIARY I3UTYL THE ND ND ND ND ND ND cHI.U14aETHANE ND -__ ....�_ No _� ND - — ND ND UGIL 1,24AGHLOROPROPANE ND � ND ND ND Np i1ii UGIL OISROMOGHLOROMETHATtitE ND ND� ND NDS` UGIL 1,1,2 TRICHLOROETHANE ND ND NQ N[] ND NLI UVL 2-CHLOROETRYLVINYL E714FR NL} NQ ND ND ND 17 UGIL = BROMODICHLOROMETHANE ND ND uGtL ND ND BROMOFORM ND ND ��- NiJ NQ I N❑ UGA- ND mwdgwp-blank.doo - rev. 09!15115 Monitodng Well Data for Groundwater permit • Page 1 of 1 Massachusetts Department of Environmental Protection 977 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit MONITORING WELL DATA REPORT 2. Tax Identification Number- zona ANNUAL 3.S 1,1;2,2 TETRACHLOROETHANE ND Nb NQ NQ NQ ND UG1L CHLOROMETHANE ND ND ND ND ND ND UGIL SROMOMETHANE ND ND ND ND j I ND I ND UG1L CARBONDISULFIDE NQ ND..... _ .. ND NDj IND ND UGIL 2--iF-.)(ANONE [N:D:::= ND ND ND ND ND UGIL ACROLEIN IND NQ ......._ ..............: NQ NQ J.ND UGA- ACRYLONITRILE ND NQ ND [N:D=7 I ND ND UG)L TRAN54,S-D[CHL0ROPR0PENI= ND ND IND 1. ND M] ND UG1L C[5.1,3•D[GHLi7ROPROPENE ]UD ND ND ND 1ND,w�.,.__.�.ND� UGA. mwdgwp-blank.doa • rev. 09/15/15 Monitoring Well Data for Groundwater Permit , Page 1 of 1 - I - - - - amplIng Month Frequency D. VDC Analysis Information • if VOCs are present, please indicate the amounts of the individual compounds in pg/1. • For "0", below detection limit, fess than (<) value, or net detected, enter "ND" ■ N5 = Not Sampled ■ DRY = Not enough water In well to sample. ParameterlContaminant CCSC-i LAUNDRY EFFL MW -1 MW -4 MW -5 MW -7 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 1,1;2,2 TETRACHLOROETHANE ND Nb NQ NQ NQ ND UG1L CHLOROMETHANE ND ND ND ND ND ND UGIL SROMOMETHANE ND ND ND ND j I ND I ND UG1L CARBONDISULFIDE NQ ND..... _ .. ND NDj IND ND UGIL 2--iF-.)(ANONE [N:D:::= ND ND ND ND ND UGIL ACROLEIN IND NQ ......._ ..............: NQ NQ J.ND UGA- ACRYLONITRILE ND NQ ND [N:D=7 I ND ND UG)L TRAN54,S-D[CHL0ROPR0PENI= ND ND IND 1. ND M] ND UG1L C[5.1,3•D[GHLi7ROPROPENE ]UD ND ND ND 1ND,w�.,.__.�.ND� UGA. mwdgwp-blank.doa • rev. 09/15/15 Monitoring Well Data for Groundwater Permit , Page 1 of 1 Massachusetts Department of Environmental Protection 977 Bureau of Resource Protection - Groundwater Discharge Program 1, Permit Number . Groundwater Permit2, Tax identification !Number MONITORING WELL DATA REPORT 2020 QUARTERLY 3 Sampling Month & Frequency C. Contaminant Analysis information • For "4", below detectlon limit, less than (<) value, or not defected, enter "ND" a • TNTC = too numerous to count. (Fecal results only) • NS = NoL Sampled • T)RY = Not enough water in well to sample. Parameter/Contaminant CCSC-1 MW -1 MW -4 MW -5 MW4 Units Well #: 1 Well #: 2 Well #: 3 Well* 4 Well #: 5 Well #: 5 PH 5.87 5.99 5.77 _� 4.87 5.95 S.U. NrrRATE-N O g$ IND 4.92 0.98 2.4 MGIL TOTAL, NITROGEN(NG3+NO2+TK 1.30 4.400 1,59 1.5.8 2.98 MGIL TOTAL PHOSPHORUS ASP 0,231 3.51 0.992 2.96 5.2$ MGII. ORTHO PHOSPHATE 0 022 0.606 0.605 ND 0.055 MGIL FOAMING AGENTS (MEAS) ND ND 0.050 ND ND MGIL mwdgwp-blank.doc • rev. 09115/15 Monitoring Well Data for Groundwater Permit • Page 1 of 7 { � f _ 111 .. , . � Xti � l ", 1,• , giOL f rx _��� � ;yam`" �!A � � C �� � � -• �., .� 1 i f s� '� r5r � +fit lel s �cTrsBR�x 1+iPLLb'fl'NA34!'J07P9+J02IQ.SN }I43 h[tl7d 31.15 �� � �� c a � s K s a r --I I � �i� y ` 1 s e 17-M 7� YIY Y9i4,n9in Lavrua,uh�iN[ SdIHtl4 tl85 404 3dV3 inrora { � f _ 111 .. , . � Xti � l ", 1,• , giOL f rx _��� � ;yam`" �!A � � C �� � � -• �., .� 1 i f s� '� r5r � +fit lel s �cTrsBR�x .- Ahmt- Built on frust Name: Cape Cad Sea Camps Address: 3057 Route 6A Brewster, Massachusetts 02631 Phone: 508-896-3451 Site Name: Address: 3057 Route 6A Brewster, Massachusetts 02631 Description: Complete septic clean out - Pumped System #'s- 12, 14, 17, 18, 20, 27 - 10,000 gallons total 11/20 Pumped System Vs- 7, 1, 2, 3, 4, 5, 10 - 14,500 gallons total 11/21 810 Date: 11/21/2019 -$ 8327146 Dame Price Total Brewster Septic 10,000+ Gallons 0.17 4,165.00 Total: 4,165.00 Tax: 0.00 Amount Due: 4,165.00 This company will not be responsible for damage caused by trucks beyond street pavement. "Not responsible for sprinkler systems' This serves as your Bill—Thank You! Town of Brewster 2020 Tobacco Sales Re elation REGULATION RESTRICTING THE SALE OF TOBACCO AND VAPE PRODUCTS THIS MODEL REGULATION INCORPORATES THE FOLLOWING: 1. The minimum standards required pursuant to the United States Food and Drug Administration on the sale and distribution of cigarettes; and 2. The minimum standards required pursuant to Massachusetts state law and regulation. This includes M.G.L. Chapter 270 regarding sales to those under the minimum legal sales age of 21, tobacco and vaping product sales including flavored products, required signage, matching definitions and other relevant state statutes and regulations, as of September 2020. CHECKLIST FOR POLICY DECISIONS (circle decisions): 1. No permit renewal if outstanding fines exist (§E.5) YES NO 2. No permit renewal if three sales to youth under 21 (§E.8) YES NO 3. Cap and/or reduce number of permits (§E.9) YES NO Simple Cap (___) Reducing Cap (__) Dual Cap (__) 4. No new permits within 500 feet of a school (§E,9.d) YES NO 5. No new permits within 500 feet of an existing permittee (§E.9.e) YES NO 6. Ban Smoking Bars (§F) YES NO 7. Include minimum cigar package size/price (§G) YES NO S. Restrict flavored tobacco products, including menthol (§H) YES NO 9. Ban blunt wraps (§J) YES NO 10_ Ban free distribution of tobacco products (§K.1) YES NO 11. Ban redemption of coupons (§K.2) YES NO 12. Ban Self -Service Displays (§M) YES NO Exception for Adult -Only Retail Tobacco Stores { ) 13. Ban tobacco product sales in educational institutions (QQ) YES NO 14. Add a Dual Penalty System (separate for local & state) (§S) YES NO 15. Fining structure for local (not state law) policies (§S) YES NO $10012001300 (_) Flat $300 (_ _ _) State fine higher level (__) 16. Tolling periods for local violations (§S) YES NO State level at 36 months i_) Over 36 months { } 17. Suspension Period for local violations (§S) YES NO 7130 days L_) 14160 days L_) 18. "Shall" vs. "May" language for local suspensions (§S) SHALL MAY N��HEalth' Ta bacco\Brewster Rep lati ons\D RA FT Fina12020 Brewster tobacco sales reg sampie 02.24.21.docx Regulation of the Brewster Shard of Health Restricting the Sale of Tobacco Products A. Statement of Purpose: Whereas there exists conclusive evidence that tobacco smoking causes cancer, respiratory and cardiac diseases, negative birth outcomes, irritations to the eyes, nose and throat; Whereas the U.S. Department of Iiealdi and Human Services has concluded that nicotine is as addictive as cocaine or heroinz and the Surgeon General found that nicotine exposure during adolescence, a critical window for brain development, may have lasting adverse consequences for brain development,' and that it is addiction to nicotine that keeps youth smoking past adolescence`; Whereas a Federal District Court found that Phillip Morris, RJ Reynold; and other leading cigarette manufacturers "spent billions of dollars every year on their marketing activities in order to encourage young people to try and then continue purchasing their cigarette products in order to;provide the replacement smokers they need to survive" and that these companies were likely to continue targeting underage smokers $; Whereas more than 80 percent of all adult smokers begin stroking before the age of 1$; more than 90 percent do so before leaving their teens, and more tha 3.5 million middle and high school students smoked; Whereas cigars and cigarillos, can be sold in a -single `dose;" enjoy a relatively low tax as compared to cigarettes; are available in fruit, candy and alcohol flavors; and are poraw among youth; Whereas research shows that increased cigar prices significantly decreased the probability of male adolescent cigar use and a 10% increase in cigar pnees.would reduce use by 3.4°fo Whereas 59% of high school smokers in Massachusetts have tried flavored cigarettes or flavored cigars and 25.6% of them are current flavored tobacco product users; 95: A % of 12 —17 year old's who smoked cigars reported smo1# :cigar brands that were flavored'; 'Center for Disease Control and Prevention4cDC) (2012); Health Effects of Cigarette .Smoking Fact Sheet. Retrieved from: http:llwww.ede.gov/tobaccQldata_statisticelfa"eets/healtli_effectsleflects_cig_smokinglindex. htm. 'CDC (2010), Now Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking -Attributable Disease. Retrieved from: http:Ilwww,cdc.gov/tobaccoe'data statistiqlsgr12010/. 3 U.S. Department of Health and Hu an Ser- dq.6 2014. The Health Consequences of Smoking— 50 Years ofProgress: A Report of the Surgeon General. Atlanta: U.S. N�'I`.diter for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, p. 122. Retrieved from: http://www,sbigeongeneral.gov/library/ reports/ 50-years-of-progresslfull-report.pdf. 4 Id. at Executive Summary p. 13. Retrieved from: http://www.surgeongeneral.gov/tibrary/reports/50-years-of-progresslexec- summary.pdf s United States v. Phillip Morris, Inc.. RJ Reynolds Tobacco Co., et al.. 449 F.Supp.2d 1 (D.D.C. 2006) at Par. 3301 and Pp. 1605-07. 6 SAMHSA, Calculated based on data in 2011 National Survey on Drug Use and Health and U. S. Department of Health and Human services (HEA). 7 CDC (2009)_ Youth frisk Behavior, Surveillance Summaries (MMWR 2010: 59, 12, nate 5). Retrieved from: http:www.edc.gov/mmwr/pdf/ss/ss5905.pdf. B Ringel, J., Wasserman, J., & Andreyeva, T. (2005) Effects of'Public Policy on Adolescents' Cigar Use: Evidence from the National Youth Tobacco Survey. American Journal of Public Health, 95(6), 995-998, doi: 10.21051AJPH.2003.030411 and cited in Cigar, Cigarillo and Little Cigar Use among Canadian Youth: Are We Underestimating the Magnitude of this Problem?, J. Prim. P. 2011, .Aug: 32(3-4):161-70. Retrieved from: www.nebi.nim.gov/pubmed/21809109. 9 Massachusetts Department of Public Health, 2015 Massachusetts Youth Health Survey (MYHS); Delneve CD et al., Tob Control, March 2014: Preference for flavored cigar brands among youth, young adults and adults in the LISA. 1 Whereas the Surgeon General found that exposure to tobacco marketing in stores and price discounting increase youth smoking 10 ; Whereas the U.S. Food and Drug Administration and the U.S. Surgeon General have stated that flavored tobacco products are considered to be "starter" products that help establish smoking habits that can lead to long- term addictions'; Whereas the U.S. Surgeon General recognized in his 2014 report that a complementary strategy to assist in eradicating tobacco -related death and disease is for local governments to ban categories of products from retail sales'; Whereas the U.S. Food and Drug Administration and the Tobacco Products Scientific Advisory Committee concluded that menthol flavored tobacco products increased nicotine dependence, decreased success in smoking cessation 13; Whereas menthol makes it easier for youth to initiate tobacco use' 4; Whereas use of e -cigarettes among students in Massachusetts is 20.1 %, representing a 78% increase for high schoolers and a 48% increase for middle schoolers from 2017 to 2018 t s; Whereas the Massachusetts Department of Environmental Protection has classified liquid nicotine in any amount as an "acutely hazardous waste" tb; Whereas according to the CDCs youth risk behavior surveillance system, the percentage of high school students in Massachusetts who reported the use of cigars within the past 30 days was 10.8% in 2013 17; Whereas data from the National Youth Tobacco Survey indicate that more than two-fifths of U.S, middle and high school smokers report using flavored little cigars or flavored cigarettes i$; 10 U.S. Department of Health and Human services. 2012. Preventing Tobacco Else Among Youth and Young Adults: A Report of the Surgeon General. Atlanta: U.S. National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, p. 508-530, �wia �r.aurgtvrlg4rrerul,ni;Ilt�rrrrS' rl�orts pre�_er�ryrg Lntrrh_-rraha_cc_o-uselfuld-report.p�'1. 11 Food and Drug Administration. 2011. Fact Street: Flavored Tobacco Products, ivii)) +) f ia.goxi'doii trloads;'TohaccoProductsiPruteclTir�zKidsfi•ornTobaecoiFlm!oredTobaccolUCL1183214- p U.S. Department of Health and Human Services. 2012. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. Atlanta: U.S. National Center for Chronic Disease Prevention and Health Promotion, Office on smoking and Health, p. 539, +ti>h•k�.surQeor�gelleruC.g�i �li6rar-��i'eporlslpreyr�tiirg,�uirtti-to$uccrruae�full-repurt.�ll: '' See fn. 3 at p. 85. 13 ww_w.fda.gov/downloadslucm361598.pdf. Https://tobacco,ucsf.edu/tpsac-gave-fda-what-it-needs-to-ban-menthol 14 www.tobaccofreekids-org/assets/factsheet/0390.pdf is MA YRBS 2017 11310 CMR 30.136 n See fn. 7. to King BA, Tynan MA, Dube SR, et al. 2013. "Flavored -Little -Cigar and Flavored -Cigarette Use Among U.S. Middle and High School Students." Journal ofAdoleseent Health. [Article in press], ri•uvi,.ruhoerline.or&larticle.'510.5-1-139;k'Yo2813%2900415- 11�aNstracr. 2 Whereas the Massachusetts Supreme Judicial Court has held that " ... [t]he right to engage in business must yield to the paramount right of government to protect the public health by any rational means"' 9. Now, therefore it is the intention of the Brewster Board of Health to regulate the sale of tobacco products. B. Authority: This regulation is promulgated pursuant to the authority granted to the Brewster Board of Health by Massachusetts General Laws Chapter 111, Section 31 which states 'Boards of health may make reasonable health regulations". C. Definitions: For the purpose of this regulation, the following words shall have the following meanings: Adult -Only Retail Tobacco Store (also known as "Retail Tobacco Store" in MGL Ch. 270): An establishment that does not share space with another business, that has a separate entrance, that does not sell food or alcohol, that does not have a restaurant license or lottery license, whose only purpose is to sell or offer for retail sale tobacco products and/or tobacco product paraphernalia, in which the entry of persons under the age of 21 is prohibited at all times, and which maintains a valid permit for the retail sale of tobacco products from. the Brewster Board of Health and applicable state licenses. Entrance to the establishment must be secure so that access to the establishment is restricted to employees and to those 21 years or older. The establishment shall not allow anyone under the age of 21 to work at the establishment. As of the effective date of this regulation, no new adult -only retail tobacco stores shall be located within twenty-five (25) feet of a retailer with a tobacco product sales permit. Blunt Wrap: Any flavored tobacco product manufactured or packaged as a wrap or as a hollow tube made wholly or in part from tobacco that is designed or intended to be filled by the consumer with loose tobacco or other fillers regardless of any content. Business Agent: An individual who has been designated by the owner or operator of any establishment to be the manager or otherwise in charge of said establishment. Characterizing Flavor: A distinguishable taste or aroma, other than the taste or aroma of tobacco, imparted or detectable either prior to or during consumption of a tobacco product or component part thereof, including, but not limited to, tastes or aromas relating to any fruit, chocolate, vanilla, honey, candy, cocoa, dessert, alcoholic beverage, menthol, mint, wintergreen, herb or spice; provided, however, that no tobacco product shall be determined to have a characterizing flavor solely because of the provision of ingredient information or the use of additives or flavorings that do not contribute to the distinguishable taste or aroma of the product. 19 Druz* et al v. Board of Health of Haverhill. 324 Mass. 129 (1949). 3 Child -Resistant Package: Packaging intended to reduce the risk of a child ingesting nicotine and that meets the minimum standards of 15 C.F.R. 1700 etseq., pursuant to 15 U.S.C. 1471 through 1476. Cigar: Any roll of tobacco that is wrapped in leaf tobacco or in any substance containing tobacco, with or without a tip or mouthpiece, that is in a readily usable state immediately when removed from its packaging without any modification, preparation or assembly required as in a kit or roll -your -own package, and is not otherwise defined as a cigarette under Massachusetts General Law, Chapter 64C, Section 1. Paragraph 1. Tobacco leaf in such kits or roll -your -own packages shall be considered "blunt wraps" for the purpose of this regulation. Component Part: Any element of a tobacco product, including, but riot limited to, the tobacco, filter and paper, but not including any constituent. Constituent: Any ingredient, substance, chemical or compound, other than -tobacco, water or reconstituted tobacco sheet, that is added by the manufacturer to a tobacco product during the processing, manufacturing or packaging of the tobacco product. Such term shall include a smoke constituent. Coupon: Any card, paper, note, form, statement, ticket or other communication distributed for commercial or promotional purposes to be later surrendered by -the bearer so as to receive an article, service or accommodation without charge or at a discount price. Distinguishable: Perceivable "ther the sense of smell or; tater _ Educational Institution: Any pudic or private college, si ol, professional school, scientific or technical institution, university or other institution furnishing a program of higher education. Employee: Any. individual who performsservices for an employer. Employer: Any individual, partnership, association, corporation, trust or other organized group of individuals that uses the services of one (1) or more -employees. Electronic Nicotine Delivery$ystezn:. An electronic device, whether for one-time use or reusable, that can be used to deliver nicotine or antimer substance to a person inhaling from the device including, but not limited to, electronic cigarettes, electronic cigars, electronic cigarillos, electronic pipes, vaping pens, hookah pens and other similar devices that rely on vaporization or aerosolization; provided, however, that "electronic nicotine delivery system" shall also include any noncombustible liquid or gel that is manufactured into a finished product for use in such electronic device; provided further, that "electronic nicotine delivery system" shall also include any component, part or accessory of a device used during the operation of the device even if the part or accessory was sold separately; provided further, that "electronic nicotine delivery system" shall not include a product that has been approved by the United States Food and Drug Administration for the sale of or use as a tobacco cessation product or for other medical purposes and is marketed and sold or prescribed exclusively for that approved purpose. 4 Flavored Tobacco Product: Any tobacco product or component part thereof that contains a constituent that has or produces a characterizing flavor. A public statement, claim or indicia made or disseminated by the manufacturer of a tobacco product, or by any person authorized or permitted by the manufacturer to make or disseminate public statements concerning such tobacco product, that such tobacco product has or produces a characterizing flavor shall constitute presumptive evidence that the tobacco product is a Flavored Tobacco Product. Health Care Institution: An individual, partnership, association, corporation or trust or any person or group of persons that provides health care services and employs health care providers licensed, or subject to licensing, by the Massachusetts Department of Public Health under M.G.L. c. 112 or a retail establishment that provides pharmaceutical goods and services and is subject to the provisions of 247 CMR 6.00. Health care institutions include, but are not limited to, hospitals, clinics, health centers, pharmacies, drug stores, doctor offices, optician/optometrist offices and dentist offices. Liquid Nicotine Container: A package from which nicotine or other substance M- -a' solution or other form is accessible through normal and foreseeable use by a consurrier.and that is used to hold 4- soluble nicotine or other substance in any concentration; provided however, that "liquid nicotine container" sha11-nbt include a sealed, prefilled and disposable container of nicotine or other substance in a solution or other form in which the container is inserted directly into an electronic cigarette.electronic nicotine delivery system or other similar product if the nicotine or other substance in the container is inaccessible through customary or reasonably foreseeable handling or use, including reasonably foreseeable ingestion or other contact by children. Listed or Non -Discounted Price- The higher of the price listed for a tobacco product on its package or the price listed on any related shelving, posting, advertising or display at the place where the tobacco product is sold or offered for sale plus all applicable taxes if. such taes.:are not included in the stated price, and before the application of any discounts of coupons. Non -Residential Roll -Your -Own (RYO.) Machine. A mechanical device made available for use (including to an individual who produces cigars, cigarettes, smokeless tobacco, pipe tobacco, or roll -your -awn tobacco solely for the individual's own personal consumption or use) that is capable of making cigarettes, cigars or other tobacco products. RYO machines located in private homes used for solely personal consumption are not Non - Residential RYO machines. Permit Holder: Any person engaged in the sale or distribution of tobacco products who applies for and receives a tobacco product sales permit or any person who is required to apply for a Tobacco Product Sales Permit pursuant to these regulations, or his or her business agent. Person: Any individual, firm, partnership, association, corporation, company or organization of any kind, including but not limited to, an owner, operator, manager, proprietor or person in charge of any establishment, business or retail store. 5 Self -Service Display: Any display from which customers may select a tobacco product, as defined herein, without assistance from an employee or store personnel. Schools: Public or private elementary or secondary schools. Smoke Constituent: Any chernical or chemical compound in mainstream or sidestream tobacco smoke that either transfers from any component of the tobacco product to the smoke or that is formed by the combustion or heating of tobacco, additives or other component of the tobacco product. Smoking Bar: An establishment that: (i) exclusively occupies an enclosed indoor space and is primarily engaged in the retail sale of tobacco products for consumption by customers on the premises; (ii) derives revenue from the sale of food, alcohol or other beverages that is incidental to the sale of a tobacco product and prohibits entry to a person under 21 years of age; (iii) prohibits a food or:beverage not sold directly by the establishment from being consumed on the premises; (iv) maintains a valid.:permit for the retail sale of a tobacco product as required to be issued by the Town06wster; and (v) maintains a valid permit issued by the department of revenue to operate as a smoking bar. .Smoking bar" shall include; but not be limited to, those establishments that are commonly known as "cigar bags", "hookah bars" and ``v pe bars". Tobacco Product Flavor Enhancer: Any product designed, manufactured, produced, marketed or sold to produce a characterizing flavor when added to any tobacco product.. Tobacco Product: A product containing or made of derived from. tobacco or nicotine that is intended for human consumption, whether smoked, chewed; absorbed, dissolved, inhaled, snorted, sniffed or ingested by any other means including, but not limited to, cigarettes, cigars, little cigars, chewing tobacco, pipe tobacco, snuff, electronic cigarettes, electronic cigars, electronic pipes, electronic nicotine delivery systems or any other similar products that rely on vaporization or aerosolization regardles-s of nicotine content in the product; provided, however, that "tobacco product" shall also include any component, part or accessory of a tobacco product; and provided further,. that "tobacco product" shall not include a product that has been approved by the United States Food and Drug Administration for the. sale of or use as a tobacco cessation product or for other medical purposes and is marketed and sold or prescribed exclusively for the approved purpose. Vending Machine: Any automated or mechanical self-service device, which upon insertion of money, tokens or any other form of payment, dispenses or makes cigarettes or any other tobacco products, as defined herein. D. Tobacco Sales to Persons Under Twenty -One (21) Years Old: 1. No person shall sell or provide a tobacco product to a person under twenty-one (21) years old. 2. Required Signage: a. All retail establishments, including smoking bars and adult -only retail tobacco stores, shall conspicuously post signage inside the establishment, in the form developed and made available by the Massachusetts Department of Public Health. Such signage shall include: (i) a copy of M.G.L. c. 270, §§ 0 f and 5A; (ii) referral information for smoking cessation resources; (iii) a statement Haat sale of tobacco products, including e -cigarettes, to someone younger than 21 years of age is prohibited; (iv) health warnings associated with using electronic nicotine delivery systems; and (v) except in the case of smoking bars, notice to consumers that the sale of flavored electronic nicotine systems are prohibited at all times. Such signage shall be posted conspicuously in the retail establishment or other place in such a manner so that it may be readily seen by a person standing at or approaching the cash register. The notice shall directly face the purchaser and shall not be obstructed from view or placed at a height of less than four feet or greater than nine feet from the floor. b. All smoking bars and adult -only retail tobacco stores shall post signage, in the form developed and made available by the Massachusetts Department of Public Health, on the exterior of the door providing entrance to the tobacco retail store or smoking bar and such sigD. skull not be obstructed from view or placed at a height of less than four feet or greater than nine from the bottom of the door. Such signage shall state that "No person younger than 21 years old is permitted on the premises at any time." c. All smoking bars and those adult -only retail tobacco_�tores that allow for onsite consumption. of tobacco products shall post signage, in the form developed`d made available by the Massachusetts Department of Public Health, on the exterior of the door providing entrance to the tobacco retail store or smoking bar and such sign shall not be obstructed from view or placed at a, height of less than four feet or greater than nine from the bottom of the door. Such signage sYsal l warrt`persons enteriiath.at smoking and vaping may be present on the premises, and provide information concerning the Health risks associated with second hand smoke and the use of tobacco products, including electronic nicotine delivery systems. 3. Identification: Each person selling or distributing tobacco products. or admitting entrance into a smoking bar or adult -only retail tobacco store, shall first ,verify the age of the purchaser by means of a valid government -issued photographic identification containing the bearer's date of birth that the purchaser is 21 or older. 4. All retail sales of tobacco products, as defined herein, must be face-to-face between the seller and the buyer and occur at thepermitted location. E. Tobacco Product Sales Permit: 1. No person shall sell or otherwise distribute tobacco products, as defined herein, within the Town of Brewster without first obtaining a Tobacco Product Sales Permit issued annually by the Brewster Board of Health. Only owners of est ablishr-ne is with a permanent, non-mobile location in Brewster are eligible to apply for a permit and sell tobacco>products, as defined herein, at the specified location in Brewster. 2. As part of the Tobacco Product Sales Permit application process, the applicant will be provided with the Brewster regulation. Each applicant is required to sign a statement declaring that the applicant has read said regulation and that the applicant is responsible for instructing any and all employees who will be responsible for tobacco product sales regarding federal, state and local laws about the sale of tobacco and this regulation. 3. Each applicant who sells tobacco products is required to provide proof of current Tobacco Retailer Licenses issued by the Massachusetts Department of Revenue, when required by state law, before a Tobacco Product 7 Sales Permit can be issued. Applicant may be asked to provide evidence that a legitimate business transfer or business purchase has taken place. 4. A separate permit, displayed conspicuously, is required for each retail establishment selling tobacco products, as defined herein. The fee shall be determined by the Brewster Board of Health annually. 5. A Tobacco Product Sales Permit is non -transferable. A new owner of an establishment that sells tobacco products, as defined herein, must apply for a new permit. No new permit will be issued unless and until all outstanding penalties incurred by the previous permit holder are satisfied in full. 6. Issuance of a Tobacco Product Sales Permit shall be conditioned on an applicant's consent to unannounced, periodic inspections of his/her retail establishment to ensure compliance with this regulation. 7. A Tobacco Product Sales Permit will not be renewed if the permit holder has failed to pay all fines issued and the time period to appeal the fines has expired and/or the permit holder has not satisfied any outstanding permit suspensions. 8. A Tobacco Product Sales Permit will not be renewed if the permit holder has sold a tobacco product to a person under the age of 21 three times within the previous permit year and the time period to appeal has expired or appeal is pending. The violator may request a hearing in accordance with subsection 6 of the Violations section. 9. Maximum Number of Tobacco Product Sales Permits. a. At any given time, there shall be no more than 11 Tobacco Product Sales Permits issued in Brewster. No permit renewal. will be denied based on the requirements of this subsection except any permit holder who has failed to renew his or her permit within thirty (30) days of expiration will be treated as a first-time permit applicant. New applicants for permits who are applying at a time when the maximum number of permits have been issued will be placed on a waiting list and will be eligible to apply for a permit on a "first-come, first-served" basis as issued permits are either not renewed, revolved, or are returned to the Board of Health. b. At any given time, of the allowed Permit number in subsection (a) above, there shall be no more than 1 Tobacco Product Sales Permits issued to Adult -Only Retail Tobacco Stores, per the definition, in Brewster. No permit renewal will be denied based on the requirements of this subsection except any permit holder who has failed to renew his or her permit within thirty (30) days of expiration will be treated as a first-time permit applicant. c. A Tobacco Product Sales Permit shall not be issued to any applicant for a new retail location within five hundred (500) feet of a public or private elementary or secondary school as measured by a straight line from the nearest point of the property line of the school to the nearest point of the property line of the site of the applicant's business premises. d. Applicants who purchase or acquire an existing business that holds a valid Tobacco Product Sales Permit at the time of the sale or acquisition of said business must apply within sixty (60) days of such sale or 9 acquisition for the permit held by the Current Permit Holder if the Applicant intends to sell tobacco products, as defined herein. [Include for dual caps... Such applicant may choose to apply for a Tobacco Product Sales Permit for an Adult -Only Retail Tobacco Store if the Current Permit Holder possessed the same or if a Tobacco Product Sales Permit for an Adult -Only Retail Tobacco Store is available per subsection (b).] NOTE: This provision should be included no matter which of the above five options are used by a board of health. It permits a byler to "capture" the seller's permit regardless of the tvpe of capping policy enacted. . . 1 F. Prohibition of Smoking Bars: Smoking Bars are prohibited in the Town of Brewster. G. Cigar Sales Regulated: 1. No person shall sell or distribute or cause to be sold or distributed a single cigar unless such cigar is priced for retail sale at two dollars and fifty cents ($2.50) or more. 2. No person shall sell or distribute or cause to be sold or distributed any original factory -wrapped package of two or more cigars, unless such package is priced for retail sale at five dollars ($5,00) or more. 3. This Section shall not apply to a person or entity engaged in the business of selling or distributing cigars for commercial purposes to another person or entity engaged in the business of selling or distributing cigars for commercial purposes with the intent to sell or distribute outside the boundaries of Brewster. 4. The Brewster Board of Health may adjust from time to time the amounts specified in this Section to reflect changes in the applicable Consumer Price Index by amendment of this regulation. H. Sale of Flavored Tobacco Products Prohibited: No person shall possess, hold, keep, sell or distribute or cause to be possessed, held, kept, sold or distributed any flavored tobacco product, as defined herein, or any flavored tobacco product enhancer, as defined herein. 1. Nicotine Content in Electronic Nicotine Delivery Systems: No person shall sell an electronic nicotine delivery system with nicotine content greater than. 35 milligrams per milliliter; provided, however, that this subsection shall not apply to adult -only retail tobacco stores Per 105 CMR 665.010(C), manufacturers shall provide documentation indicating the nicotine content of each of their products sold by the retailer, expressed as milligrams per milliliter. J. Prohibition of the Sale of Blunt Wraps: No person or entity shall sell or distribute flavored blunt wraps in Brewster. 0 K. Free Distribution and Coupon Redemption: No person shall: 1. Distribute or cause to be distributed, any free samples of tobacco products, as defined herein; 2. Accept or redeem, offer to accept or redeem, or cause or hire any person to accept or redeem or offer to accept or redeem any coupon that provides any tobacco product, as defined herein, without charge or for less than the listed or non -discounted price; or 3. Sell a tobacco product, as defined herein, to consumers through any multi -pack discounts (e.g., "buy -two - get -one -free") or otherwise provide or distribute to consumers any.tobacco product, as defined herein, without charge or for less than the listed or non -discounted price R. exchange for the purchase of any other tobacco product. L. Out -of -Package Sales: 1. The sale or distribution of tobacco products, as defined herein, in any form other than an original factory - wrapped package is prohibited., including the repackaging or dispensing of any -tobacco product, as defined herein, for retail sale. No person may selk<or cause to be sold: vt'..distribute or cause to be distributed any cigarette package that contains fewer than -twenty (20) cigarettes, including single cigarettes. 2. Permit holders who sell Liquid Nicotine Containers must comply with. the provisions of 310 CMR 30.000, and must provide the [city/townI. Board of Health with a written plan for disposal of said product, including disposal plans for any breakage, spillage or expiration Of the pradue :. 3. All permit holders must comply with 940. CMR 21.05 ,which reads: "It shall bean unfair or deceptive actor practice for axay person to sell or distribute ri�vtir�e in a liquid or gel substance in Massachusetts after March 15, 2016 runless the liquid s gel pro is contained: a child -resistant package that, at a minimum, meets the standard.for special packaging as set -forth in 15 U.S. C. 1471 through 1476 and 16 CFR § 1700 et. Seq." 4. No permit holder shall refill a cartridge that is prefilled and sealed by the manufacturer and not intended to be opened by the consur e&.or retailer: M. Self -Service Displays: All self-service displays of tobacco products, as defined herein, are prohibited. All humidors including, but not limited to, walk-in humidors must be locked. N. Vending Machines: All vending machines containing tobacco products, as defined herein, are prohibited. O. Non -Residential Roll -Your -Own Machines: 10 a. In the case of a first violation, a fine of one hundred dollars ($100.00). b. in the case of a second violation within thirty-six (36) months of the date of the current violation, a fine of two hundred dollars ($200.00) and the Tobacco Product Sales Permit shall be suspended for seven (7) consecutive business days. c. In the case of three or more violations within a thirty-six (36) -month period, a fine of three hundred dollars ($300.00) and the Tobacco Product Sales Permit shall be suspended for thirty (30) consecutive business days. d. The sections specific to the Town of Brewster include: 1. The maximum number of tobacco sales permits allowed in Brewster (§E.9); 2. No new retailers near schools (§E.9); 3. The prohibition of smoking bars (§F); 4. Minimum pricing on the sale of cigars (§G); 5. The prohibition of the sale of flavored blunt wraps (§J); 6. The prohibition of self-service displays (§M); 7. The prohibition of vending machines (§N); 8. The prohibition of non-residential roll -your -own machines QO); 9. The prohibition of the sale of tobacco products in health care institutions (§P); and 10. The prohibition of the sale of tobacco products in educational institutions (§Q) 3. In the case of four violations or repeated, egregious violations of any section of this regulation, as determined by the Board of Health within a thirty-six (36) -month period, the Board of Health shall hold a hearing in accordance with this regulation and, after such hearing may permanently revoke a Tobacco Sales Permit. 4. Failure to cooperate with inspections pursuant to this regulation shall result in the suspension of the Tobacco Product Sales Permit for thirty (30) consecutive business days. 5. In addition to the monetary fines set above, any permit holder who engages in the sale or distribution of tobacco products while his or her pennit is suspended shall be subject to the suspension of all Board of Health issued permits for thirty (30) consecutive business days. Multiple tobacco product sales permit suspensions shall not be served concurrently. 6. The Brewster Board of Health shall provide notice of the intent to suspend or revoke a Tobacco Product Sales Permit, which notice shall contain the reasons therefor and establish a time and date for a hearing which date shall be no earlier than seven (7) days after the date of said notice. The permit holder or its business agent shall have an opportunity to be heard at such hearing and shall be notified of the Board of Health's decision and the reasons therefor in writing. After a hearing, the Brewster Board of Health shall 12 suspend or revoke the Tobacco Product Sales Permit if the Board of Health finds that a violation of this regulation occurred. All tobacco products, as defined herein, shall be removed from the retail establishment upon suspension or revocation of the Tobacco Product Sales Permit, Failure to remove all tobacco products, as defined herein, shall constitute a separate violation of this regulation. T. Non -Criminal Dis osition: Whoever violates any provision of this regulation may be penalized by the non -criminal method of disposition as provided in Massachusetts General Laws, Chapter 40, Section 2 1 D where the penalty calls for a monetary fine not exceeding three hundred ($300.00) dollars. U. Se arate Violations - Each day any violation exists shall be deemed to be a separat' offense. V. Enforcement: Enforcement of this regulation shall be by the Brewster Board of l-iealth or its designated agent(s). Any resident who desires to register a compiaiizt`pursuant to the regulation may do so by contacting the Brewster Board of Health or its designated age*s)'a ad the Board shall investigate. W. Severabilitv: If any provision of this regulation is declared invalid or unenforceable, the other provisions shall not be affected thereby but shall continue in full force and effect. X. Effective Date: This regulation shall take effect on 13 2021. Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 1,)rliealtli: brewsteT-ma. ov W W W.BREWSTER-MA. GOV Memo March 10, 2021 To: Board of Health Members From: Amy von Hone, R.S., C.H.O., Health Director Re: Annual Animal Inspector Appointments Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCulIough, R.S. Assistant Director Tammi Mason Senior Department Assistant ■arrrrarrrrrrrrrrrrrrrrrrrrsrrrrrrrrrrrrirrirrrrrrrrrrrirra�rrrriirrrlrirrRrrrirRrlrrrrrrrrl The following individuals are being nominated for the Town of Brewster Animal Inspector positions, in accordance with Massachusetts General Laws Chapter 129, sections 15 & 16. These appointments will be valid for a one (1) year term from May 1, 2021 through April 30, 2022. 1. Sherrie McCullough Animal Inspector 2. Lynda Brogden -Burns Animal Inspector The Animal Inspector position is responsible for the inspections and enforcements of barn, poultry and stable establishments, in addition to the issuance of domestic pet quarantines related to bites and wildlife exposures. Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 568.896.3701 EXT. 1120 FAX: 508.896.4538 brhealthO,brewster-ma. eov W W W.BREW STER-MA.GOV PFapased-Brewster Board of Health Policy In -House Approval of Food Service Establishment Permits March 17, 2021 Health Department Amy L. von Hone, R -S., C.H.O. Director Sherrie McCullough, R,S. Assistant Director Tammi Mason Senior Department Assistant All new or revised Food Service Permit applications shall be reviewed and approved In- House by the Brewster Health Director and/or the Assistant Health Director. Applications that require a Hazards Analysis Critical Control Point (HACCP) Plan or a variance will require full Board of Health review and approval. All In -House approved food service permits shall be presented to the Board of Health at their next scheduled meeting for approval under a Board of Health Consent Agenda.. Any applicant aggrieved by a decision of the Director or the Assistant can appeal the decision to the full Board of Health. A request for appeal shall be in writing and received by the full Board of Health within 10 days of receipt of the Director/Assistant's decision. If no request for appeal is received within said 10 day period, the decision of the Director/Assistant shall be final. N-\RealthWlcCullough\FOODVLenersWood reviewslin-House food permit approvals.doc EVERS"URGE ENERGY Certified mail -return receipt requested Dear Municipal Official: GIVE❑ rEB 24 2021 Rrf PAR�LT�I MENT jrr 247 Station ❑rive, SE -370 Westwood, MA 02090 William Hayes Supervisor Electric Transmission Vegetation Management February 19, 2021 This letter is to inform you that Eversource Energy, Eastern MA intends to selectively apply herbicides in 2021 along the power line rights-of-way that pass through your municipality. This treatment is conducted as a component of an integrated vegetation management program that uses the appropriate mechanical and/or herbicides treatments to control vegetation in order to encourage the growth of healthy early successional ecological communities that benefit wildlife while allowing for the safe delivery of electricity to our customers. Eversource Energy, Eastern MA's 2018-2022 Five-year Vegetation Management Plan (VMP) for Cape Cod and Martha's Vineyard (Barnstable and Dukes counties) is posted at the following websites: http://www.mass.gov/eealagencies/agrlpesticides/vegetation-inaiiagement-and-,yearly-operation-plans.html https://www.eversource.com/content/ein a-c/about/about-us/doing-business-with-us/municipal- officials/transmission-vegetation-maga ement If you would like a hard copy please contact us with this request. Eversource Energy, Eastern MA's 2021 Yearly Operational Plan (YOP) for Cape Cod and Martha's Vineyard is also posted at the above websites. If you would like a hard copy please contact us with this request. Please review the YOP map(s) that locate the ROW corridors and the plotted location of known sensitive areas including public and private drinking water supplies. If there are any additional sensitive areas located on or near the ROWs please advise us as soon as possible so a permanent record can be established and appropriate field protective actions implemented. We particularly rely on this process to collect corrections to the public wells and to record the location of private wells. The enclosed maps will be updated with any new information that is received by Eversource Energy, Eastern MA and posted at the above website. The herbicides are listed in Section VII of the YOP and will be selectively applied to target vegetation by experienced, Massachusetts' licensed/certified applicators that walk along the ROWS using backpack equipment. The foliage treatments will take place between June I" and October 18`' along with cut surface treatments (CST), Fall CST, basal treatments or sensitive foliar treatments may be necessary and are scheduled between October I' and December 31' in areas along the ROWS that might not have received a foliage treatment or to trees over 12 feet tall. The exact time is dependent upon weather conditions and field crew progress. In compliance with 333 CMR 11.06-11,07, No herbicide applications will occur before the conclusion of the 45 day YOP review period, the 21 day treatment notice and the 48 hour newspaper notice. At the end of these review periods, which can run concurrently, no application shall commence more than ten days before nor conclude more than ten days after the treatment periods Iisted above. All of the herbicides selected for this program are registered by the Federal Environmental Protection Agency, the Massachusetts Pesticide Board, and are recommended for use in and around sensitive areas jointly by the Massachusetts Pesticide Bureau and Massachusetts Department of Environmental Protection (please refer to the YOP for specifics). The work will be performed by one of the following companies: Vegetation Control Service, Inc. Lewis Tree Service, Inc Lucas Tree 2342 Main Street 300 Lucius Gordon Drive 636 Riverside St. Athol, MA 0 13 31 West Henrietta, NY 14586 Portland, ME 04104 (978)249-5348 (585)436-3208 (888)845-7870 Tree Tech 6 Springbrook Rd. Foxboro, MA 02035 (888)873-3832 Supreme Industries 216 Bogue Rd. Harwinton, CT 06791 (860) 485-0343 Stanley Tree Service, Inc. 562 Great Rd North Smithfield, RI 02896-6864 (866)765-4783 B1uRoc 2 Bay Road Hadley, MA 01035 (866) 795-5121 Rainbow Treecare 11571 K -Tel Dr. Minnetonka, MN 55343 (952)922-3810 This informational 21 -day notification is in compliance with Chapter 132B, section 6B of the Massachusetts General Laws and 333 CMR 11.05-11.07 Rights of Way Management and Chapter 85, Section 10 of the Acts of 2000. For inquires concerning the safety of the herbicides please contact: Director of Rights of Way Program Department of Food and Agriculture 251 Causeway Street, Suite 500 Boston, MA 02114-2151 If there are any questions or comments relative to technical questions about the treatment program, you would like a hard copy of the VMP or YOP, or have any questions about Eversource Energy, Eastern MA and its electrical rights-of-way system please contact William Hayes (781) 441-3932 for transmission lines and Paul Sellers (508) 957-4517 for distribution lines. Sincerely, uJ�am.r/ yS� C4. William Hayes Enc: Environmental Monitor Notice 2021 Yearly Operational Plan Maps 45 Day YOP Public Notice and Review and Comment Period. Document cc: Board of Health Board of Selectmen Conservation Commission Municipal Water Supplier Massachusetts Pesticide Bureau EVERS9URCE ENERGY 45 Day Yearly Operational Plan Public Notice, Review and Comment Period Dear Municipal Officials: 247 Station Drive, 5E-370 Westwood, MA 42090 William Hayes Supervisor Electric Transmission Vegetation Management February 19, 2021 In compliance with 333 CMR 11 .06, 45 Day Yearly Operational Plan Public Notice, Review and Comment, please review Eversource Energy, Eastern MA's 2021 Yearly Operational Plan for Cape Cod and Martha's Vineyard (Barnstable and Dukes Counties) Posted at the listed websites, Eversource Energy, Eastern MA's Yearly Operational Plan (YOP) for Cape Cod and Alartha's Vineyard details specific information pertaining to the intended 2021 program: http:llwww,mass. goy/eealagencies/agr/pesti ci des/vegetation-management-and-yearly-operation- plans.html littps:llwww. eversource.comlcontentlema-c/about/about-us/doing-business-with-uslmunicipal- offici a l s ltransin i s s io n -ve get ation -man agement Please review the enclosed maps that locate the rights-of-way and the location of known sensitive areas. If there are any additional sensitive areas located on or near the right-of-way, please advise us as soon as possible, so we may establish permanent records and implement appropriate field protective actions. We particularly rely on this process to collect corrections to the public wells and to record the locations of private wells. The enclosed maps will be updated with any new information that is received by Eversource Energy, Eastern MA and posted at the above website. If you would like a hard copy of the YOP please contact us with this request. Also please review the enclosed copy of the Environmental Monitor Notice, published under the Massachusetts Environmental Policy Act (MEPA) also located at: www.env.state.iiia.us/i-nepa/einonitor.aspx Enclosures: 21 Day Letter Environmental Monitor Notice 2021 Yearly Operational Plan Maps Notice Sent to; Chief Elected Municipal Official Board of Health Conservation Commission Municipal Water Supplier Massachusetts Pesticide Bureau L ZaZ `6 L Amnuaf sail ddnS -mjBM ailgnd dg4 OZ6Z'7L jegwaaap 'WEJ60id JeIPM buNuua d30 HW A4 papinoid elep Rlddng ia7eM ollgnd „sjiey}y le]uawua!nu� pue +i6�au3;o a�i;jp an9n3ax3 'sylasnyaesseW;o glluomuowwoo '(Slq sselry) un,yewio;ul leluawuonnu3 pue ogdej6oaa }o aagQ„ :®oinog il {gISLL MQ11£££ladgJaIeMw IBIDOS9B H auoZ sseW easy and lcs uag ma II o} 'sa ipogia�enn palEl jos se pus saulpingifl salpogialeM EOeylns sai;iyuapij sauq unnol ssen sweaajS pue saanid juaj}iWJajul suaeaaIS pue saanld leiuuaJad shod levan pa119190 dSJHN IiaM aIenlad t IIaAA Aj!unuauu00-u0N `luaisueal IlaAA aaIeAA aoe}anS • I#a1Vl pasodaad + IlaAA Aj!unwwo3-u0N ';uaisueal-uoN ■ IIa1V\ j@IeM punoaE) ! IIaM aajeAA eoejanS Aou@6jow�j ■ AeAA-j0-SjLjbld 0la10al-:� Mau�] aoanosaaAd �ZOZ 000'£ 005'Z 000'Z 009' b 000' L 009 0 ooa`Z V s M N �Jqvc-Adn Aem jo Slqbl�j �131SAA31 18 ueld Ieuoijeaado VVN uJ@Ise3 MjeuE] aojnosJan3 IZOZ'6G AJEnue[' sagddns taye(y{ �)l{gnd d3❑ 6LOZ'b6 iagwaDap 'EueJ6oJd JBIUM BuMuu0 d3adW Aq papinoid eyep Alddns iaJFM-�?IRnd „silejuy leyualuuo;inu3 pue A6;au3IQ "D'Oy) angnoax3'sylasnypasse4k p ylIeamuaWwog '(S 10 ss8Vj} uoilewJo}ul feluatuua;lnu3 puaagde;finaq yo 80!}40„ iumnog [bO L]; iS Mo £££ Ja OgJaIOaw yuaweaU V auoZ ssen ea.y anlylsuag Mollod 'saIpogialen+ palepas� LLLL1 pue saueyngfiy 'saipuq-mjnm aoLpns saipyuapi) sau!-1 unnol ssevq sweaJIS Pue saan!d }uaj;!wJa4uj swe@JIS Pue SJGAI�l leluuaaad sload leuaan Pa!J!Ia90 dSAHN IIGAA aIen!ad IIaM Al!unwwoD-uoN 'Iuaisueal �c IIaM aajeAA aoejanS • IIaM Pasodoad + IIaM A4!unwwOO-uoN Iuaisueal-uoN ■ IIaM aa}eM Punoa! IIaM jajeAAaoe;anS Aoua6aawD ■ AeM 10-slgkJ ouPaO A6aaull aoMos19nA �ZOZ 10,Dj 000'c oog'z 000`z oon oao` G 009 o 000'' � F 5 3 + M N 39tC-3VN AEE JO SION �J D JLS ADl 18 uald jeuoijejado AIJeaA IZoz VA UJOISeE] MJauD ownMeAa 1 .=•�,�� .�'AO VA R Yl•rte. ,t r' NOV �/'� SR til w _ r�� ■ �e ii', Hyl � � r•���J1 � ' ����'•,. r- r iiLL�777��� 74 F1 A � : All do va F 1V ioomp-1i 1111 A! / SPA Ld a. ��./ `) - , W.0 THE COMMONWEALTH OF MASSACHUSETTS ExECUTIVE OFFICE OF ENERGY AND ENVIRONMENTAL AFFAIRS Department of Agricultural Resources a o 251 Causeway Street, Suite 500, Boston, MA 02114 —M DAR R 617-626-1700 fax: 617-626-1850 www.mass.gov/agr 1_� MASSACHUSEiTSDEPARTMENT OF AGRICULTURAL RESOURCES CHARLES D. BAILER KARYN E. POLITO KATHLEEN A. THEOHARIDES JOHN LEBEALIX Governor Lt. Governor Secretary Commissioner Notice Pursuant to the provisions of the Rights -of -Way Management Regulations, 333 CMR 11.00, to apply herbicides to control vegetation along rights-of-way (ROW), a Eve year Vegetation Management Plan (VMP) and a Yearly operational Plan (YOP) must be approved by the Department of Agricultural Resources (DAR). Eversource Energy, Eastern MA (Central, Eastern, and Southeastern MA) holds a current VMP, therefore, notice of receipt of a YOP and procedures for public review is hereby given as required by Section 11.06 (3). Eversource Energy, Eastern Ma has submitted a YOP to DAR in February 2021. In 2021 Eversource Energy, Eastern MA will conduct an Integrated Vegetation Management (IVM) program on their transmission and distribution lines. The intended vegetation control program will be consistent with Eversource Energy, Eastern MA's VMP (approved by DAR in 2018). In accordance with the guidelines set forth in Eversource Energy, Eastern MA's VMP for Cape Cod and Martha's Vineyard and YOP, herbicides will be selectively applied to target vegetation by licensed/certified applicators carrying backpack or hand held application equipment for the IVM program. Eversource Energy, Eastern MA's YOP identifies the following 12 municipalities as locations where they intend to use herbicides to treat their electric Rights -of -Way in 2021: IVMassachtLsetts East (EMA) municipalities: Barnstable Chatham Eastham Harwich Orleans Wellfleet Brewster Dennis Ed artown Oak Bluffs Tisbu Yarmouth Eversource Energy, Eastern MA will only use herbicides recommended by DAR for use in regulated sensitive areas for their IVM program. Pursuant to 333 CMR 11.04, no herbicides will be sprayed within any designated "no spray sensitive area" instead mechanical only methods will be used to control vegetation. Public notification, by certified mail, will be provided to each "affected" municipality at least twenty- one days prior to any herbicide application. In accordance with 333 CMR 11.06 (2), Eversource Energy, Eastern MA's YOP for Cape Cod and Martha's Vineyard includes the identification of target vegetation; methods of identifying, marking and protecting regulated sensitive areas; application techniques; the herbicides, application rates, carriers and adjuvants proposed for use; alternative control measures, a list of the application companies and YOP supervisor; procedures for handling, mixing and loading herbicides; emergency resources including local, state and federal emergency telephone numbers; maps of the ROWS which included regulated sensitive areas, and herbicide fact sheets and labels. PUBLIC REVIEW The DAR seeks to verify the location of regulated Sensitive Areas defined in Section 11.02 reported in the YOP. DAR itself has a limited ability to survey the geography, land use and water supplies in all the communities through which ROWS pass. Municipalities have most of this information readily available, and the particular knowledge with which to better certify the regulated Sensitive Areas in their communities. DAR, therefore, requests, and urges the assistance of the "affected" municipalities in reviewing the completeness and accuracy of the maps contained in the submitted YOP. The YOP may be viewed online at the following websites: http_//www_mass. gov/eea/agencies/agL/Nstic ides/vegetation-management-and-yearly-operation-plans.htm 1 htti2s://www.eversow-ce.com/content/ema-c/abouttabout-us/do i ng -business -with -us/muni c ipal- officialsltransmission-vegetation-management DAR has established the following procedures for this review: Copies of the YOP and this Notice will be sent by the applicant to the Conservation Commission, Board of Health (or designated health agent), and the Head of Government (Mayor, City Manager, Chair of the Board of Selectman) of each municipality where herbicides are to be applied during the 2021 calendar year; and if applicable to the Natural Heritage Endangered Species Program of the Massachusetts Department of Fisheries and Wildlife, the Massachusetts Water Resource Authority and the Massachusetts Department of Conservation and Recreation. Municipal agencies and officials will have forty-five days, following receipt of the YOP, to review its map for inaccuracies and omissions in the location of "regulated sensitive areas not readily identifiable in the field." Municipal agencies and officials are requested to forward the YOP to the appropriate official(s) in their municipality qualified to certify the accuracy of the regulated sensitive areas indicated on the maps. The maps should then be "corrected" and returned to the applicant and a copy should be sent to DAR at the address listed below within the forty-five day review period. If a city or town needs more time to carry out this review, it should send a written request for an extension to DAR and cite why there is a "good cause" for requesting additional time. The applicant is required to make all corrections and the corrected maps will be sent back to the city/town that requested the disputed changes within fifteen days of receipt of the request. DAR will decide whether or not the YOP should be approved without the requested changes. DAR will consider the "final approval" of a YOP individually for each municipality. The twenty-one day public review period of the Municipal ROW Notification Letter may serve concurrently with the forty-five day YOP review period in order to provide public notifications as required by 333 CMR 11. 07, if the applicant has an approved VMP and if all the requisite city -town offices that received copies of the YOP completed their review and all corrections were duly made by the applicant and approved by DAR. A failure by the city/town to respond to the applicant's submission of the YOP within the forty-five day period will be automatically considered by DAR to indicate agreement by the municipal officials with the regulated Sensitive Area demarcations provided by the applicant in their YOP. Any questions or comments on the information provided in this Notice and the procedures established for the municipal review outlined above should be addressed to: Page 2 of 3 Clayton Edwards Director of Rights -of -Way Programs Massachusetts State Pesticide Bureau 251 Causeway Street, Suite 500 Boston, MA 02114-2151 Any questions or comments regarding the YDP should he addressed to: William Hayes, Supervisor Eversource Energy Vegetation Management 247 Station Drive, 5E-370 Westwood, MA 02090-9230 781-441-3837 (office) COMMENT PERDID ENDS AT THE CLOSE OF BUSINESS Spm, Friday, April 9, 2021 Page 3 of 3 Amy von Hone From: Tammi Mason Sent: Monday, March S, 2021 913 AM To: Amy von done Subject: FIN: herbicidal use by eversource From: Wilderness 5archild and Chuck Madansky lmailto:gooutside@capecod.net] Sent: Sunday, March 7, 20213:32 PM To: Ned Chatelain <nchatelain@brewster-ma.gov>; Mary Chaffee <mchaffee@brewster-ma.gov>; Benjamin deRuyter <bderuyter@brewster-ma.gov>; dwhitney@brewster-ma.go; Cynthia Bingham <cbingham@brewster-ma.gov> Cc: Tammi Mason <tmason@brewster-ma.gov>; consery <conservation@brewster-ma.gov>; Chris Miller <cm i I le r@ brewster-ma.gov> Subject: herbicidal use by eversource Dear Brewster Select Board, Health Department, Conservation Department and Department of Natiural Resources, Recently our local utility, Eversource, has submitted their YOP (Yearly Operational Plan) to MDAR (Mass. Dept. of Agricultural Resources) listing the herbicides they plan to use in 10 Cape Cod and MV towns in. 2021 to maintain vegetation overgrowth along ROW (rights-of-way) power lines. I am writing to implore you to do all you can to stop Eversouce from continuing to use the glyphosate -based herbicide Roundup over our single -sauce aquifer on Cape Cod. Asa Brewster resident and working member of the.Brewster Ponds Coalition, I can say from firsthand experience that our waters are already in distress. I have also attached below a link to a recent meta -study of the carcinogenic nature of glyphosate, which many places have already seen fit to ban.. Eversource can go back. to mechanical or hand use methods instead. It may not seem. expedient or convenient to do so for them, but is cancer expedient and convenient? My own well is only 14 feet below the surface. These chemicals ARE becoming part of our drinking water. Additionally, Eversource }las written: "A failure by the city/town to respond to the applicant's submission of the YOP within the comment period will be automatically considered by MDAR to indicate agreement by the municipal officials with the regulated Sensitive Area demarcations provided by the applicant its their YOP." I ain therefore asking that you, on behalf of the 'Town. of Brewster, respond in the negative to the MDAR in this regard before April 9: Clayton Edwards Director of Rights -of -Way Programs Massachusetts State Pesticide Bureau (MDAR.) c la_yton. L..edwards(a)mass.go Ey, . 251 Causeway Street, Suite 500 Boston, MA 021.14-2151 With gratitude for all you do for us in Brewster, Dr. Charles Madansky 196 Nan Ke Rafe Path Brewster, NIA 02631 548-896-9489 htt �s: �vww.sci�'TiCBdirect.cam science article ii Sx 8 �x8 0088 ?fhclid=I�vAR atb6 ©5z mum,nl-�iRg9m8LQQHN6FLUoPoNssifQLgzgE nQGPW'1'4s Amy von Hone From: Tammi Mason Sent: Monday, March 8, 2021 11:11 AM To: Amy von Hone Subject: FW: herbicidal use by eversource From: Mary Chaffee Sent: Monday, March 8, 2021 10:59 AM To: Wilderness SarchiId and Chuck Madansky <gooutside@capecod .net> Cc: Tammi Mason <tmason@brewster-ma,gov>; consery <conservation@brewster-ma.gov>; Chris Miller <cmiller@brewster-ma.gov>; Peter Lombardi rplombardi@brewster-ma.gov> Subject: Re: herbicidal use by eversource Good morning Dr. Madansky, Thank you for voicing these concerns. As you likely know, Brewster was not included in the 2020 Eversource Yearly Operational Plan but unfortunately is included on the 2021 list. The Brewster Town Administrator's Office is in receipt of this year's Eversource YOP. We will continue to make this issue a priority, are aware of the deadline for written comment, and intend to submit a response. You may be aware Brewster is the only Cape town to file a lawsuit to stop Eversource spraying, When I served on the Brewster Board of Health in 2016, the Board of Health urged the (then) Board of Selectmen to oppose Eversource spraying under the transmission lines and supported the Town's efforts to prevent herbicide spraying there. Best, Mary Mary Chaffee, PhD, JD, RN, FAAN Chair, Select Board Town of Brewster 2198 Main Street Brewster, MA 02531 From: Wilderness Sarchild and Chuck Madansky <gooutside@capecod.net> Date: Sunday, March 7, 2021 at 3:32 PM To: Ned Chatelain <nchatelain@brewster-ir:a.gov>, Mary Chaffee <mchaffee@brewste_r-ma.gov>, Benjamin deRuyter <bderuyter@brewster-ma.gov>, "dwhitney@brewster-ma.go" <dwhitney@brewster-ma.go>, Cindy Bingham <cbingham@brewster-ma.gov> Cc: Tammi Mason <tmason@brewster-ma.gov>, consery <conservation@brewster-ma.gov>, Chris Miller <cmil ler@ b rewste r -m a.goy7 Subject: herbicidal use by eversource Dear Brewster Select Board, Health Departrment, Conservation Department and Department of Natiural Resources, Recently our local utility, Eversource, has submitted their YOP (Yearly Operational Plan) to MDAR (Mass. Dept. of Agricultural Resources) listing the herbicides they pian to use in 10 Cape Cod and. W towns in 202.1. to maintain vegetation overgrowth along ROW (rights -of. --way) power lines. I am writing to implore you to do all you can to stop Eversouce from continuing to use the glyphosate -based herbicide Roundup over our single -souse aquifer on Cape Cod. As a Brewster resident and working rnember of the Brewster Ponds Coalition, ) can say from first hand experience that our waters. are already in distress. I have also attached below a link to a recent meta -study of the carcinogenic nature of.glyphosate, which many places have already seen fit to ban. Eversource can go back to mechanical or hand use methods instead. It may not seem expedient or convenient to do so for them but is cancer expedient and. convenient? Myr own well is only 14 feet below the surface. These chemicals ARE becoming part of our drinking water. Additionally, Eyersource has written: "A failure by the city,/town to respond to the applicant's submission of the VOP within the comment period will be automatically considered by MDAR to indicate agreement by the municipal officials with the regulated Sensitive Area demarcations provided by the applicant in their YOP." I am therefore asking that you, on behalf of the Town of Brewster. respond .in the negative to the MDAR in this regard before April 9: Clayton Edwards Director of Rights -of -Way Programs Massachusetts State Pesticide Bureau (Ml.]AR) cla lton.L.edwardsL&,.mass. ov 251 C;auseway.Street, Suite 500 Boston, MA 02114-2151 With gratitude for all you do for us in Brewster, Dr. Charles Madansky 196 Nan Ke Rafe Path Brewster, MA 02631 508-895-9489 htt. s: wwi.v,sciencedirect.com science article ii S S � t8�ooSS2?fbelid=)WAR at66� o Sa m nn -11- ilt nnBL F'IN6FZUoP Nssi L z E7 nOGPN-T s To the Board of Selectman for the May 16, 2015 Meeting Good evening, my name is Carmen Scherzo. I am a retired veterinarian. I am currently the vice chairman of the Brewster Board of Health and am here tonight representing the Board of Health and then I would like to follow those comments with some personal observations about glyphosate, speaking as a Brewster resident. On February 4, 2014 the Brewster Board of Health endorsed the September 9, 2013 Board of Selectman resolution requesting N -Star, now Eversource, abandon the use of herbicides along rights-of-way on Cape Cod and the Islands and commit to a NO -SPRAY, PESTICIDE FREE POLICY of vegetation management on Cape Cod and the Islands. At the May 3, 2016 meeting of the Brewster Board of Health, a unanimous Board voted to voice its objection to the Eversource 45 Day Yearly Operational Plan which has been submitted to the Brewster Board of Selectman as Eversource wants to spray herbicide below the power lines along its rights of way in Brewster this fall. The Board of Health is particularly concerned about spraying in the western Zone 11 area abutting the Town of Dennis and in the areas of multiple private drinking wells near power lines by Lower Mill Pond and Griffiths Pond. The Board of Health wishes to protect our single source aquifer from chemical contamination. The Board of Health was also concerned about exposure of Brewster residents to the herbicide spraying. It should be noted that at the time of this vote, the Board of Health had been informed by Eversource that an herbicide, approved by Massachusetts Department of Environmental Protection for use in sensitive areas, would be used. Glyphosate (the active ingredient of Round -Up) was on that list, but was not identified as the specific herbicide to be applied. The May 5, 2016 editions of the I Cape Cod Times and Cape Codder, both detailed articles about the planned glyphosate spraying by Eversource on the Cape this fall. Glyphosate use has dramatically increased since the lower cost generic compound became available in the year 2000 when Round -Up came off patent. The glyphosate issue will be again on the Brewster Board of Health agenda for the May 24, 2016 meeting. As a Brewster resident, I would like to discuss in the next few minutes some personal observations about glyphosate. First, the United States Environmental Protection Agency, the Canadian Pest Management Regulatory Authority, and the European Food Safety Authority have all said that glyphosate is unlikely to cause a carcinogenic threat to humans. However, other health effects of glyphosate described in the last few years are of great concern and need to be resolved before continued use of glyphosate is allowed. Glyphosate has been linked in the longterm to inhibition of the cytochrome P450 enzymes, disruption of serum sulfate transport, and disruption of the normal intestinal bacteria in humans and other mammals. I refer to Samsel and Seneff's article, one of many recent articles available on the web discussing glyphosate effect on humans. Conclusion: glyphosate is not known to cause cancer in man, but it may be the most biologically disruptive chemical in our environment.' We certainly do not want it in our drinking water. Second, it has been scientifically shown that bees and other pollinator populations have long term negative consequences on colony performance when exposed to glyphosate.Z A study released in September, 2015 demonstrated a single dose of glyphosate delays the return of the foraging honey bee to the hive.3 For example, as a harvester of beach plums 1 am particularly concerned. if there are fewer bees and no cross pollination of beach plum flowers in the month of May, there will be no beach plums to harvest in the month of September. Glyphosate does alter the balance of plant and insect life and is not without harm 2 to the environment. Pollinators are an essential component of the human food chain. Third, glyphosate is a non-selective herbicide. Meaning that most plants that come in contact with glyphosate will die. Indiscriminate spraying of great quantities of glyphosate beneath power lines will kill many oxygen giving plants. As we all were taught in high school, the photosynthesis process powered by the sun allows plants to synthesize food from carbon dioxide and water with oxygen as a by-product. When you think of the extensive land mass below power lines, the loss of carbon dioxide consuming plants, only contributes to global warming. Fourth, as the Brewster Conservation Department recommends, if an herbicide is to be used, a far superior approach than spraying, is to cut targeted plants and swipe glyphosate across the remaining stem or trunk. Far less of the herbicide is applied to the specific remaining stem or trunk. Spraying glyphosate on all the leaves of that tree and contaminating neighboring plants requires much greater quantities of herbicide to be added to the environment and is a much less controlled application. With "cut and swipe" significantly less glyphosate will then reach our single source aquifer and subsequently harm desirable plants, insects, animals and humans. Fifth, I must say, I wholeheartedly agree with the NO -SPAY, PESTICIDE FREE POLICY advocated by the Board of Selectman on September 9, 2013. Respectfully submitted Carmen S! Scherzo, DVM Vice Chairman, Brewster Board of Health and Brewster resident Reference: 1. "Glyphosate's Suppression of Cytochrome P450 Enzymes and Amino Acid Biosynthesis by the Gut Microbiome: Pathways to Modern Diseases" Anthony Samsel and Stephanie Seneff, Entropy, 2013, 15(4), 1416-1463; doi :10.3390/e 15041416. 2. "Effects of field -realistic doses of glycophosate on honeybee appetitive behavior." Herbert, L.T., Vazquez, D.E., Arenas, A, and Farina, W.M., Journal of Experimental Biology, 2014 Oct 1:217{Pt 19}:3457-64. 3. "Effects of sublethal doses of glyphosate on honeybee navigation." Soi Balbuena, M., Tison, L., Hahn, M.L., Greggers, U., Menzel, R., and Farina, W. M, Journal of Experimental Biology, 2015 218:2799-2805. 4 March 25, 2019 Director of Rights -of -Way Program Massachusetts State Pesticide Bureau 251 Causeway Street, Suite 500 Boston, MA 02114-2151 TOWN OF $REWSTER OFFICE OF EEALTH DEPARTMENT 2198 NLAiN STREET BREWSTER, MA 02631 P14ONE: (508) 896-3701 EXT 1120 FAX: (508) 896-4538 ]3RHEALTH R( }1BREW3TER-MA.GQV Dear Director: Since 2010 the Town of Brewster has collaborated with other Cape Towns and our regional and state legislators to implement herbicide spray moratoriums across the Cape. On September 5, 2013 the Brewster Select Board promulgated a resolution, copy enclosed, requesting N -Star, now Eversource, abandon the use of herbicides along rights of way on Cape Cod and the Islands and commit to a No -Spray, Pesticide Free Policy of vegetation management on Cape Cod and the Islands. In 2016, the Town of Brewster filed suit against Eversource to protect our single source aquifer, residents and private wells in Brewster. In 2019, all departments within the Town of Brewster have voluntarily eliminated the use of glyphosate on municipal properties, including the golf course. The Brewster Board of Health has endorsed our Select Board actions and is opposed to the Eversource 2019 YOP plan to use any of nine different herbicides on Cape Cod. The cumulative effect of yearly application of herbicides is unknown. The harmful effects of glyphosate on bees is well documented'. Prenatal and childhood exposures to residential pesticides, insecticides and herbicides are positively associated with a significantly greater risk of leukemia2. Glyphosate has been linked in the long term to inhibition of the cytochrome P450 enzymes, disruption of serum sulfate transport and disruption of the normal intestinal bacteria in humans and other mammals3. The Town of Brewster is greatly concerned over the harmful effects of pesticides on its residents now and in the future. There are other safe ways to control vegetation along Eversource rights -of way. The long term risk to Cape Cod residents and to our drinking water is too great to ignore the harm from chemical applications by Eversource. Sincere] ours, �/ealthBrewsterBoardo, CC: Mark F orest, Interim Town Administrator William Hayes, Supervisor Vegetative Management Representative Tim Whelan _ Representative Sarah Peake Association to Preserve Cape Cod POCCA I h ://www. nas.or contentlearl 1201810911811803880115 Glyphosate perturbs the gut microbiota of honey bees, Erick V.S. Motta, K. Raymann and Nancy A. Moran 2 http:Ilrrridwestpesticideaction.orglwp-contentlupinads120151121MPAC WhitePaper-final-12.11.15.pdf Human Health and Pesticides: Glyphosate and 2.4-D. 3 GIyphosate's Suppression of Cytochrome P450 Enzymes and Arnino Acid Biosynthesis by Gut Microbiome: Pathways to Modern Diseases, Anthony Samsel and Stephanie Seneff, Entropy, 2413, 15(4). .1426-14.63;doi:10.33901315041416 W W W.BREWSTER-MA.GOV. Mr. Skidmore suggested that Mr. Henderson come back in 6 months with an update on how the system is functioning. Mr. Henderson agreed to come back in 6 months, 4. Discuss and possibly vote on the Regulation Prohibiting the Sale of Synthetic Marijuana and Synthetic Marijuana Analogues Jean Kampas from Town Counsel was present to discuss this with the Board. She had clarification questions for the Board and asked what the scope of this regulation was supposed to be. There was discussion on this issue. Ms. Kampas will relook at the regulation and it will be brought back to the Board at a later date. 5. discuss and possibly vote on the Design, Operation & Maintenance of Small Wastewater Treatment Facilities Jean Kampas from Town Counsel was present to discuss this with the Hoard. Ms. Kampas has a few questions that she needed the Board to think about. She spoke about violations and penalties. She stated that she would work on this with Saran Turano Flores and get back to Mrs. Ice to bring it back to another meeting. 6. Discuss and possibly vote on the draft Pond Nutrient Regulation Mark Nelson from Horsley Witten was present to answer questions and go over the changes he has made to the regulation. He stated that he does not believe that the breakthrough analysis needs to be part of this regulation. He believes it may make things more complicated. Mr, Skidmore stated that it is his opinion also that the breakthrough analysis does not need to be part of the regulation. Dr. Scherzo reminded Mr. Skidmore that at the last meeting where this was discussed, the Board voted to ineIude the breakthrough analysis in the regulation. Mr. Ford thought it would be best to use the intarmation that Mr. Nelson had provided at this meeting and make changes to the regulation accordingly, Ms. Dugan stated that she wanted to keep this regulation as simple as possible. Motion: Remove section 8.1G (breakthrough analysis section) from the draft regulation. Motion: Joe Ford Second: Annie Dugan Vote: 3-1-4 Action: Motion carried Dr. Scherzo stated that he was very upset that the Board even considered removing this section. Mr. Nelson will go back and make the changes discussed and investigate adding "minimum dosing volume" under section S. IB. He will get the new draft back to the Board for their next meeting. 7. Discuss and vote on the Regulation Prohibiting Smoking in Workplaces and Public Places A few minor grammatical changes were made. Motion: Approve the regulation as amended. Motion: Annie Dugan Second: Dr. Scherzo Vote: 4-0-0 Action: Motion carried This will be effective upon publication. 8. Discuss Eversouree 45 Day Yearly Operational flan 2 Mr. Skidmore thought that the Board should respond to this. He believes that a representative from the Board of Health should go to the Selectmen's meeting and express their apposition to the spraying of the pesticides. Motion: Have a BOH member attend the earliest Selectmen's meeting and voice their opposition. Motion: Joe Ford Second: Dr. Scherzo Vote: 4-0-0 Action: Motion carried 9. Discuss Planning Board application for Cumberland Farms (signs) Noted. 10. Discuss Planning Board application for Cumberland Farms Noted. 11. Discuss placement of sun screen dispenser The Board agreed that Mrs. ice would decide and let the County know. 12. Discuss and approve minutes from 318116 meeting Motion: Approve minutes as presented. Motion: Dr. Scherzo Second: Joe Ford Vote: 4-0-0 Action: Motion Carried 13, Discuss and approve minutes from 31221I6 meeting Motion; Approve minutes as presented Motion: Joe Ford Second: Dr. Scherzo Vote: 4-0-0 Action: Motion carried 14. Discuss and approve minutes from 415!16 meeting Motion: Approve minutes as presented. Motion. Dr. Scherzo Second: Joe Ford Vote: 4-0-0 Action: Motion carried 15. Discuss and approve minutes from 4119/16 meeting Motion: Approve minutes as presented. Motion: Annie Dugan Second: Joe Ford Vote: 4-0-0 Action: Motion carried 16. Topics the Chairman did not anticipate Mrs, Ice told the Board she had a conflict with the June 7, 2016 meeting date. The Board decided to meet on June 21, 2016 and only have one meeting in June. Informational items were noted. Meeting adjourned at 8:45PM B011 i/31- 16 NIINtyrl1S PAGE 3 SOH 5124116 Minutes Page 2 Dr, Scherzo questioned why an additional bedroom was allowed on this undersized lot. Mrs, ice stated that the Board had already granted a variance for this. Mr. Gallagher asked Mr. Bennett to give a quick overview of why the shallow pressure dosed system would be better than the Phos Rid system. Mr. Bennett gave a very long explanation. Dr. Scherzo asked about minimum demand distribution. Mr. Bennett stated that it is already a part of what is being proposed. Motion: Finding that the new proposal will provide greater protection, approve the variance request modification as presented in the letter dated May 2, 2016 (to allow the shallow pressure dosedsystem and not the Phos Rid system). Provide an additional 60 days from today's date to install the system. Motion: Joseph Ford Second: Annie Dugan Vote: 3-0-1 Action: Motion carried 4. Discuss fetter from Protect Our Cape Cod Aquifer re: Eversouree Energy 2016 YOP Dr. Scherzo spoke about the Selectmen's meeting lie attended. A letter to Eversouree has been signed. Ms. Dugan spoke about the herbicides that Eversouree would be spraying. The Board was supportive of the letter to Eversouree. S. Discuss Planning Board application for Ryan and Juliet Burch: Bicycle and standup paddle board rentals, 2624 Main Street Noted, 6. Discuss Planning Board application for Stephan Doyle: 66 Harwich Road, change of use to retail sales Mrs. Ice told the Board that this went before Staff Review on May 9'1' and at that time she told the applicant that septic system inspection would be needed. 7. Discuss and approve minutes from 513116 meeting There were a few minor changes requested. Motion: Approve minutes as amended. Motion: Joseph Ford Second: Annie Dugan Vote: 3-0-1 Action: Motion carried S. Topics the Chairman did not anticipate Dr. Scherzo signed the Tobacco 21 fetter to show the Board's support to the State about changing the legal age of purchasing tobacco to 2l. Mrs. Ice spoke about the Board changing the meeting days to Wednesday as a Board member has a conflict on Tuesday nights and would still like to be able to attend the meetings. The hoard agreed to keep the next two meetings on Tuesday and as of July 2011 they would meet on Wednesday nights until December. Informational items were noted. U" + `� Meeting adjourned at 9:10PM ' it 'tel � simplify the process. Discuss Eversource Spraying of Herbicides on Rights of Wa Bruce Taub & Laura Kelley are here on behalf of POCCA. Eversource is in their fourth year of spraying on the Cape and Brewster has been named in the YOP for 2016. There is a bill in the Senate, sponsored by Senator Wolf, in Ways & Means to offer municipalities a reasonable no -spray agreement. For the 2015 YOP, we are in the comment period now until June 3, 2016. This Board and residents should send in letters in support of the bill and to MDAR in opposition of the spraying and send copies of everything to POCCA. If the 2016 YOP is approved, there are next steps that a Town can take. Attorney Taub asked if notice of the YOP went to the Board of Health, Board of Selectmen and Conservation Commission; they did. After the P, there is a 21 day appeal period where "aggrieved" parties can ask to have an adjudicatory hearing. The request does not stay the YOP and the: spraying schedule is very aggressive. Attorney Taub wonders if multiple towns can ask for a hearing and can have one counsel represent all towns. Selectman Hughes asked what would constitute above: normal harm. A governmental body has a larger sense of what the spraying is doing to the whole town and community; the injury to public water and public health which is a magnitude different than a person aggrieved. Expert testimony is important and costly. You can file a civil lawsuit if you lose the adjudicatory hearing which would push the issue to the next level that an individual citizen cannot succeed at but multiple towns could, but you have to be prepared to move on to Civil Court. Chairman dekuyter said he is interested in pushing this issue, but would like a sense of what the cost would be. Selectman Dickson agreed that they need to do a cost benefit analysis, but there is a high bene -fit of stopping spraying in Brewster. Selectman Dickson asked if POCCA would take the lead in who would be an expert and what the costs may be, but believes this is an important environmental issue. Attorney Taub recommended that when the Town sends in the letter of apposition, they inform MDAR that the Town is going to ask for a hearing to put them on notice. Selectman Norton asked who is the Board oversite; it is MDAR and the Pesticide Advisory Board. Also, is there any history from other states; California just made a determination about Round Up. Selectman Norton said this is an important issue and we should move forward as there is a greater cost to human health, Selectman Foley moved that the Board submit a letter to VIDAR in opposition of the YOP and stating that they will be requesting an adjudicatory hearing, Selectman Dickson second. Selectman Norton moved that the Board submit a letter of support for Senator Wolfe's bill, Selectman Dickson second. The Board voted 5 -Yes, 0 -No. Attorney Taub suggested they call their local legislators as well. Selectman Foley stated that the Board needs to push on this issue and get legislation to stop the spraying. We spend a lot of time and money to protect our water supply for it to be put in jeopardy by allowing spraying to pollute it. We need to push back; we own everything under the power lines. Selectman Norton will make calls. Mr. Embury will reach out to other town administrators to see if there is any interest in collaboration. Selectman Dickson asked that POCCA bring back anticipates costs, a list of experts and some sense of what the process is for the June 6b meeting. Dennis & Orleans share watersheds with Brewster. Selectman Norton will serve as liaison from this Board and perhaps the other towns can appoint a liaison as well. Mr. Embury asked where the Cape Cod Commission is on this issue as they just received a lot of money for groundwater protection, Mr. Anderson, Water Superintendent, wanted residents to know that the drinking water is safe as the proposed spraying is outside the water zones. Dr. Carmen Scherzo from the Board of Health said that their Board supported the Selectmen's Resolution of no spraying. Furthermore, the Board of Health objects to any spraying this fall, particularly in the western zone 11 near the Dennis line, there are a lot of private wells and ponds. Herbicide spraying, particularly of glyphosate is linked to biological effects in humans. Bees have long term consequences to production of honey and most plants will die from glyphosate, Mass spraying will kill everything below the power lines. if they have to use herbicides, the better method is to cut targeted plants and swipe stems instead of just mass spraying. Dave Karam, resident, asked if we have addressed the abutters and if the Town can represent the www.brewster-ma.gov BaS 05-1$-2015 Page 3 of 5 �fJ ❑ L W 2 u E V) m s L ,C i i C � L v N B" 4A 0 _ y3a 3r1 in C) a - V � } AI 0 = Z e 0 z 0 E m 0) M a � 4 41 4-1 a = r-a = _ 0 _ V V 7 O � 7 ❑ Cr3 3 3 m 2 E Mn mZrp•� cti2 a � 4 Household hazardous waste (H HW) collections protect our local drinking water. Most chemicals are too toxic to throw away in regular trash or dump down the drain, so FREE collections for residents are being held to take that waste off your hands and keep it out of our water supply. Collections are open to town residents. We define residents as people who own a home, own a second home, are tenants, or landlords in the town. Proof of residency includes one of the following: license with in -town address, tax bill, or utility bill. Not a resident? You can still participate for a fee. Visit our website for information. BRING THESE ITEMS TO YOUR 2021 COLLECTION For items not listed here visit your town's website for disposal instruction. PAINTS, POLISHES & STAINS *NO LATEX or ACRYLICS` Alkyd -Based Paint & Stain • Marine Paints & Sealers • Metal & Furniture Polish ■ Oil -Based Paint & Stain Paint Thinner & Remover ■ Solvent -Based Wood Finish • Wood Preservatives • Auto Paint (no latex) YARD CHEMICALS k Driveway Sealer with Solvent • Fertilizers with Weed Killer ■ Rodent Poison ■ Weed Killer Insecticides ■ Pesticides • Bug Spray CLEANERS & CHEMICALS Pool Cleaners & Chemical Solvents ■ Photo & Hobby Chemicals • Oven Cleaner ■ Drain Cleaner Spot Remover ■ Acids • Degreasers • disinfectants ■ Toilet Cleaner AUTO & BOAT FLUIDS 0 Car Cleaner with Solvent ■ Brake & Power Steering Fluid • Bug & Tar Remover • Camp Fuel Radiator Flush • Car Polish • Gasoline Itis important to keep mercury out of our water supply. To dispose of household mercury products, bring items to your local HHW collection. If you come across large amounts in your home contact Kai Iiope at #508-375-6699. Thermometers, Thermostats, Large amounts in jugs or Battles tow Don't have transportation? We can help! Contact Kalliope Chute, HaWat Environmental Specialist, at #508-375-6699. LOVE YOUR LOCAL WATER, IT'S A CAPE COO THING. Commonwealth of Massachusetts Executive Office of Energy & Environmental Affairs Department of Environmental Protection Southeast Regional Office - 20 Riverside Drive, Lakeville MA 02347 ■ 568-946-2760 Charles o. Baker Kathleen A. Theoharides Governor Secretary Karyn E. Polito Marlin 5uuberg Lieutenant Governor Commissioner Mr. Paul Anderson, Superintendent Brewster Water Department 165 Conunerce Park Road Brewster, MA 02531 March 2, 2021 RE: BREWSTER — Public Water Supply Brewster Water Department PWS IN: 4041000 Water Quality PFAS Sampling Requirements This letter contains important information regarding compliance with recently promulgated regulations. Please read this letter and follow the instructions. Dear Mr. Artserson: On October 2, 2020, new regulations were issued establishing a Maximum Contaminant Level (MCL) for Per- and Poly fluoroalkyl Substances (PFAS) in drinking water. These regulations set an MCL of twenty (20) nanograms per Iiter (nglL), or parts per trillion (ppt), for the combination of six targeted PFAS compounds (PFAS6) in finished drinking water. Further information can be found at the following links: ■ The new Massachusetts Drinking Water Regulations: htips://www.mass.ggv/doc_/pfas- mel-revisions-to-3 10-cnu-2200-clean-version-9-16-2020/download ■ PFAS Quick reference guide: htWs://www,mass.gov/doc/per-and-polyfluoroalkyl- substances-pfas-drinking-water-regulations-rluick-reference-guideldownload PFAS Question and Answer Fact Sheet: htt s:llwww.mass. ov/doc! er-and- polyfluoroalkyl-substances _pfas-in-public-drinking-water-supplies-questions-and- answers/download. As a Community PWS serving greater than 10,000 tip to 50,000 people, you must begin your initial PFAS sampling in April, 2021 (3 10 CMR 22.07(1(5)(b)1.b.) The regulations will guide subsequent analysis and possibly Public Education following receipt of the confirmed results. All Entry Points (finished -water) must be sampled and reported rising the sampling location Th Is information Is avaitabie in alternate format. Contact Michelle Waters -Ekanem, Alrector o1 UlversitylCivil Rights at 617-292.5761. TiY# Mass ReIay Service 1.500-439.2370 Mass 0EP Website: www. mass.govldep Printed on Recycled Paper Page 2 of 3 ID(s) listed on your current 3 -year sampling schedule. MassDEP,,vill revise your 3 -year sampling schedule to show PFAS sampling requirements following your April sampling depending on the results, Please see the sampling table at the end of this document. If you have not previously participated in the MassDEP Free PFAS Analysis Program, you are strongly encouraged to participate in this program. Details and sign -rip for this program are at the links below. https:l/www.mass.govldoelper-andpolyfluoroalkyl-substances-pfas-in-public-drinkin -water- supplies-questions-and-answersldownload (see item number 6) htt s://www.mass. ov/fozms/ fas-free-sam lin -initiative-notice-of-interest-form-for- ublic- water-systems (this is the sign-up fink) Prior to PFAS6 MCL promulgation, MassDEP has not required PFAS6 sampling of offline sources or entry points. However, the new regulations require that samples be taken from offline entry.points unless they are officially inactive. Moreover, all offline entry points with a PFA86 detect — unless they are officially reclassified with MassDEP as inactive - will be subject to the same ongoing sampling and Public Education/Notification .PFAS6 requirements as online entry points. Consequently, the PWS may want to consider officially inactivating sources and associated entry points that are taken offline due to a PFAS6 detection to avoid conducting this sarnpling and Public Education/Notification as required by the regulation. if the source is classified as inactive, it cannot be activated without approval in writing from MassDEP unless there is an emergency requiring the use of that source. In that case, MassDEP must be notified within 24 hours. Specific requirements for PFAS6 Sampling: 1) All sample results submitted to the Department must include the complete lab report. 2) Any initial detection of PFAS (not just PFAS6) at a concentration greater than the lab's MininlUm Reporting Level (MRL) requires a confirmation sample be collected as soon as possible, and no later than two (2) weeks following receipt of such result. • If a PFAS detection represents multiple sources, then samples representing the individual raw water sources shall also be collected and analyzed for PFAS. 3) The following provisions apply depending on the PFAS6 result: • If the average of the initial and confirmatory results is below 10 rig/L, the location remains on quarterly sampling and the next sample must be collected during the first month of the following quarter. • If the average of the initial and confirmatory results is above 10 nglL, but below 20 11g/L, the location is required to collect monthly samples. The average of three monthly samples during a quarter will be used to determine compliance with the MCL. I If the average of the initial and confirmatory results is alcove 20 ng/L, the PWS t perform Public Education within 30 days of receiving the results and monthly sampling is required at this location. The regulations also allow for existing PFAS analytical data to be substituted for the con-esponding number of initial quarterly samples on this sampling schedule. For the data to be accepted it must meet current QA/QC requirements and lab reports will need to be submitted to MassDEP for review. If you would like to substitute existing PFAS sampling results please complete the attached substitution form and submit within 30 days of the date of this letter. Please note that the signature on this cover letter indicates formal issuance of the attached document. If you have any questions regarding this matter, please contact Bill Schwartz at (508) 946-2818 or william.schwart ass. ov . Sincerely, Jim McLaughlin, Chief Drinking Water Program Bureau of Water Resources JNI\Encl. Substitutioct Foran Y:IDWPIArchive\SERO\Bre�vster-4441000-Water Quality -2021-03-02 ec: Paul Anderson, panderson@brewster-ma.gay Brewster Board of Health, tmason@brewster-ma.ga� SCHEDULED PFAS SAMPLING — Please check the list of finished waterlentt7, point locations and contact DEP-SERO if any locations are missing or otherwise incorrect. Sam le Location ID Sample Location Naive (Source ID) PFAS Sampling Event 10000 Freeman's War Well 3 03G Aril — Finished water to 10001 Freeman's Way Well 1 (01 G) Aril — Finished water to 10002 Freeman's Way Well 2 (02G) Aril — Finished water to 10005 Freeman's Wa • 1Vell 4 04G) Aril — Finished water to 10060 Well 6 (06G) Aril — Finished %�,aler to Massachusetts Department of Environmental Protection I eDEP Transaction copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: 5 FA RRE N KO PF Transaction ID: 1251669 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1609.94K Status of Transaction: In Process Date and Time Created: 1/1912021:11:57:55 AM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy' from the Current Submittals page. Important.When filing out forms on the computer, use only the tab key to move your cursor - do not use the return key. Massachusetts Department of Environmental Protection g51 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 2020 DEC DAILY 3. Sampling Month & Frequency A. Facility Information 1. Facility name, address: MAPLEWOOD AT BREWSTER a. Name 820 HARWICH ROAD b. Street Address BREWSTER IMA 102631 C' city d. State e. Zip Code 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 ismith@a NSLlWater.com b. Telephone Number 3. Sampling information: c. e-mail address 1211!2020 INOT APPLICABLE a. Date Sampled (mmlddfyyyy) b. Laboratory Name SEA NSU PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet -2020 Dec Daily T - All forms for submittal have been completed. 2. F This is the last selection. 3. r Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection s51 1 5,486 __._............. 7.5 2 7467 7.2 7.43 3 4772 f _ J 4 4865 _ ! 7.6 5 4865 $ J I� 4865 �� J 7 3483 7.0 7.4 8 4427 9 4383 7.1 7.4 10 2691 7.2 7.4 7.5 11 3456 7.2 f 133456 14 4176 7.2 15 3094 7.0 16 3454 7.1 5.4 17 4185 7.2 18 3218 7.2 7.7 19 3218 20 3218 21 2996 �� � 7.0 7.0 22 3148 7.3 7.5 23 3430 7.0 7.1 24 3156 7.0 7.3 25 26 3 27 3156 - J 28 388 7.0 7.4 29 29$3 7.0 7.0 30 2439 7.1 J 7.4 Bureau of Resource Protection -Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DAILY LOG SHEET ---- --- 2020 DEC DAILY _ 3. Sampling Month &Frequency C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine UV Flaw GPD Flow GPD Flow GPD pH Residual intensity gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protectiong51 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number 3. Sampling information: 2/2212020 a. Date Sampled (mmlddlyyyy) ALPHA ANALYTICAL PERSONNEL ALPHA ANALYTICAL b. Laboratory Name c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2020 Dec Monthly ' r All forms for submittal have been completed. 2.- This is the last selection. 3.— Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Groundwater Permit I 2. Tax identification Number DISCHARGE MONITORING REPORT 2020 DEC MONTHLY 3. Sampling Month & Frequency A. Facility tnf'ormation Impartant:when filling out forms on 1. Facility name, address: the computer, use JIVIAPLEWOOD AT BREWSTER only the tab key to a. Name move your cursor- 820 HARWICH ROAD do not use the return key. b• Street Address BREWSTER JIMA OF2631 ray c. City d. State e. Zip Code 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 ljsmith@NSUWater.com b. Telephone Number c, e-mail address 3. Sampling information: 2/2212020 a. Date Sampled (mmlddlyyyy) ALPHA ANALYTICAL PERSONNEL ALPHA ANALYTICAL b. Laboratory Name c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2020 Dec Monthly ' r All forms for submittal have been completed. 2.- This is the last selection. 3.— Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection �g51 3ureau of Resource Protection - Groundwater bischarge Program 1. Permit Number Groundwater Permit I� - 2. Tax identification Number DISCHARGE MONITORING REPORT 2020 DEC MONTHLY 3. Sampling Month & Frequency p, Contaminant Analysis Information . For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. [Fecal results only] . NS =Not Sampled 1. Parameter[Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit Eoa MGL TSS 184 13 10 VIGIL TOTAL SOLIDS 480 VIGIL AMMONIA -N 113.9 VIGIL NITRATE -N 5.� a.10 MGIL TOTAL NITROGEN(NO3+NO2+TKN) 10.14 0.450 p MGIL OIL & GREASE ND — 4.0 MGIL infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Important:When filling out farms on the computer, use only the tab key to move your cursor - do not use the return key. Q rem Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT A. Facility Information 1. Permit Number 2. Tax identification Number 2020 QUARTERLY 4 3. Sampling Month & Frequency 1. Facility name, address: MAPLEWOOD AT BREWSTER a. Name 820 HARWICH ROAD b. Street Address BREWSTER IMA 102631 c. City d, State e. Zip Code 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 1742125005 )smith @N SU Water.com b. Telephone Number 3. Sampling information: c. a -mall address 112/22-/2020 ALPHA ANALYTICAL a. Date Sampled (mmlddfyyyy) b. Laboratory Name ALPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2020 Quarterly 4 r- All forms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection j951 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT X020 QUARTERLY 4 3, Sampling Month & Frequency D. Contaminant Analysis Information . For 10", below detection limit, less than (<) value, or not detected, enter "ND" . TNTC = too numerous to count. (Fecal results only) • NS = Not Sampled 1, ParameterlContaminant Units TOTAL. PHOSPHORUS AS P MGL ORTHO PHOSPHATE MG/L infeffrp-blank-doc • rev. 09/15115 2. Influent 3. Effluent 4. Effluent Method Detection limit ._..... -- .... ........... f 4.96 F0--1 00 ---..........__..__ 4.07 J 4.250 — — Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection 195, - Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit Tax identification Number MONITORING WELL DATA REPORT 12020 QUARTERLY 4 3. Sampling Month & Frequency A. Facility Information Important:When filling out forms on 1. Facility name, address: the computer, use JIVAPLEWOOD AT BREWSTER only the tab key to a. Name move your cursor 820 HARWICH ROAD do not use the b. Street Address return key. SREWSTER IMA 102631 VQ G, City d- State e. Zip Code Ilk 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 ;jsmith@NSUWater.com b. Telephone Number c. e-mail address 3. Sampling information: 1217!2020 JALPHA ANALYTICAL a. Date Sampled (mmlddlyM) b. Laboratory Name ALPHA ANALYTICAL PERSONNEL c- Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2020 Quarterly 4 T F All forms for submittal have been completed. 2. r This is the last selection. 3. i- Delete the selected form. gdpols 2015-09-15.doc • rev, 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Ig51 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number _..........._ _. Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2420 QUARTERLY 4 L 3. Sampling Month 8 Frequency C. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "ND" ■ TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled ■ DRY = Not enough water in well to sample. Parameter/Contaminant MW -1 MW -2 MW -3 MW -4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 NITRATE -N 0.317. - 12.33 2.09 1,37 MG+L TOTAL NITROGEN{NO3+NO2+TK 0_62- J 2.33 .1 MGIL TOTAL PHOSPHORUS AS P 10.055 0.137 1 0.272 0.397 MGIL ORTHO PHOSPHATE f 0,012 0.012 = 0.005 0.010 MGL mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection 951 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2020 DEC MONTHLY 3. Sampling Month & Frequency A. Facility Information lmporant: When filling out forms on 1. Facility name. address: the computer, use JMAPLEWOOD AT BREWSTER only the tab key to a, Name move your cursor - 820 HARWICH ROAD do not use the b. Street Address return key. BREWSTER MA 102631 r� c- City d, state e. Zip Code 2. Contact information: �+ JOSEPH SMITH a. Name of Facility Contact Person 7742125005 _ jsmith@NSUWater.com b. Telephone Number c. a -mall address 3. Sampling information: 12/712020 INOT APPLICABLE a. Date Sampled (mmlddlym) b. Laboratory Name. BEA NSU PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2020 Dec Monthly F 1- All forms for submittal have been completed. 2. r This is the last selection. 1 7 Delete the selected form. gdpdIs 2015-09-15.doc . rev. 09/15115 Groundwater Permit Daily Log Sheet • Page 1 of 1 Viassachusetts Department of Environmental Protection g51 3ureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit Vi Di`,iITQRiNG WELL DATA REPORT 2. Tax identification Number 2020 DEC MONTHLY 3. Sampling Month & Frequency itaminant Analysis Information below detection limit, less than (<) value, or not detected, enter 'NID" = too numerous to count. (Fecal results only) lot Sampled - Nat enough water in well to sample. ParameterlContaminant MW -1 MW -2 MW -3 MW -4 Units Well #: 1 Well #. 2 Well #: 3 Well #: 4 PHF.42 � 5.1 � 5.45 S.U. STATIC WATER LEVEL 33.59 33.83 32.89 32.92 FEET SPECIFIC CONDUCTANCE 82 142.8 351.5 95.6 UMHOSIC mwdgwp-blank.doe • rev. 09/15115 C Well #: 5 Well #: 6 Monitoring Well Data for Groundwater Permit •.Page 1 of 1 Irassachusetts Department of Environmental Protection gg1 Bureau of Resource Protection - Groundwater discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number Facility Information Important:When MAPLEWOOD AT BREWSTER filling out forms on a. Name the computer, use only the tab key to 820 HARWICH ROAD move your cursor - b. Street Address do not use the IBREWSTER IMA 02631 return key. c. City d. State e. Zip Code Certification 1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Ma information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that the are significant penalties for submitting false information, including the possibility of fine and Imprisonment for knowing violations." SAMANTHA FARRENKOPF 1/1912021 Any person signing a document Under 314 CMR 5.14(1) or (2) shall make the following certification If you are filing electronic -ally and want to attach additional comments, select the check box. F a. Signature Comments L Date (mmlddlyyyy) BENNETT ENVIRONMENTAL ASSOCIATES, LLC. (BEA) HAS COMPLETED THE DECEMBER 2020 MONTHLY INFLUENT AND EFFLUENT SAMPLING OF THE BIOCLERE WASTEWATER TREATMENT SYSTEM. MONTHLY WASTEWATER SAMPLING WAS COMPLETED ON 12!22!2020. LABORATORY RESULTS REPORTED BOD AND TOTAL NITROGEN GREATER THAN DISCHARGE PERMIT LIMITATIONS. SUBSEQUENT RESAMPLING COMPLETED ON 116121 FOR ANALYSIS OF BOD AND TOTAL NITROGEN REPORTED CONCENTRATIONS OF 9.2 MGIL AND 5.09 MG/L, RESPECTIVELY. EFFLUENT PH WAS REPORTED BELOW THE 6.5 LIMIT TWICE DURING THE MONTH. FLOW VOLUME MEASUREMENTS WERE ASSESSED DURING THE MONTH FROM THE SYSTEM'S EFFLUENT FLOW METER. DAILY FLOW REMAINED WITHIN THE 19,800 -GPD LIMITATION THROUGHOUT THE MONTH. THE MINIMUM, MAXIMUM AND AVERAGE GPD FLOWS REPORTED OVER THE COURSE OF THE MONTH WERE 2,439 GPD, 7,467 GPD AND 3,769 GPD, RESPECTIVELY. THE 2020 ANNUAL AVERAGE FLOW WAS CALCULATED AS 4.950 GPD, NOTED AS LESS THAN 80% OF THE DAILY FLOW LIMITATION. gdpols 2015-09-15.doc • rev. 09115115 Groundwater Permit - Page 1 of 1 Massachusetts Department of Environmental Protection oD E P Transaction copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: SFARRENKOPF Transaction ID: 1245778 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1030.38K Status of Transaction: in Process Date and Time Created: 12/1712020:1:31:11 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. Massachusetts Department of Environmental Protection 1746 �. Bureau of Resource Protection - Groundwater Discharge Program 1, Permit Number Groundwater Permit DAILY LOG SHEET 2. Tax identification Number ' 4 2020 NOV DAILY S. Sampling Month & Frequency A. Facility Information Important: When filling out forms on 1. Facility name, address: the computer, use IPLEASANT BAY HEALTH CTR only the tab key to a. Name move your cursor - 383 SOUTH ORLEANS ROAD do not use the 5068961706 Lsmith@NSUWater.com return key. b. Street Address ER 02631 � c.' City City d. State e. Zip Cade St 3. Sampling information: 19/1/2020 INOT APPLICABLE a. Date Sampled (mmlddtyyyy) b. Laboratory Name BEA PERSONNEL c. Analysls Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Qaily Log Sheet - 2020 Nov Daily r— All forms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 2. Contact information: ram JOSEPH SMITH a. Name of Facility Contact Person 5068961706 Lsmith@NSUWater.com b. Telephone Number c, e-mail address 3. Sampling information: 19/1/2020 INOT APPLICABLE a. Date Sampled (mmlddtyyyy) b. Laboratory Name BEA PERSONNEL c. Analysls Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Qaily Log Sheet - 2020 Nov Daily r— All forms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection FTg6 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit z. Tax identification Number DAILY LOG SHEET 2020 WO- DAILY 3. sampling A arEh & Frequency C. Daily Readings/Analysis Information fate Effluent Reuse irrigation Turbidity InfluentpH Effluent Chlorine uV FIowGPD Flow GPD Flow GPD pH Residual Intensity (m911) (°Ie) 19378!"--J 7.8 74.3 2 15695 _ - �� J 7.5 _ _� 74.3 3 16200 � 69,3 4 17611 _J 8.1 7.6 5 11107 7.8 7.5 66•� 7.4 rt7 7 10339 I 7 1x339 l3 10339 , J __ �__� J 7.6 69.1 9 1852T J-� 7.3 _ L6�6.7 70 4789 _ II � 11 11769 ! 7.5 _ 12 14416 7.3 7.4 13 14402 7.5 74.3 14 14402 �� 15 '14402 _. 16 3295 I� 7.2 J 74 17 7.4 . _ I� 69.1 �- .11676 . - 18 1 13 78 _ 7.8 74.5 19775 II 7.8 7.4 20101105^-� 7.4 21 10105 22 rri0105 �� _1J �� 23 18221 ,..� � � J 7.4 86.6_ 24 11955' �� 7.3 174.3 25 115103 7.4 74.3 2fi11503 27 �_� ._.J 11503 _� �� 28 11503 29 3 7.41 30 54 �= - -}-� --� 31 gdpols.doc • rev. 09115115 Groundwater Permit Daily Lag Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 746 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number LL7-7 . Groundwater Permit INNUMMUNNENM DISCHARGE MONITORING REPORT 2• Tax identification Number 2020 NOV MONTHLY 3. Sampling Month & Frequency A. Facility Information 1177pfl!'t811t: W hen filling out forms on 1. Facility name, address: the computer, use PLEASANT BAY HEALTH CTR only the tab key to a. Name move your cursor - 383 SOUTH ORLEANS ROAD do not use the return key. b. Street Address BREWSTER IMA 02831 yg c_ City d. State e. Zip Code 2. Contact information: JOSEPH SMITH a. Name of Farillty Cmtact Person 5088961706 'smith@NSUWater.com b- Telephone Number c. e-mail address 3. Sampling information: 11/6/2020 JALPHA ANAL TICAL a. Date Sampled (mmlddlyyyy) b. Laboratory Name LPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1, please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2020 Nov Monthly 7-1 rAll forms for submittal have been completed. 2. r This is the Iast selection. 3.- Delete the selected farm. gdpols 2015-09-15Aoc • rev. 68/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT D. Contaminant Analysis Information • For "0", below detection limit, less than {t} value, or not detected, enter "ND' ■ TNTC = too numerous to count. (Fecal results only) ■ NS = Not Sampled 746 J 1. Permit Numher 2. Tax identification Number 2Q2U NOV MONTHLY 3. Sampling Mont && Frequency 1. ParameterlContaminant 2. Influent 3. Effluent Units am MGL TSS MG/L TOTAL SOLIDS MG& AMMONIA -K MGR NITRATE -N MG)L TOTAL NITROGEN(NO3+NO2+TKN) MCA- Oil- & GREASE MGL FECAL- COLIFORM 1100 ML CHLORIDE MCA- xr520 4. Effluent Method Detection limit 2,4 ---- 5.Q xr6.91 `` infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge program 74fi ?. Permit Number � Groundwater Permit 5 MONITORING WELL -DATA REPORT 2. lax identification Number 2420 NOV MONTHLY 3. 5ampling iNonth &Frequency Important: when, A. Facility Information filling out forms on I . Facility name, address.. the computer, use PLEASANT BAy FiEALTi I CTF2 only the tab key to a. Name move your cursor - do not use the 383 SIJ i H ❑RLEANS ROAC] return key. b. Street Address BREWSTER MA nd a City 02631 d. State a. Zip Code 2. Contact information: +ern JOSEPH SMITH a. Name of Facility Contact Person 5088961705 snInngNSLIWater.com h. Telephone Nirn6er c. a-rnail address 3. Sampling information: 11/17/2020 a. Date Sampled (mmlddlyyyy) NOT APALICABLE b. Laboratory Name BEA PERSONNEL c. Analysis Performed By (Name) B. Form Selection please select Form Type and Sampling Month & Frequency -U IYZgr Udra meport - 2020 Nov Monthly All forms for submittal have been completed. 2.- This is the last selection. 3. 1L Delete the selected form, gdpols 2015-09-15.doe •rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 745 1. permit Number 2. Tax identification Number 2020 NOV MONTHLY 3. Sampling Month & Frequency C. Contaminant Analysis Information ■ For 110", below detection limit, less than (<) value, or not detected, enter "ND" s TNTC = too numerous to count. (Fecal results only) . NS =Not Sampled . DRY = Not enough water in well to sample. Parameter/Contaminant DG -1 DG -2 DG -4 UG -1 Units Well* 1 Well #: 2 Well #: 3 Well M 4 PH r5.fi9 la•57 _�_� 6.22 J 5.95 S.U. STATIC WATER LEVEL 11.51 —1 11.71 19.96 FEET SPECIFIC coxDUCTAIace �14.8� _ 313.5 J 306.1 57.5 J , UMHO&C Well #: 5 Well 9: 6 G mwdgwp-blank.doc • rev. 69/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Any person signing a document under 314 CMR 5.14(1) or (2) shall make the following certification If you are filing electronic -ally and want to attach additional comments, select the check box. r— Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit 2, Tax identification Number Information BAY HEALTH CTR a. Name 383 SOUTH ORLEANS ROAD b. Street Address BREWSTER MA 02631 C' City d. State e. Zip Code Certification "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible forgathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that the are significant penalties for submitting false information, including the posslbility of fine and imprisonment for knowing violations ° SAMANTHA FARRENKOPF 12/17/2020 a. Signature Comments b. [)ate (msnlddlyyyy) NETT ENVIRONMENTAL ASSOCIATES, LLC. (BEA) HAS COMPLETED THE NOVEMBER MONTHLY INFLUENT AND EFFLUENT SAMPLING OF THE AMPHIDROME WASTEWATER 4TMENT SYSTEM, MONTHLY WASTEWATER SAMPLING WAS COMPLETED ON 111612020. )RATORY RESULTS REPORTED ALL PARAMETERS WITHIN DISCHARGE PERMIT FATIONS. EFFLUENT PH WAS REPORTED WITHIN THE 6.5-8.5 RANGE THROUGHOUT THE TH. FLOW VOLUME MEASUREMENTS WERE ASSESSED DURING THE MONTH FROM SYSTEM'S EFFLUENT FLOW METER, DAILY FLOW REMAINED WITHIN THE 26,500 -GPD ATION THROUGHOUT THE MONTH_ THE MINIMUM, MAXIMUM AND AVERAGE GPD VS REPORTED OVER THE COURSE OF THE MONTH WERE 4,781 GPD, 18,527 GPD AND 4 GPD, RESPECTIVELY. gdpols 2015-09-15.dec - rev, 09/15/15 Groundwater Permit - Page 1 of 1 Serial No: 11142008: 11 ANALYTICAL REPORT Lab Number: L2049006 Client: Bennett Environmental Associates 9573 Main Street Brewster, MA 02631 ATTN: Joe Smith Phone: (508) 896-1706 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Report Date: 11/14/20 The original project reporUdata package is held by Alpha Analytical. This reportldata package is paginated and should he reproduced only in its entirety. Alpha Analytical holds no responsibility for results andler data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH -0574), IL (200477), ME (MAGO 056), MD (348), NJ (MA935), NY (11148), NC {257001666), PA (fib -03671), RI (LA000665), TX (T 1047 04476). VT (VT -0935), VA (460195), USDA (Permit #17330-17-00196). Eight Walkup Drive, Westborough, MA 01581-1019 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com Page 1 of 20 x LU ƒ i k \ \ \ 2 Q \ k 2 g / \ CO d k $ Ul I I I 2 ° 2 R 2 v / b E m / ƒ Z e E ° .2 C) \ U CL z z G U S m \ k k ' e CL (n e M 2 aCL E 0 3 A� 2 2 2 2 � � § w w LU M J 2 ? 2 0) k m k -j x LU ƒ i k \ \ \ S h $ � \ R @ k Ul I I I 2 � W LL LL LL v / b § � § & z z G U S m 5 6 C5 ' e CL (n e M 2 aCL E 0 3 A� 2 2 2 2 ect Name: PLEASANT BAY project Number: K47810QA.S.WW.700 Serial No:11142008.11 Lab Number: L2049006 Report Date: 11/14124 Case Narrative The samples vrere received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation of analysis unless otherwise noted. Sample Receipt, Container Information, and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet NELAP requirements far all NELAP accredited parameters unless otherwise noted in the following narrative. The data presented in this report is organized by parameter (i.e. VOC, SVOC, etc.). Sample specific Quality Control data (i.e. Surrogate Spike Recovery) is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter. Tentatively Identified Compounds (TICs), if requested, are reported for compounds identified to be present and are not part of the methodlprogram Target Compound List, even if only a subset of the TCL are being reported. If a sample was re -analyzed or re -extracted due to a required quality control corrective action and if both sets of data are reported, the Laboratory ID of the re -analysis or re-extractlon is designated with an "R" or "RE', respectively. When multiple Batch Quality Control elements are reported (e.g, more than one LCS), the associated samples for each element are noted in the grey shaded header line of each data table. Any Laboratory Batch, Sample Specific % recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report. In reference to questions H (CAM) or 4 (RCP) when "NO" is checked, the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be wlthln method compliance. In these instances, the specific failure is not narrated but noted in the associated OC Outlier Summary Report, located directly after the Case Narrative. QC information 1s also incorporated in the Data usability Assessment table (Format 11) of aur Data Merger tool, where it can be reviewed 1n conjunction with the sample resutt, associated regulatory criteria and any associated data usability implications. Soillsediments, solids and tissues are reported on a dry weight basis unless otherwise noted. Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. HOLD POLICY - For samples submitted on hold, Alpha's policy is to hood samples (with the exception of Air canisters) free of charge for 21 calendar days from the date the project is completed. After 21 calendar days, we will dispose of all samples submitted including those put an hold unless you have contacted your Alpha Project Manager and made arrangements for Alpha to continue to hold the samples. Air canisters will be disposed after 3 business days from the dale the project is completed. Please contact Project Management at 860-624-9220 with any questions. Page 3 of 20 Project Name: PLEASANT BAY Project Number: K4781ODA. S,WW,700 Case Narrative [continued] Seriai_No:1114200s:11 Lab Number: L2049006 Report Date: 11/14/20 Coliform, Fecal (MF) L2049006-03: The sample has an elevated detection limit due to the dilution required by the method. I, the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal Inquiry of those responsible for providing the information contained In this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: 4)ii�• Ujjoo=�• Lisa Westerf ind Title: Technical Director/Representative Page 4 of 20 Date: 11/14/20 /AL\-hA x INORGANICS MISCELLANEOUS Page 5 of 20 Serial—No: 1114200& 11 Serial_No:1114200a, 11 Project Name: PLEASANT BAY Lab Number: 1-2049006 Project Number: K47810DA.S.WJV.700 Report Date: 11/14/20 SAMPLE RESULTS Lab ID: Client ID: Sample Location: Sample Depth: Matrix: Parameter L2049006-01 INFLUENT BREWSTER, MA Water Result Qualifier Units RL Dilution MDL Factor Date Collected: 11/06/20 13:50 Date Received: 11/06/20 Field Prep: Not Specified Date Date Analytical Prepared Analyzed Method Analyst General Chemistry - Westborough Lab Solids, Total 810 mgfl 10 NA 1 11/09/20 07:25 121,264013 DW Solids, Total Suspended 400 rngA 34 NA 6.7 - 11/12120 15:30 121,2540D AC Nitrogen, Ammonia 6.91 mg/I 0-150 — 2 11111/20 04:15 11/1212023:02 121,4500NH3-BH AT BOD, 5 day 520 mg/I 120 NA 60 11/07/20 0830 11/12/20 10:20 121,521013 JT 1 +A Page 6 of 20 Name: PLEASANT BAY Number: K47810DA,S.WW.700 Lab 1D: L2049006-02 Dilution Client ID: EFFLUENT Analytical Sample Location- BREWSTER, MA MDL Sample Depth: Prepared Analyzed Matrix: Water 10 Parameter Result Qualifier Units General Chemistry - Westborough Lab 121,2540B Solids, Total 250 mgt Solids, Total Suspended 21. mg/l Chloride 48. mgh Nitrogen, Nitrite ND mgn Nitrogen, Nitrate 4.4 ffv Nftrogen, Tota? Kjeldahl 0.811 nigh BOD, 5 day 5.0 mgII Oil & Grease, Hem -Gray ND mgll Page 7 of 20 SAMPLE RESULTS Serial No:11142008:11 Lab Humber: L2049O06 Report Data: 11/14/20 Date Collected: 11/06/20 13:20 Date Received: 11/06/20 Field Prep: Not Specified LF;A Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 10 NA 1 - 11/09/20 07:25 121,2540B DW 5.0 NA 1 1111212015:30 121,2540D AC 1.0 1 - 11112120 00:25 121,4500CL-E TL 0.050 - 1 1110712001:5E 44,353.2 MR 0'10 -" 1 11/07/20 01.56 44,353.2 MR 0.300 1 11/13/20 04:17 1111312019:39 121,4500NH3-H AT 2A NA 1 11/07/20 08:30 11/1212010:20 121,5210E JT 3.5 -- .9 11/10/20 21.00 11/10/20 22;15 74,1664A TL LF;A Project Name: PLEASANT SAY Project Number: K47810DA.S.WW,700 SAMPLE RESULTS Lab ID: L2049006-03 Client ID: EFFLUENT Sample Location: BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units RL Microbiological Analysis - Westborough Lab Coliform, Fecal {MF} ND en11100m1 2.0 Page 8 of 20 Se ri a I_No:11142008:11 Lab Number: L2049006 Report Date: 11/14/20 Date Collected: 11/06/20 14:15 Date Received: 11106/20 Field Prep: Not Specified Dilution Date pate Analytical MDL Factor Prepared Analyzed Method Analyst NA 2 - 11/06/20 20:56 121,9222D CM IL1L�F;A Name: PLEASANT BAY Number: K47810DA.S-WW-700 Method Blank Analysis Batch Duality Control Serial No:11142008:11 Lab Number: L2049006 Report Date: 11/14/20 Dilution date Date Analytical t Result Qualifier knits RL MDL Factor Prepared Analyzed Method Analyst Parame er 1.0 — 1 - Microbiological Analysis - Westborough Lab for sample(s): 03 Batch: WG1431541-1 TL Coliform, Fecal (MF) ND col/100m1 1.0 NA 1 11!06120 20:58 General Chemistry - Westborough Lab for sample(s): 02 Batch- WG1431551-1 Nitrogen, Nitrate ND mgll 0.10 1 11107/20 00:03 General Chemistry - Westborough Lab for samples): 02 Batch: WG1431562-1 TL Nitrogen, Nitrite No mgll 0.050 — 1 - 11107120 00:06 General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1431600-1 BOD, 5 day ND rr7gll 2.0 NA 1 11107/20 08:30 11112J20 40:20 General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1431919-1 11112120 22:31 Solids, Total ND mgll 10 NA 1 - 11/09120 07:25 General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1432330-1 121,922213 CM 44,353.2 MR 44,353.2 MR 121,52108 JT 121,254013 DW Ch}oride ND mull 1.0 — 1 - 1111112021:28 121,4500cL-E TL General Chemistry - Westborough Lab for samples): 02 Batch: WG1432776-1 Oil & Grease, Hem -Gray ND mgll 4.0 1 11/10120 21:00 11/10/20 22:15 74,1884A TL General Chemistry - Westborough Lab for sample{s): 01 Batch: WG1432808-1 Nitrogen, Ammonia ND mgll 0.075 1 11111120 04:15 11112120 22:31 121,4504NH3-BH AT General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1433465-1 Solids, Total Suspended ND mgll 5-0 NA 1 1111212015:30 121,2540D AC General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1433819-1 Nitrgen, Total Kjeldahl ND mgll 0.300 — 1 11/13120 04:17 11/13/20 19:27 121,4500NH3-H AT Page 9 of 20 § » /< I � q C� q \ m x � w E z U d) o CL m �)( �� ^ � m 17" k / /_ \ q \ \ \ _ ,§ \ k k 9 2 o Z 0 0 w g � J § » /< I � q C� q \ m x � w E z U d) o CL m �)( �� ^ � m 17" / /_ 0 9 o a w g G g 6 6 c © m \ \ 2 2 o t \ / \ \_ � \ \ g d \ \ \ l ƒ I a = n _ CD \ m � 2 2 / \ g / G ° 2 )10 u 0\ 2 CL M /_ CL �i a m k- b a� cb U) � . n IA a: 2 \ 2 2 2 $ 2 a$ \ 0 0 0 0\ En \ \ \ \ \ a 0) 0) CD C;) B m e o e o 0 0 0 0 0 0 0 \ \ k \ k \ \ & / \ a m # � f ® f ® f ${ f 2 ±< o a O_ § Q U Q t o O ) O t ED / # \ # # ® # \ f \ § E 2 R 2 E 2 E @ 6 2 0 R a) � / 3 $ $ $ (D ƒ n- O O fl- v sv L 0, It cp ce) T co m C7 s � U L � U � N 0 r � C7 O N � N � Q Q. 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Cf (N d v, ❑ O ❑ ❑ co m ❑ z 9 ot ❑ Z d ry 4 c ry Z r Q Z r O [V r' CV 0 O r C3 ry 0 � 2 !A N V1 VJ V1 V7 fA V1 tll N 41 21 N N D} N tl] A7 E E E E E E E E Vii In N N V�j fil N N !(R C] CD r` N p 0 N fq V} SA V3 w N Q QQ Q Q Q Q Q Q cd uj Z < J J J J J J ! ._ic J J {/] d tz m M CD rn m CA t71 CA aaco = m 12 > > ❑ :3 = J v 0 0 o a 0 0 0 0 a E E E �, [d x zE E E E E ,; E E E L*E o v 0 4) � m L Z m L Z C � t ❑ 03 L n3 L �, cc m L a L 2 ❑ 0' � o ` CL L ILa c A 2 o v o N C Z N C - Z G7 C O m �1 C ❑ w N C T u Q1 C _ 43 C Z 07 C ❑ Vj N C z rn m a 0 0 C7 C� 0 0 (7 C) L7 a_ ( % \ � S \ / _/ } \ \ k k 2 7 2 §� / » a 2 ?K % , m cc d§ } § / LO ± \ / } / } /\ § \ \ \ \ 5� \d § / � { f � / CL 7 % k J a r r w n m r � t m § k 7 Z ~ w w \ C N v w w o U) \ k 9 x* e w w y»\ k \ LLIn 0 f v< < < < < < < < < < / �. k o 2 { / 3 } \ / \ = \ y !_ m / / / « k EDt [ { £ ) 0 Q G G /o $ - w E® %» 1 R f# 1 k® t\\ § $ e § $ ) @ / - § 8 J } a 2 Q a)U / s - IL E 0-/ < < £ ƒ a 3 @ g ) L. e m ; k k e o 0) CD/ § $ 2 k 8 ) to § \ U / < 2 I Serial No:11142008,11 ►project Name: PLEASANT BAY Lab Number: L2049006 project Number: K4781 ODA.S.VWV.i00 Report date: 11114/20 GLOSSARY Acronyms DL Detection Limit This value represents the level to which target analyte concentrations are reported as estimated values, when these target analyte concentrations are quantified below the limit of quantitation (LOQ). The DL includes arty adjustments from dilutions, concentrations or moisture content, where applicable. (DOD report formats only.) EDL Estimated Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified helow the reporting limit (RL). The EDL includes any adjustments from dilutions, concentrations or moisture content, where applicable, The use of EDLs is specific to the analysis of PAHs using Solid -Phase Microextraction (SPME). EMPC Estimated Maximum Possible Concentration. The concentration that results from the signal present at the retention time of an analyte when the ions meet all of the identification criteria except the ion abundance ratio criteria. An EMPC is a worst-case estimate of the concentration. EPA Environmental Protection Agency, LCS Laboratory Control Sample: A sample matnx, free from the analytes of interest, spiked with verified ]mown amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate: Refer to LCS. LFB Laboratory Fortified Blank: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LOD Limit of Detection: This value represents the level to which a target analyte can reliably be detected for a specific analyte in a specific matrix by a specific method. The LOD includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DOD report Formats only,) LOQ Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (Doi] report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DOD report formats only.) MDL Method Detection Limit; This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The MDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. MS Matrix Spike Sample: A sample prepared by adding a known mass of target analyse to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. For Method 332.0, the spike recovery is calculated using the native concentration, including estimated values. MSD Matrix Spike Sample Duplicate: Refer to MS. NA Not Applicable. NC - Not Calculated; Term is utilized when one or more of the results utilized in the calculation are non -detect at the parameter's reporting fruit. NDPA/DPA N-Nitrosodiphenylamine/Diphenylamine. Ids Not Ignitable. NP Non-PIastie: Term is utilized for the analysis of Atterberg Limits in soil. NR No Results: Tenn is utilized when'No Target Compounds Requested is reported for the analysis of Volatile or Semivolatile Organic TIC only requests. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration. The RI. includes any adjustments from dilutions, concentrations or moisture content, where applicable. RPD -Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference (RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRNs Standard Reference Material: A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples, STLP Semi -dynamic Tank Leaching Procedure per EPA Method 1315, TEF Toxic Equivalency Factors: The values assigned to each dioxin and furan to evaluate their toxicity relative to 2,7,7,8 -TCDD. TEQ Toxic Equivalent: The measure of a sample's toxicity derived by multiplying each dioxin and furan by its corresponding TEF and then summing the resulting values. TEC Tentatively Identified Compound: A compound that has been identified to be present and is not part of the target compound list (TCL) for the method and/or program, All TICS are qualitatively identified and reported as estimated concentrations. Report Format: Date usability Report Page 16 of 20 Seria I_No: 11142008:11 Project Name: PLEASANT BAY Lab Number: L2049006 Project Number: K47810DA.&M,704 Report pate: 11/14/20 Footnotes f The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method: Both the document Iiom which the method originates and the analytical reference method, (Example: EPA 8260B is shown as 1,8260B.) The cedes for the refere=e method documents are provided in the References section of the Addendum. Difference: With respect to Total Oxidizable Precursor (TOP) Assay analysis, the difference is defined as the Post -Treatment value minus the Pre -Treatment value. Final pli: As it pertains to Sample Receipt & Container Information section of the report, FinaI pH reflects pH of container determined after adjustment at the laboratory, if applicable. If no adjustment required, value reflects Initial pH: Frozen Date/Time: With respect to Volatile Organics in soil, Frozen DaWrime reflects the dateltime at which associated Reagent Water - preserved vials were initially f}ozen. Note: If frozen date/time is beyond 45 hours from sample collection, value will be reflected in'bold'. Initial pII: As it pertains to Sample Receipt & Container Information section ofthe report, Initial pH reflects pH of container determined upon receipt, if applicable. PAH Total: With respect to Alkylated PAH analyses, the'PAHs, Total' result is defined as the summation ofresults for all or a subset of the following compounds: Naphthalene, Cl -C4 Naphthalenes, 2-Methy1naphthalene, I -Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, CI -C3 Fluorenes, Phenanthrene, Ci -C4 PhenanthrenesJAnthracenes, Anthracene, Fluorantbone, Pyrene, CI -C4 Flumanthenes/Pyrenes, Benz(a)anthracene, Chrysene, Cl -C4 Chrysenes, Benzo(b)fluoranthene, Benzoo)+(k)flucranthenc, Benzo(e)pyrene, Benzo(a)pyrene, Peryiene, IndenO(1,2,3-cd)pyrene, Dibem(ah)+(ac)anthracenc, Benzo(g,h,i)perylene. Ifa'Total'result is requested, the results of its individual components will also be reported. PFAS Total: With respect to PFAS analyses, the'PFAS, Total (5)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA and PFOS. If a'Total' result is requested, the results of its individual comporsents will s[so be reported. The target compound Chlordane (CAS No. 57-74-9) is reported for GC ECD analyses. Per EPA,this compound "refers to a mixture of chlordane isomers, other chlorinated hydrocarbons and numerous other components." (Reference; USEPA Toxicological Review of Chlordane, In Support of Summary Information on the Integrated Afsk Information, System (IRIS), December 1997.) Total: With respect to Organic analyses, a'Totai' result is defined as the summation of results for individual isomers or Aroclors. I£a'Total' result is requested, the results of its individual components wilI also be reported. This is applicable to 'Total' results for methods 8260, 8081 and 8082, Data Qualifiers A Spectra identified as 'Aldol Condensates" ere byproducts of the extractiorticoncentration procedures when acetone is introduced in the process. B The analyte was detected above the reporting limit in the associated method blank Flag only applies to associated field samp]es that have detectable concentrations ofthe analyte at Iess than ten times (16x) the concentration found in the blank. For MCP -related projects, flag only applies to associated field samples that have detectable concentrations of the anaiyte at Iessthan ten times (lox) the concentration found in the blank. For DOD -related projects, flag Only applies to associated field samples that have detectshIc concentrations of the analyte at less than ten times (10x) the concentration found in the blank AND the anaIyte was detected above one-half the reporting Iimit (or above the reporting limit for common lab contaminants) in the associated method blank. For NJ - Air -related projects, flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit- For N.1 -related projects (excluding Air), flag Only applies to associated field samples that have detectable concentrations of the analyte, which was detected above the reporting limit in the associated method blank or above five times the reporting limit for common lab contaminants (Phthalates, Acetone, Methylene Chloride, 2-Butanone). C Co -elution: The target analyte co -elutes with a known lab standard (i.e. surrogate, internal standards, etc.) for co -extracted analyses. D Concentration of analyte was quantified from diluted analysis. Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range ofthe calibration curve and/or iirsear range of the instrument. F The ratio of quantifier ion response to qualifier ion response falls outside of the lahoratory criteria Results are cansidered to be an estimated maximum concentration, G The concentration may be biased high due to matrix interferences (i.e, m -elution) with non -target comp(s). oundThe result should be considered estimated, H The analysis of pH was performed beyond the regulatory -required holding time of 15 minutes from the time of sample collection. I -The lower value for the two columns has been reported due to obvious interference. .1 Estimated value. This represents an estimated concentration for Tentatively Identified Compounds (TICS). M Reporting Limit (RL) exceeds the MCP CAM Reporting Limit for this analyte, ND Not detected at the reporting limit (RL) for the sample. NJ Presumptive evidence ofcompound. This represents an estimated concentration for Tentatively Identified Compounds (IICs), where the identification is based on a mass spectral library search. P -The RPD between the results for the two columns exceeds the method -specified criteria. Report Format,- Hata Usability Report Page 16 of 20 project Name: Project Number: Data qualifiers PLEASANT BAY 1(47819DA.S.WVV.740 Serial No: 11142008:11 Lab Number: L2049006 Report Date: 11/14/20 -The quality control sample exceeds the asse6ated acceptance criteria. For DOD -related projects, LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. Note: 'Phis flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL. [Metals only.] R Analytical results are from sample re -analysis. RE Analytical results are from sample re extraction. S -Analytical results are from modified screening analysis. Report Format. Data usability Report Page 17 of 20 Project Narne: PLEASANT BAY Serial No:11142008:11 Project Number: K47810DA.S.WW700 Lab Number: 1_2049006 Report Date: 11/14/20 REFERENCES 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/6001R-931100, August 1993. 74 Method 1664,Revision A: N -Hexane Extractable Material (HEM; oil & Grease) and Silica Gel Treated N -Hexane Extractable Material (SGT -HEM; Non -polar Material) by Extraction and Gravirnetry, EPA -821-R-98-002 February 1999. 121 Standard Methods for the Examination of Water and Wastewater. APHA-AWW Standard Methods q_WEF dnline Alpha Analytical performs LIMITATION OF LIABILITIES labo ratory indust services with reasonable care and diligence normal to the analytical testing laboi rY• n the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re -perform the work at it's own expense, in no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Ana! !c We strongly urge our clients containers, to comply with EPA protocol regarding sample volume, Preservation, cooling, ng procedures, holding time and splitting of samples in the fiel samplid. Page 18 of 20 Seri a1_IVo:1114200& 11 r CompanlyIwdeID No.:17873 �lon 17 ment: Quality Assurance Published Date: 4/28/2020 9:42Revi521 AM FIr7e: certificatelA ra►►al Pro ram Summa Pae 1 of 1 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Westborough Facility EPA &24!624.1: mlp-xylene, o -xylene, Naphthalene EPA 8260C: NPW: 1,2,4,5-Telramethylbenzene; 4-Ethyltoluene, Azobenzene; SCM: lodomethane (methyl iodide), 1,2,4,5-Tetramethyl benzene; 4- Ethyltoluene. EPA 8270D.- NPW: DimethylnaphthaIene,1,4-D1phenylhydrazine; SCM: Dim ethylnaphthaterne,l,4-❑1phenylhydrazine. SM4500: NPW: Amenable Cyanide; SCM: Total Phosphorus, TKN, NO2, NO3. Mansfield Facility SM 2540113: TSS EPA 8062A: NPW: PCB: 1, 5, 31, 87,141, 110, 141, 151, 153, 180, 1 B3, 1 B7, EPA TO -15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-i-pentene, Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1 -Methylnaphthalene. EPA TO- 12 Non -methane organics EPA 3C Fixed gases Biological Tissue Matrix- EPA 3050B The following analytes are included in our Massachusetts DEP Scope of Accreditation Westborough Facility: Drinking Water EPA 300.0: Chloride, Nitrate -N, Fluoride, Sulfate; EPA 353.2: Nitrate -N, Nitrite N; SM4500NO3-F: Nitrate -N, Nitrite -N; SM4500F-C, SM450OCN-CE, EPA 180.1, SM213015, SM4500C1-D, SM2320B, SM2540C, SM450ON-B, SM450ONO2-13 EPA 332. Perchlorate; EPA 524.2: THMs and VOCs; EPA 504.1: EDB, ❑BCP. Microbiology: SM9215B; SM9223-PIA, SM9223B-Cvlilert-QT,SM9222D. Non -Potable Water SM4500H,B, EPA 120.1, SM2510B, SM2540C, SM2320B, SM4500CL-E, SM4500F•BC, SM450ONH3-BH: Ammonia -N and Kjeldahl -N, EPA 350.1 Ammonia -N, LAC HAT 10-107.06-1-B: Ammonia -N, EPA 351,1, SM4500NO3•F, EPA 353.2: Nitrate -N, SM4500P-E, SM4500P-B, E, 8M45DOSO4-E, SM5220D, EPA 410.4, SM5210B, SM5310C. SM4500CL-D, EPA 1664, EPA 420. 1, SM4500-CN•CE, SM2540D, EPA 300: Chloride, Sulfate, Nitrate. EPA 624.1: Volatile Halocarbons & Aromatics, EPA 608.3 Chlordane, Toxaphene, Aldrin, alpha -BHC, beta -BHC, gamma -BHC, delta -BHC, Dieldrin, DDD, DDE, DDT, Endosulfan 1, Endosultan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625.1: SVQC (AcAlBaselNeutral Extraciables). EPA 60014-81-045: PCS -Oil, Microbiology: SM92238-Colilert•OT; Enterolert-QT, SM9221 E, EPA 1600, EPA 1603. Mansfield Facility. Drinking Water EPA 200,7; Al. Ba, Cd, Cr, Cu, Fe, Mn, Ni, Na, Ag, Ca, Zn. EPA 200,8: Al, Sb, As, be, Be, Cd, Cr, Cu, Pb, Mn, Ni, Se, Ag, TL, Zn. EPA 245.1 Hg, EPA 522. Non -Potable Water EPA 200.7: At, Sb, As, Be, Cd, Ca, Cr, Co, Cu. Fe, Pb, Mg, Mn, Mo, Ni, K, Se, Ag, Na, Sr, TL, Ti, V, Zn, EPA 200.8: Al, Sb, As, Be, Cd, Cr, Cu, Fe, Pb, Mn, Ni, K, Se, Ag, Na, TL, Zn, EPA 245.1 Hg. SM2340B For a complete listing of analytes and methods, please contact your Alpha Project Manager. Document Type: Form Page 19 of 20 Pre-Qualtrax Document ID: 08-113 a LWaP.1a3 !uaaZ o Ll IE :L1L-7C D H J:N 715c o w0 r � T C N fl Wad 4 z� O 0. a � W 4 ani O LU) Q + a 0 fes-( z w n a Z C ® 0 u .s .a x a LWaP.1a3 !uaaZ o Ll IE :L1L-7C D H J:N 715c w0 a T � fi fl Wad 4 a m 0. a � W 4 ani O LU) 4 a 0 fes-( z Z C u a LWaP.1a3 !uaaZ o Ll IE :L1L-7C D H J:N 715c � fi fl Wad Cft 0. ilii y r N fes-( a 0 cv W m a- Massachusetts Department of Environmental Protection X11 eDEP Transaction copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: 5 FARRE N KDPF Transaction ID: 1251744 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1603.14K Status of Transaction: In Process Date and Time Created: 111912021:2:15:40 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. jrrIIrTg out forms on e computer, use only the tab key to move your cursor - do not use the return key. Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DAILY LOG SHEET A. Facility Information Facility name, address: PLEASANT BAY HEALTH CTR a. Name SOUTH ORLEANS ROAD 1746 1. Permit Number 2. Tax identification Number 2020 DEC DAILY 3. Sampling Month & Frequency b. Street Address BREWSTER IMA 102631 C_ City d. State e. Zip Code 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 jjsmith@NSUWater.com b. Telephone Number 3. Sampling information: c. e-mail address 12/1/2020 NOT APPLICABLE a. date Sampled [mmlddlyyyy] b. Laboratory Name BEA NSU PERSONNEL c. Analysis Performed By (Name) B. Farm Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2020 Dec Daily ' - All forms for submittal have been completed. 2.- This is the last selection. 3. f- Delete the selected form. gdpdIs 2015-09-15.doo • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection F4g - I Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 1 2. Tax identification Number DAILY LOG SHEET 2020 DEC DAILY E 3. Sampling Month & Frequency C. pally Readings/Analysis Information ❑ate Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine UV Flow GPD Flow GPD Flow GPD pH Residual Intensity (mgll) N _ -_ J 1 19412 -- J 7.3 61.4 2 15306 - 7.3 66.6 3 14681 7.5 � 67.2 I 7.5 7.2 74.3 4 10629�J 5 10629 10629 7 10830 W� 7 4 8 11344 _ J �..._� 7.4 9 10761 7.3 67 108635 7.7 7.2 69.2 11 12586 7.2 66.6 12 12586 I�J 13 12586 14 14440 �� 7.3 57 15 15526 7.4 66.6 16 14904 7.4 99.8 17 7.0 74.2 11462 18 � � � 7.3 � 74.3 12518 19 12518 _ 20 12518 21 15627 7.3 69.6 22 10412 7.2 69.2 23 15288 7.4 74.8 24 13080 �. 7.9 7.7 �� 74.5 25 13080 zs 13080 27 1.13080 28 15592 7.8 fifi.7 29 18 74.5 30 3158 7.3 74.3 31 16597 7.8 7.4 66.9 gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater discharge Program Groundwater Permit DISCHARGE MONITORING REPORT A. Facility Information 746 1. Permit Number 2. Tax identification Number 2020 DEC MONTHLY 3. Sampling Month & Frequency Important:When filling out forms on 1. Facility name, address: the computer, use PLEASANT BAY HEALTH CTR only the tab key to a. Name move your cursor - 383 SOUTH ORLEANS ROAD do not use the return key. b- Street Address BREWSTER MA 02631 Q G. City d. State e. Zip Cade 2. Contact information: (JOSEPH SMITH a. Name of Facility Contact Person 7742'125005 lismith PN SU Water.com b. Telephone Number o, e-mail address 3. Sampling information: 112/412020 JALPHA ANALYTICAL a. Date Sampled (mmlddlyyyy) b. Laboratory Name ALPHAANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Farm Type and Sampling Month & Frequency Discharge Monitoring Report - 2020 Dec Monthly Alt farms for submittal have been completed. 2. i This is the last selection. 3. - Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15115 Groundwater Permit Daily Log Sheet • Page 1 of t Massachusetts Department of Environmental Protection I746 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit DISCHARGE MONITORING REPORT 2. Tax identification Number 12020 DEC MONTHLY _ 3. Sampling Month &Frequency p, Contaminant Analysis Information • Dor "0", below detection limit, less than (<) value, or not detected, enter "ND" TNTC = too numerous to count. (Fecal results only) . N5 =Not Sampled 1. Parameter/Contaminant Units BOB MGIL TSS MGIL TOTAL SOLIDS MGIL AMMONIA -N MGIL NITRATE -N MGIL TOTAL. NITROGEN(NO3+NO2+TKN) MG4- OIL s GREASE MOL FECAL COLIFORM 1140 ML CHLORIDE MGIL 2. Influent 3. Effluent 4. Effluent Method Detection limit 197 ND !`.Q - - 52 JND 5.0 220 250 10 6.11 4.5 infeffrp-blank.doo • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts. Department of Environmental Protection 748 - _ Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit - - DISCHARGE MONITORING REPORT 2. Tax identification Number 2020 QUARTERLY 4 _ �� 3. Sampling Month & Frequency lmportant:When A. Facility Information filling out forms on 1. Facility name, address; the computer, use PLEASANT BAY HEALTH CTR only the tab key to a. Name move your cursor - do not use the 383 SOUTH ORLEANS ROAD return key. b. Street Address BREWSTER MA Jo2631 r a city d. State e. Zip Code 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 lismith@NSUWater,com b. Telephone Number 3. Sampling information: c. a -mail address . 12J4/2020 VLPHA ANALYTICAL a. Date Sampled (mmlddlyyyy) h. Laboratory Name ALPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2020 Quarterly 4 + r All forms for submittal have been completed. 2. r This is the last selection. 3. F, Delete the selected form. gdpols 2015-09-15.doc • rev. 09/1 511 5 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 1746 Bureau of Resource Protection - Groundwater Discharge Program 1, Permit Number Groundwater Permit DISCHARGE MONITORING REPORT 2. Tax identification Number 2020 QUAF2TERLY 4 3. Sampling Mpnth'& Frequency D. Contaminant .Analysis Information • For "0", below detection limit, less than [<] value, or not detected, enter "ND" • TNTC = too numerous to count- (Fecal results only) • NS = Not Sampled 1. Parameter/Contaminant Units TOTAL PHOSPHORUS AS P MOL ORTHO PHOSPHATE MGL 2. Influent 3. Effluent 3.as 2.75 --_ 4. Effluent Method Detection limit _ _... - o.a5o 10.025 j infeffrp-blank.doc • rev. 08!95/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection 746 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit z identification Number MONITORING WELL DATA REPORT 2020 QUARTERLY 4 R 3. Sampling Month & Frequency A. Facility Information !rn pDrtant: W hen filling out forms on 1. Facility name, address: the computer, use JPLEASANT. BAY HEALTH CTR only the tab key to a. Name move your cursor - 383 SOUTH ORLEANS ROAD do not use the return key. b- Street Address BREWSTER JIVIA 102631 VQ C. City d- State e- Zip Code 2. Contact information: ram JOSEPH SMITH a. Name of Facility Contact Person 7742125005 'smith@NSU Water.com b. Telephone Number c. e-mail address 3. Sampling information: )121X2020 )ALPHA ANALYTICAL a. Date Sampled (mmlddlyyyy) b. Laboratory Name ALPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2020 Quarterly 4 F_ All forms for submittal have been completed 2, 1- This is the last selection. 3. r Delete the selected form. gdpols 2015-09-15.doc • rev. 09115/15 Groundwater Permit Daily Lag Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 746 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number 2020 QUARTERLY 4 Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 1 3. Sampling Month & Frequency C. Contaminant Analysis Information ■ For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled . DRY = Not enough water in well to sample. Parameter/Contam1naint DG -1 OG -2 DG -4 UG -1 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 NITRATE -N 3.62 14.37 0.300 MGL - TOTAL NITROGEN[NO3+NO2+TIC 3.02 3.62 4+37 0.30 MG+L TOTAL PHOSPHORUS AS P 0 084 0.017 1.44 0.018 MGL ORTHO PHOSPHATE ND 0,013 0.874 0.020 MGIL mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well data for Groundwater Permit • Page 1 of 1 Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. rsb "KQ Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT A. Facility Information 1746 1. Permit Number 2. Tax identification Number 2020 DEC MONTHLY 3. Sampling Month & Frequency 1. Facility name, address: PLEASANT BAY HEALTH CTR a. Name 383 SOUTH ORLEANS ROAD b. Street Address BREWSTER MA 102631 C, City d. State e. Zip Code 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 b. Telephone Number 3. Sampling information: jsmith@NSUWater.com c. e-mail address 12!712020 INOTAPPLICABLE a. Bate Sampled (mmlddlyyyy) b. t.aF.oratory Name BEA N5U PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Montb & Frequency Monitoring Well Data Report - 2020 Dec Monthly r All forms for submittal have been completed. 2. — This is the last selection. 3.- Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15115 Groundwater Permit Daily Log Sheet - Page 'I of 1 Massachusetts Department of Environmental Protection 7qg Bureau of Resource Protection - Groundwater discharge Program 1. Permit fdumber Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2062O DEC MONTHLY 3. Sampling Month & Frequency C. Contaminant Analysis Information ■ For "Q", below detection limit, less than (<) value, or not detected, enter "ND" r • TNTC = too numerous to count. (Fecal results only) • NS = Not Sampled • DRY = Not enough water in well to sample. ParameterlContaminant DG -1 DG -2 DG4 UG -1 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 5.91 _ 16.56 _ 6.39 6.62 S.U. STATIC WATER LEVEL 1_91 11.91 11.72 11.96 FEET SPECIFIC CONDUCTANCE 258 6 249.3 4075 78.4 UMHOSIC mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection 746 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number W Irnp°rtant:When filling out forms on the computer, use only the tab key to moVe your cursor - do not use the return key. Any person signing a document under 314 CMR 5.14(1) or (2) shall make the following certification If you are filing electronic -ally and want to attach additional comments, select the check box. r Information BAY HEALTH CTR a. Name 383 SOUTH ORLEANS ROAD b. Street Address B REWSTER IMA 102631 C. City d. State e. Zip Code Certification 1 certify under penalty or law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted Is, to the best of my knowledge and belief, true, accurate and complete. l am aware that the are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." SAMANTHA FARRENKOPF 1/19/2021 a. Signature h. Date (mrnlddlyvvv) Comments ENNETT ENVIRONMENTAL ASSOCIATES, LLC. (HEA) HAS COMPLETED THE DECEMBER 020 MONTHLY INFLUENT AND EFFLUENT SAMPLING OF THE AMPHIDROME WASTEWATER REATM ENT SYSTEM. MONTHLY WASTEWATER SAMPLING WAS COMPLETED ON 12!4!2020. ABORATORY RESULTS REPORTED ALL PARAMETERS WITHIN DISCHARGE PERMIT IMITATIONS. EFFLUENT PH WAS REPORTED WITHIN THE 6.5-8.5 RANGE THROUGHOUT THE iONTH. FLOW VOLUME MEASUREMENTS WERE ASSESSED DURING THE MONTH FROM HE SYSTEM'S EFFLUENT FLOW METER. DAILY FLOW REMAINED WITHIN THE 26,500 -GPD IMITATION THROUGHOUT THE MONTH. THE MINIMUM, MAXIMUM AND AVERAGE GPD LOWS REPORTED OVER THE COURSE OF THE MONTH WERE 8,635 GPD, 19,412 GPD AND 3,265 GPD, RESPECTIVELY. THE AVERAGE ANNUAL FLOW WAS CALCULATED AS 12,433 ;PD, NOTED AS BELOW 80% OF THE DAILY FLOW LIMITATION. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 February 17, 2021 Bryan Webb (via email) Ocean Edge Resort 2907 Main Street Brewster, MA 02631 RE: Ocean Edge Resort Wastewater Treatment Facility Monthly Operations Report — January 2021 Dear Mr. Webb: Weston& Sampson 55 Walkers Brook Drive, Sulte 1DO, Reading, MA 01867 Tel: 978,532. 1900 Enclosed please find the monthly Operations Reporting Package for the Ocean Edge Resort wastewater treatment facility (WWTF) located at 832 Village Drive in Brewster, MA. Weston & Sampson Services, Inc. would like to note the following: • All regulated effluent parameters of samples collected on January 11, 2021 were reported to be within their respective permissible limits. • Quarterly and annual samples for both the effluent and monitoring wells were collected during this month. • Data was filed with Mass DEP electronically, via eDEP. A copy of the transaction is included in this package. If you have any questions or concerns regarding this report, or the wastewater treatment facility, please feel free to contact me at wsscompliance@wseinc.com. Regards, WESTON & SAMPSON SERVICES, INC. James R. Tringale Compliance Coordinator M Brewster Board of Health (via email) FR Mahony Associates (via email) westonan d sa m pson.com Offices In: MA, CT, NK, Vr, NY, NJ. PA, SC & FL Massachusetts Department of Environmental Protection eDEP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: WSSINC Transaction ID: 9258092 Document: Groundwater Discharge Monitoring Report Forms Size of File: 2783.02K Status of Transaction: Submitted Date and Time Created: 319/2021:12:35:47 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. Massachusetts Department of Environmental Protection 1633 _ Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Ll Groundwater Permit 2, Tax identification Number DAILY LOG SHEEN 2021 JAN DAILY _ p 3. Sampling Month a Frequency A. Facility Information Important:When filling out forms on I. Facility name, address the computer, use OCEAN EDGE CONFERENCE CTR only the tab key to a. Name move your cursor - ROUTE 5A do not use the return key. b. Street Address B RE WSTER IMA 102631 VQ' C. City d. State e. Zip Code IL AV 2. Contact information: JAMES R. TRINGALE a. Name of Facility Contact Person 9785321900 WSSComplianoe@wseinc.com b. Telephone Number 3. Sampling information: c. e-mail address 1/1/2021 JONSITE MEASUREMENTS a. Date Sampled (mmlddlyyyy) b. Laboratory Name CHRIS VZNEAU c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2021 Jan Daily T All forms for submittal have been completed. 2. r This is the last selection. 1 r Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Massachusetts Department of Environmental Protection 1633 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 2021 JAN DAILY _ 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine UV Flow GPD Flow GPD Flow GPD pH Residual Intensity (mg1I) (°/o} 4509 -I 2 3 4509 4 7.14 7.63 5 3838 7.07 7.67 6 3072 7.04 7.71 �J 4993 7,09 7.64 a 2279 7.12 7.58 9 4211 �J 0 4211 11 4211 7.06 7.61 12 2710 7:10 7.78 13 321 � 7.14 14 2909 I 7.17 7.59 15 5675 7A8 7.5fi 16 6705 17 186705 7.06 7.84 19 5931 7.03 7.69 20 2403 7=0 2= 7.70 21 5453 7.08 7.57 22 4977 7.14 7.53 23 5366 24 25 5366 7.07 7.67 26 5298 I� 7.11 7.76 27 3465 7.03 7.77 28 2028 7.06 7.81 29 2972 7.02 7.66 36 5326 f 31 5326 gdpols.doc • rev. 09115115 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 633 Bureau of Resource Protection - Groundwater Discharge Program 1, Permit Number Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2021 JAN MONTHLY � 3. Sampling Month & Frequency A. Facility Information Important:When filling out forms on 1. Facility name, address: the computer, use JOCEAN EDGE CONFERENCE CTR only the tab key to a. Name move your cursor. ROUTE 6A do not use the return key. b- Street Address BREWSTER IMA 102631 c. City d. State e. Zip Code 2. Contact information: MW J6 I' AMES R. TRINGALE a. Name of Facility Contact Person 9785321900 WSSCompliance@wseinc.com b. Telephone Number 3. Sampling information: c. e-mail address 1/11/2021 JONSITE MEASUREMENTS a. Date Sampled (mmlddlyyyy) b. Laboratory Name CHRIS VIGNEAU c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report -2021 Jan Monthly r All farms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 633 - Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2021 JAN MG-- 3. Sampling Month & Frequency Ll C. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS = Not Sampled • DRY = Not enough water in well to sample. ParameterlContaminant DG2 DG3 DG4 DG5 UGI Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 6.30....._-......_... .... .. 6.20 T 6.10 6.30 ......._. _� S.U. STATIC WATER LEVEL 42.2 47.Q 40.3 FST SPECIFIC CONDUCTANCE 1430 325 1270 UMHO&C mwdg wp-bl a n k. d or- • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Irnportant:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT A. Facility Information 633 1. Permit Number 2. Tax identification Number 2021 JAN MONTHLY 3. Sampling Month & Frequency 1. Facility name, address: OCEAN EDGE CONFERENCE CTR a. Name ROUTE 6A b. Street Address BREWSTER MA 102631 C' City d. State e. Zip Code 2. Contact information: AMES R. TRINGALE a. Name of Facility Contact Person 9785321900 IWSSCompliance@wseinc.com b. Tslephane Number 3. Sampling information: c. e-mail address 1/11/2021 IRI ANALYTICAL a. Date Sampled (mmlddlyyyy) b. Laboratory Name VARIOUS ANALYSTS c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2021 Jan Monthly rr All forms for submittal have been completed. 2. F This is the last selection. 3. r Delete the selected farm. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit gaily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection I633� — - Bureau of Resource Protection - Groundwater Discharge Program 1,Permit Number — — Groundwater Permit I2. Tax identification Um or DISCHARGE MONITORING REPORT 2021 JAN MONTHLY Ll 3. Sampling •Month &Frequency D. Contaminant Analysis Information • For "0", below detection limit, less than {<) value,or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS = Not Sampled Groundwater Permit Discharge Monitoring Report • Page 1 of 1 infeffrp-blank.doc • rev. 09115115 Z. influent 3. Effluent 4. Effluent Method 1. ParameterlCantaminant Detection limit Units B ND -J �.�—.._—...--.—...i f10 MG1L - - - T55 110 6.7 MGA. TOTAL SOLIDS 520 MGA. AMMONIA -N T,4 MCz+L 2.8 0.25 NnRATE-N MGIL 3.77 TOTAL NITROGEN(NO3+NO2+TKN) MGIL _ �.5 OIL & GREASE MGIL Groundwater Permit Discharge Monitoring Report • Page 1 of 1 infeffrp-blank.doc • rev. 09115115 Massachusetts Department of Environmental Protection [833 I Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT 20�1 QUARTERLY 1 Ll 1 3. Sampling Month & Frequency A. Facility Information Important:When filling out forms on 1. Facility name, address: the computer, use JOCEAN EDGE CONFERENCE GTR only the tab key to a. Name move your cursor- ROUTE 6A do not use the return key. b. Street Address BREWSTER IMA 102631 vllllray c. City d. State e. Zip Code 2. Contact information: JAMES R. TRINGALE a. Name of Facility Contact Person 9785321900 IWSSCompliance@wseinc.com h. Telephone Number 3. Sampling information: c. e-mail address 111112021E IRI ANALYTICAL a. Date Sampled (mmlddlyyyy) b. Laboratory Name VARIOUS ANALYSTS c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency DEscharge Monitoring Report - 2021 Quarterly 9 T All farms for submittal have been completed. 2. I- This is the last selection. 3. F Delete the selected form. gdpols 2015-09-15,doc • rev. 09115115 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 633 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit I 2. Tax identification Number DISCHARGE MONITORING REPORT 2021 QUARTERLY 1 3. Sampling M-6nth & Frequency D. Contaminant Analysis Information • For "0", below detection limit, less than {r} value, or not detected, enter "NI]" • TNTC = too numerous to count. (Fecal results only) ■ NS = Not Sampled 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit TOTAL PHOSPHORUS ASP 4 2 J 0.02 MGL ORTHO PHOSPHATE 3.7 _ 0.02 MGIL infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT 633 J 1. Permit Number 2. Tax identification Number 2021 ANNUAL 3. Sampling Month ,& Frequency A. Facility Information Important:When filling out forms on 1. Facility name, address: the computer, use JOCEAN EDGE CONFERENCE CTR only the tab key to a Nares move your cursor - . R011TE 5A do not use the return key. b. Street Address BREWSTER IMA102631 r c. City d. State e. Zip Code Qi IL 2. Contact information: Al;n� r JAMES R. TRINGALE a. Name of Facility Contact Person 9785321900WSSCompliance a@wseinc.com b. Telephone Number c. e-mail address 3. Sampling information: 1A 112021 JR1 ANALYTICAL a. date Sampled (mmlddlyyyy) b. Laboratory Name VARIOUS ANALYSTS c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2021 Annual - All forms for submittal have been completed. 2. This is the last selection. 3. Delete the selected form. gdpols 2015-09-15.doc . rev. 09/15/15 Groundwater Permit Daily Lag Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 1633 Bureau of Resource Protection - Groundwater Discharge Program 1. Wermit Number Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT 2021 ANNUAL 3. Sampling Month & Frequency E. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in Pg/1. • For "0", below detection limit, less than {<} value, or not detected, enter "ND" • NS = Not Sampled 1. Parameter[Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit ACETONE UGIL BENZENE ND 1.0 UGIL 1,9 DIGHLOROETHANE ND 1.0 UGIL 1,2 DICHLOROETHANE ND J L UGIL 1,1 DICHLOROETHYLENE ND 1 A i UGIL CIS-1,24piCHLORDETHYLENE N5 ! INS UGIL TRANS 1,2 DICHLOROETHYLENE NO I 1.a UG/L ETHYLBENZENE ND 1.a — UGIL METHYLENECHLORIDE ND uG/L TOLUENE ND 1.0 UGIL O -XYLENE ND 7 1.0 UGIL P/M XYLENE NO JUL CARBON TETRACHLORIDE ND 1 0 UGA- CHLOROFORM ND 1.o UGIL 2-Bi1TANONE (MEK) N❑ 1.0 UGIL infeffrp-blank.dvc • rev, 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection FC3 ............ Bureau of Resource Protection - Groundwater Discharge Program 1. P.ermi.t Number --..._ . _.. .......... .... . Groundwater Permit i. 2. Tax identification Number DISCHARGE MONITORING REPORT 12021 ANNUAL Ll 3. Sampling Month & Frequency E. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pgll. • For "0", below detection IimIt, less than (<) value, or not detected, enter "N a" ■ NS =Not Sampled 1. Parameter/Contaminant Units 4-METHYL-2-PENTANONE (MIRK) UGIL TRICHLOROETHYLENE UGIL TETRACHLOROETHYLENE UGIL 1,1,1 TRICHLOROETHANE UGIL VINYLCHLORIDE UGIL STYRENE UGIL CHLOROBENTENE UGIL METHYL TERTIARY BUTYL ETHER UGIL CHLOROETHANE UGIL 1,2-DICHLOROPROPANE UGIL DIBROMOCHLOROMETHANE UGL 1,1,2 TRICHLOROETHANE UGIL 2�CHLOROETHYLVINYL ETHER UGIL 13ROMODICHLOROMETHANE UGIL BROMOFORM UGIL 2. Influent 3. Effluent 4. Effluent Method Detection limit ND �❑ ND 1.0 ND 1 1.0 ND: _._ --- 1.o I ND NS ND ND IND ND i ND ND ND ND .ND infeffrp-blank.doc • rev, 09115115 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection 633 _ _ Bureau of Resource Protection - Groundwater Discharge Program Permit NumJ Number Groundwater Permit DISCHARGE MONITORING REPORT Tax identification Number 2L21 ANNUAL 3. Sampling Month & Frequency E. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pgll. • For T", below detection limit, less than (<) value, or not detected, enter "ND' • NS = Not Sampled 1. Parameter/Contaminant Units 1,1, 2,2-TETRAC H LOROETHAN E UGIL CHLOROMETHANE UGIL BROMOMETHANE UGIL CARBONDISULFIDE UG/L 241EXANONE UGIL ACROLEIN UGIL ACRYLONITRILE UGIL TRANS -I,3 -DI CH LOROPROPEN E UGIL CIS -1,3 -DI CH LOROPROPE N E UGIL 2. Influent 3. Effluent 4. Effluent Method Detection limit ND 11.0 ND 1.0 _.....J ND 11.0 N5 INS NS NS NS� ND ND infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit ' 2. lax identification Number MONITORING WELL DATA REPORT 2021 QUARTERLY 1 3. Sampling Month & Frequency A. Facility Information lmportant:when filling out farms on 1. Facility name, address: the computer, use JOCEAN EDGE CONFERENCE CTR only the tab key to a_ Name move your cursor - R06TE 6A do not use the return key. b. Street Address BREWSTER MA 102631 VG:l c. City d. State e. Zip Code 2. Contact information: RW JAMES R. TRINGALE a. Name of Facility Contact Person 9785321900 WSSCompliance@wseinc.com b. Telephone Number 3. Sampling information: c. e-mail address 111112021 JR1 ANALYTICAL a. Date Sampled (mrnlddlyyyy) b. Laboratory Name VARIOUS ANALYSTS c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2021 Quarterly 1 T F All forms for submittal have been completed. 2. % This is the last selection. 3.. r Delete the selected form. gdpols 2015-09-15.doc • rev. 09115/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 1633 1. Permit Number 2. Tax identification Number 2021 QUARTERLY 1 3. Sampling Month & Frequency C. Contaminant Analysis Information • For "0", below detection limit, less than (�) value, or not detected, enter "ND" • TNTC = too numerous to count. {Fecal results only} • NS = Not Sampled ■ DRY = Not enough water in well to sample. Parameter/Contaminant DG2 DG3 DG4 DG5 UG1 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 NITRATE -N 6.A._......_w 3.1 1.T 1.3 1.5 MG+L .._............... TOTAL NITROGEN(NO3+NO2+TIC6 4 3.1 1.7 2.29 1.5 MGIL TOTAL PHOSPHORUS ASP. 94 — ` 0.54 0.34 -- MGL ORTHO PHOSPHATE I o,64 INDND� IND i VGL Well #: 6 mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 c Massachusetts Department of Environmental Protection 633 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Ll Groundwater Permit 2: Tax identifcatien Number MONITORING WELL DATA REPORT �2021 ANNUAL __ II 33. Sampling ]Month & Frequency J A. Facility Information Important:When filling out forms on ] . Facility name, address: the computer, use JOCEAN EDGE CONFERENCE CTR only the tab key to a. Name move your cursor - ROUTE 6A do not use the return key. b. Street Address BREWSTER IMA 02631 VQ c. Clty d. State e. Zip Code 2. Contact information: runAj JAMES R. TRINGALE a. Name of Facility Contact Person 9785321900WSSCompliance a@wseinc.com b. Telephone Number 3. Sampling information: c. e-mail address 1/11/2021 JR1 ANALYTICAL a. Date Sampled (mmlddlyyyy) b. Laboratory Name VARIOUS ANALYSTS c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and SampIing Month & Frequency Monitoring Well Data Report - 2021 Annual All fortes for submittal have been completed. 2, r- This is the last selection. 3. Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 1633 Bureau of Resource Protection - Groundwater Discharge Program 1, Permit Number w Groundwater Permit ,Tax identification Number MONITORING WELL DATA REPORT 2021 ANNUAL ! 3. Sampling Month & Frequency D. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pg/l, • For "o,% below detection limit, [ass than (a) value, or not detected, enter 'N D" • NS =Not Sampled ■ DRY = Not enough water in well to sample. Parameter/Contaminant DG2 DG3 DG4 DG5 UGI Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well M. 5 ACETONE NQ ND IND IND ND UGIL BENNE ND ND IND _� ND UGA. 1,1 DICHLOROETHANE IND ND ND ND ND UGIL 1,2 DICHLOROETHANE ND Ni] ND IND LIG/L 1,1 DICHLOROETHYLENE IND ND ND ND uGIL CIS-1,2-DICHLOROETHYLENE N5 NS INS IN5 UGI - TRANS 1,2 DICHLOROETHYLENE ND ND �I IND I IND ND UGIL ETHYLBENZENE ND ND IND NLY ND UGL METHYLENECHLORIDE ND f ND I ND IND UGIL TOLUENE ND ND ND UG L O-?[YLENE ND _ ND Na �D� NI] UGIL PIM XYLENE ND ND ND 1 IND ND UGIL CARSON TETRACHLORIDE [PID NP ND ND IND UGIL CHLOROFORM FND ND -� ND ND N❑ UGlL Well #: 6 2-BUTANONE (MEK) ND ND ND I IND I ND UGIL mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITOR)NG WELL DATA REPORT D. VOC Analysis Information 1633 1. Permit Number 2, Tax identification Number 2021 ANNUAL 3. Sampling Month & Frequency ■ If VOCs are present, please indicate the amounts of the individual compounds in pg/l. • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • NS =Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant DG2 DG3 DG4 DGS UGI Units Well #: 1 Weil #: 2 Well #: 3 Well #: 4 Well #: 5 4-METHYL-2-PENTANONE (MIBFf IND ND �ND + ND IND UG/L TRICHLOROETHYLENE NQ NDy ND N❑ Np— --- — UG - TETRACHLOROETHYLENE I' D NQ ND NQ ND UGL 1,1,1 TRICHLOROETHANE ND —:: -71 ND ND ND yJ ND UG& VINYLCHLORIDE ND ND ND ND ND UG/L sTYREN NS NS N5 NS NS UGIL CHLOROBENZENE ND ND ND IND UGL METHYL TERTIARY BUTYL ETHE ND rND ND NQ IND IJGIL CHLOROETHANE ND ND 1�ND ND IND --J UGIL 1,2-01CHLOROPROPANE ND _ ND ND �ND ND UG/L DiBROMOCHLOROMETHANE �D fND �p Np ND ND : FN UG/L 1,1,2 TRICHLOROETHANE IND IND [ND -I ND _. IND UG/L 2-CHLOROETHYLVINYL ETHER IND ND NQ UG/L - BROMODICHLOROMETHANE ND ND —..mi ND Np ND UG/L ! BROMOEORM ND�ND J ND ND iIND UGIL Well #: 6 mwdgwp-biank.doc • rev. 09115115 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT {1. Per—mit Number I m _ 2. Tax identification Number 2021 ANNUAL 3. sampling Month & Frequency D. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pg/l. • For "0', below detection limit, less than {<} value, or not detected, enter "ND" • N5 =Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant Da D3 DG4 DG5 UGI Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 r. —.............. 1,I,2,2 -TETRACHLOROETHANE ND J ND IND I ND --- - — IND J UGI - CHLOROMETHANE ND -^ _,. ND ND �ND ND UG4- BRDMOMETHANE IND ND ND ND F D —� UGC. CARBONDISULFIDE N5 N5 NS N5 NS UGIL 24AEXANONE NS INS INS INS UG/L ACROLEIN NS NS INS INS UGIL ACRYLON3TRILE NS INS I INS INS UG1L TRANS-9,3-DICHLOROPROPENE ND ND I NQ I ND ND UGC CIS•1,3-DICHLOROPROPENE IND ND ND ND ND UGA- Well #: 6 mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Any person signing a document under 314 CMR. 5.14(1) or (2) shall make the following certification If you are filing electronic -ally and want to attach additional comments, select the check box. r Massachusetts Department of Environmental Protection 1633 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number Information EDGE CONFERENCE CTR a. Name ROUTE 6A b. Street Address BREWSTER IMA 102631 C' City d. State e. Zip Code Certification "I certfy under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that the are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations JAMES R. TRINGALE 2/27/2021 a. Signature Comments b. Date (mmlddlyyyy) ALL REGULATED EFFLUENT PARAMETERS OF SAMPLES COLLECTED ON JANUARY 11, 021 WERE REPORTED TO BE WITHIN THEIR RESPECTIVE PERMISSIBLE LIMITS - QUARTER ILY IMITS.QUARTERLY AND ANNUAL SAMPLES FOR BOTH THE EFFLUENT AND MONITORING JELLS WERE COLLECTED DURING THIS MONTH. gdpols 2015-09-15.doc • rev. 09/15115 Groundwater Permit • Page 1 of 1 Page 1 of 5 R.I. ANALYTICAL Specialists in Environmental Services LABORATORY REPORT WSS Jnc.dba Weston & Sampson Date Received: 1/12/2021 Attn: Compliance Department Date Reported: 1/20/2021 55 Walkers Brook Drive P.O. Number Suite 100 Reading, MA 01867 Work Order #: 2101-00579 Project Name: PROJECT #25364 OCEAN EDGE RESORT ANNUAL I+E WELLS Enclosed are the analytical results and Chain of Custody for your project referenced above. The sample(s) were analyzed by our Warwick, RI laboratory unless noted otherwise. When applicable, indication of sample analysis at our Hudson, MA laboratory and/or subcontracted results are noted and subcontracted reports are enclosed in their entirety. All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met, unless otherwise noted at the end of a given sample's analytical results or in a case narrative. The Detection Limit is defined as the lowest level that can be reliably achieved during routine laboratory conditions. These results only pertain, to the samples submitted for this Work Order # and this report shall not be reproduced except in its entirety. We certify that the following results are true and accurate to the best of our knowledge. if you have questions or need further assistance, please contact our Customer Service Department. Approved by: Nicole Skyleson Data Reporting Manager Laboratory Certification Numbers (as applicable to sample's origin state): Warwick R1 " RI LA100033, MA M-RI015, CT PH -0508 41 Illinois Avenue, Warwick, RI 42888 www.rianalytical.com 131 Coolidge Street, Suite 105, Hudson MA 01749 Phone: 401-737-8500 Fax: 401-738-1970 Phone: 978-568-0041 Fax: 978-568-0078 Page 2 of 5 R.I. Analytical Laboratories, Inc. Laboratory Report WSS Inc.dba Weston & Sampson Work Order #: 2101-00579 Project Name: PROJECT #25364 OCEAN EDGE RESORT ANNUAL I+E WELLS Sample Number: DDI Sample Description: INFLUENT Sample Type: COMPOSITE Sample Date 1 Time: 1/11/2021 ® 16:30 Sample Number: 002 Sample Description: EFFLUENT Sample Type: COMPOSITE Sample Date /Time: 1/11/2021 @ 16:45 SAMPLE DET. DATEITE%IE PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST BOB 5 66 30 mgli SM521021 ed 1/12/2021 23:49 KAW Total Suspended Solids 110 2.0 mgli SM2540D 2011 1/13/2021 8:45 DDM Total Solids 520 10 nie SM2540B 18-2led 1/12/2021 18:00 TP Ammonia (as N) 7.4 0.20 mg/1 EPA 350.1 1/18/2021 11:55 BR Sample Number: 002 Sample Description: EFFLUENT Sample Type: COMPOSITE Sample Date /Time: 1/11/2021 @ 16:45 SAMPLE DET. DAT) lTIME PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST SOD 5 <10 10 mgli SM5210B 2led 1/12/2021 23:44 KAW Total Suspended Solids 6.7 2.0 mgll SM2540D 2011 1/13/2021 8:45 DAM Nitrite (as N) <0.25 0.25 mgll EPA 300.0 1/1212021 18:52 TMi. Nitrate (as N) 2.8 0.25 mgll EPA 300.0 1/12/2021 18:52 TMI. TKN(as N) 0.97 0.50 mgjl SM4500NOrg-D 18-2led 1115/20^21 15:21 JMD Page 3 of 5 R.I. Analytical Laboratories, Inc. Laboratory Report WSS Inc.dha Weston & Sampson Work Order #: 2101-00579 Project Name: PROJECT #25364 OCEAN EDGE RESORT ANNUAL I+E WELLS Sample Number: 003 Sample Description: EFFLUENT Sample Type: GRAB Sample Date I Time : 1/11/2021 Q 17:00 SAMPLE DET. DATEITEWE PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST Orthophosphate 3.7 0.02 mgll SM 4500 P E-2011 1/13/2021 0:2I TML Total Phosphorus (as P) 4.2 0.02 mgll SM450oP-B,E-2011 1/14/2021 11:00 AEH Oil & Grease GTayinactric 0.7 0.5 mgh EPA 1664A 1/16/2021 16:45 AM Volatile Organic Compounds Chloromethane X1.0 1.0 u01 EPA 624-1 1/15/2021 15:53 SAS Bromomethane <1.0 1.0 ugll EPA 624.1 1/15/2021 15:53 SAS Vinyl Chloride X0.40 0.40 ugll EPA 624.1 1/15/2021 15:53 SAS Chloroethane X1.0 1.0 ugll EPA 624.1 1/15/2021 15:53 SAS Methylene Chloride X1.0 1.0 u9/1 EPA 624.1 1/15/2021 15:53 SAS Trichlorofluoromethane X1.0 1.0 ugA EPA 624.1 1/15/2021 15:53 SAS 1,1-Dichloroethylene <1.0 Lo ugll EPA 624.1 1/15/2021 15:53 SAS 1,1-Dichloroethane <1.0 1.0 ugll EPA 624.1 1/15/2021 15:53 SAS trans-l,2-Dichloroethylene <1.0 1.0 ugll EPA 624.1 11151.2021 15:53 SAS Chloroform <1.0 1.0 ugll EPA 624.1 1/15/2021 15:53 SAS 1,2-Diahloroethane X1.0 1.0 ugll EPA 624.1 1/15/2021 15:53 SAS 1,1,1 -Trichloroethane <1.0 lA ugll EPA 624.1 1/15/2021 15:53 SAS Carbon Tetrachloride <1-0 1.0 ugll EPA 624.1 1/15/2021 15:53 SAS Bromodichtorometbane <1.0 1.0 ugll EPA 624.I 1/15/2021 15:53 SAS 1,2-Dichloropropane <1.0 1.0 no EPA 624.1 1/15/2021 15:53 SAS cis-1,3-Dieh]oropropyleue <0.40 0.40 ng/t EPA 624-1 1/15/2021 15.53 SAS Trichloroethylene X1.0 lA ug/i EPA 624-1 1/15/2021 15:53 SAS trans-1,3-Dichloropropylene X0.40 0.40 ug/1 EPA 624-1 1/15/2021 15:53 SAS 1,1,2 -Trichloroethane X1.0 1.0 1,1g/1 EPA 624-1 I/1512021 15:53 SAS Dibrornoehloromethane X1.0 1.0 Ug/1 EPA 624-1 1/15/2021 15:53 SAS Bromororm X1.0 1.0 ug/1 EPA 624-1 1/15/2021 15:53 SAS Tetrachloroethylene <lA 1.0 ugll EPA 624-1 11I512021 15:53 SAS 1,1,2,2 -Tetrachloroethane X1.0 1.0 ugll EPA 624-1 1/15/2021 15:53 SAS Chlorobenzene <10 1.0 ugll EPA 6241 1/15/2021 15:53 SAS 2-Cidmuethyl vinyl ether <1.0 1.0 ugll EPA 624-1 1/15/2021 1553 SAS Dichlorobenzenes X1.0 1-0 ugll EPA 624-1 1/15/2021 1553 SAS 1,2 -Dichlorobenzene X1.0 1.0 ugll EPA 624.1 1/15/2021 15:53 SAS 1,3 -Dichlorobenzene <1.0 1.o uglL EPA 624.1 1/15/2021 15:53 SAS 1,4 -Dichlorobenzene <1 .O 1.0 ugll EPA 624.1 1/15/2021 15:53 SAS Benzene <1.0 Le ugli EPA 624.1 1/15/2021 15:53 SAS Toluene r1.0 1-0 ugll EPA 624.1 1/15/2021 15M SAS Ethylbenzerte r1.0 1-0 ugll EPA 624.1 1/15/2021 15:53 SAS o -Xylene <1.0 1.0 u911 EPA 624.1 1/15/2021 15:53 SAS p -Xylene r1.0 l.0 ugll EPA 624.1 1/15/2021 15:53 SAS m -Xylene r1.0 1.0 ugll EPA 624.1 111512021. 15:53 SAS Methyl Tertiary Butyl Ether (MTBE) <1.0 1.0 ugll EPA 624.1 1/15/2021 15:53 SAS R.I. Analytical Laboratories, Inc. Laboratory Report WSS Inc.dba Weston & Sampson Work Order #: 2101-00579 Project Name: PROJECT #25364 OCEAN EDGE RESORT ANNUAL I+E WELLS Page 4 of 5 Sample Number: 003 Sample Description: EF'F'LUENT Sample Type: GRAB Sample Date 1 Time : 1/11/2021 Q 17:00 SAMPLE DET. DATEITEWE PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST Acetone X10 10 ugll EPA 624.1 1/15/2021 15:53 SAS 2-Butanone(MEK) <1.0 1.0 ugll EPA 624.1 1/15/2021 15:53 SAS 4-methy1-2-pentanone(MIBK) E1.0 1.0 ugll EPA 624.1. 1/15/2021 15:53 SAS Surrogates RANGE EPA 624.1 1115!2021 15:53 SAS Dibmmofluoronacthanc 88 86-1189/. EPA 624.1 1115!2021 15:53 SAS Toluene-D8 105 88-110% EPA 624.1 1/15/2021 15:53 SAS 4-Bromofluorobenzene 92 86-115% EPA 624.1 1/15/2021 15:53 SAS Orthophosphate - Filtered upon receipt at the laboratory. The filtration should occur witbin fifteen minutes of sample collection. MINEIII so ME MEN NINE RONNIE e . r ' ISO NINEIMIN 11 I wil L I i m.. P ff I Sm. offimmlNEEM■EEM■■� �E �� � "IMISIMMI111 A I ■■■■�E■■EMS �� �� � _ _ _ _ _ ■ENE■EEE■■� �� N 50 UeBQMN Olul N "ON SNOWINESS! H �� � III • _■ • - •: .= E■NINE■EM■� �� ��� (b cNi NMI T_ Ya e c f.5. j z (b cNi NMI T_ Page 1 of 13 R.I. ANALYTICAL Specialists in Environmental Services LABORATORY REPORT WSS Inc.dba Weston & Sampson Date Received: 1/12/2021 Attn: Chris Vigneau Date Reported: 1/18/2421 55 Walkers Brook Drive P.O. Number Suite 100 Reading, MA 01867 Work Order #: 2101-00577 Project Name: PROTECT #25364 OCEAN EDGE RESORT ANNUAL WELLS Enclosed are the analytical results and Chain of Custody for your project referenced above. The sample(s) were analyzed by our Warwick, RI laboratory unless noted otherwise. When applicable, indication of sample analysis at our Hudson, MA laboratory and/or subcontracted results are noted and subcontracted reports are enclosed in their entirety. All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met, unless otherwise noted at the end of a given sample's analytical results or in a case narrative. The Detection Limit is defined as the lowest level that can be reliably achieved during routine laboratory conditions. These results only pertain to the samples submitted for this Work Order # and this report shall not be reproduced except in its entirety. We certify that the following results are true and accurate to the best of our knowledge. If you have questions or need further assistance, please contact our Customer Service Department. Approved by: Z��a 4a,,� Nicole Skyleson Data Reporting Manager Laboratory Certification Numbers (as applicable to sample's origin state): Warwick RI * RI LA100033, MA M -R1015, CT PH -0508 41 Illinois Avenue, Warwick, RI 02888 www.rianalytical.com 131 Coolidge Street, Suite 105, Hudson MA 01749 Phone: 401-737-8500 Fax: 401-738-1970 Phone: 978-558-0041 Fax: 978-568-0078 Page 2 of B R.I. Analytical Laboratories, Inc. Laboratory Report WSS Inc.dba Weston & Sampson Work Order k 2101-00577 Project Name: PROJECT #25364 OCEAN EDGE RESORT ANNUAL WELLS Sample Number: 00I Sample Description: DG MW -2 <1.0 I.D. ug/I EPA 624.1 1/15/2021 Sample Type.: GRAB Bromomethane X1.0 1.0 u9/1 EPA 624.1 Sample Date I Time : 1/11/2021 @ 15:30 SAS VinylClloridc <0.40 0.40 ug/l EPA 624.1 SAMPLE DET. SAS Chloroethane DATE/TIME 1.0 PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST Nitrite (as N) X425 0.25 mgll EPA 300.0 1/12/2021 21:04 TML Nitrate (as N) 6.4 0.25 ntg11 EPA 300.0 1/12/2021 21.04 TML TKN(as l) <0.50 0.50 mg/1 SM4500Norg-D 18-2led . 1/15/2021 1521 .TMD Orthophosphate 0.64 0.02 mg/1 SM 4500 P E-2011 1/13/2021 021 TML Total Phosphorus (as P) 1.3 0.02 mg/1 SM4500P-S,E-201 I 1/14/2021 11:00 AEH Volatile Organic Compounds Chloromethane <1.0 I.D. ug/I EPA 624.1 1/15/2021 11:42 SAS Bromomethane X1.0 1.0 u9/1 EPA 624.1 1115f2021 11:42 SAS VinylClloridc <0.40 0.40 ug/l EPA 624.1 1/15/2021 11:42 SAS Chloroethane c1.0 1.0 ugll EPA 624.1 1/15/2021 1I:42 SAS Methylene Chloride <1.0 1.0 u0 EPA 624.1 1/1512021 11:42 SAS Trichlorofluoromethane <1.0 1.0 ug/I EPA 624.1 1/15/2021 11:42 SAS I,1-Dichloroethylene <1.0 1.0 ug/l EPA 624.1 t/15f2021 11:42 SAS 1,1-Dichloroethane <1.0 1.0 ug/1 EPA 624.1 1/15/2021 11:42 SAS trans-1,2-Dichloraethylene <1.0 1.0 u0 EPA 624.1 1/15/2021 11:42 SAS Chloroform <1.0 1.0 ug/l EPA 624.1 1/15/2021 11:42 SAS 1,2-Dichloroethane <1.0 1.0 ugA EPA 624.1 1/15/2021 11:42 SAS I,1,1 -Trichloroethane <1.0 1.0 ugll EPA 624.1 1/15/2021 11;42 SAS Carbon Tetrachloride <1.0 1.0 ug/l EPA 624.1 1/15/2021 11:42 SAS Bromodichloromethane X1.0 1.0 ug/1 EPA 624.1 11151202I l IA2 SAS I,2-Dichloropropane X1.0 1.0 u911 EPA 624.1 1/15/2021 11:42 SAS 4'is-1,3-Dichlorapropylene <0.A0 0.40 ugll EPA 624.1 1/15/2021 11:42 SAS Trichloroethylene X1.0 1.0 ugll EPA 624.1 1/15/2021 11:42 SAS trans-1,3-Dichloropropylene X0.40 0.40 ugll EPA 624.1 1/15/2021 11:42 SAS 1,1,2-TrichIcroethane X1.0 1.0 ugll EPA 624.1 1/15/2021 11:42 SAS Dibrumochloromethane X1.0 1.0 ug/1 EPA 624.1 1/15/2021 11:42 SAS L3romaforrn <LO 1.0 ugll EPA 624.1 1/15/2021 11:42 SAS TetrachIoroethyleae <1.0 1.0 ug11 EPA 624.1 1/15/2021 11:42 SAS 1,1,2,2-Tetrachloraethaae <1.0 1.0 ug/1 EPA 624.1 1/15/2021 11:42 SAS Chlorabenzeae <1.0 1.0 ug/1 EPA 624.1 1/15/2021 11;42 SAS 2-Chloroethyl vinyl ether a1.0 1.0 ue EPA 624.1 1/15/2021 11:42 SAS Dichlorobenzenes <1.0 1.0 ugll EPA 624.1 1/15/2021 11:42 SAS 1,2 -Dichlorobenzene X1.0 1.0 ug/1 EPA 624.1 1/15/2021 11:42 SAS 1,3-Dichlorobcnzenc X1.0 1.0 ug/1 EPA 624,1 1/15/2021 11:42 SAS 1,4-Dichlorobcazene X1.0 1.0 ug/1 EPA 624,1 1/15/2021 11:42 SAS Benzene <lA 1.0 ug/l EPA 624.1 1/1512021 11:42 SAS Toluene X1.0 l.0 ugll EPA 624.1 1/15/2021 11:42 SAS Ethylbenzeae <1.0 1.o ug/l EPA 624.1 1/15/2021 11:42 SAS a-Xyleac <1.0 LA ugll EPA 624.1 1/15/2021 11:42 SAS p-JCylene X1.0 1-0 ug/1 EPA 624.1 1/1512021 11:42 SAS Page 3 of 13 R.I. Analytical Laboratories, Inc. Laboratory Report WSS Inc.dba Weston & Sampson Work Order #: 2101-00577 Project Name: PROJECT #25364 OCEAN EDGE RESORT ANNUAL WELLS Sample Number: 001 Sample Description: DG MW-2 Sample Type : GRAB Sample Date /Time: 1/11/2021 ®15:30 SAMPLE DET. DATEITfME PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST m-Xylene X1.0 1,0 u911 EPA 624.1 1/15/2021 11:42 SAS Methyl Tertiary Butyl Ether (MTBE) <1.0 1.0 ugll EPA 624.1 1/15/2021 11:42 SAS Acetone X10 10 ugll EPA 624.1 1/15/2021 11:42 SAS 2-Butanone(MBIC) X1.0 1.0 ugll EPA 624.1 1/15/2021 11:42 SAS 4-methyl-2-pmtanone(NMK) X1.0 1.0 ugll EPA 624,1 1/15/2021 11:42 SAS Surrogates RANGE EPA 624.1 1/15/2021 11:42 SAS DibromofIuoromethane 86 86-118°/ EPA 624.1 1/15/2021 11:42 SAS Toluene-D8 104 88-1100/ EPA 624.1 1/15/2021 11:42 SAS 4-BTvmofluorobeozme 93 86.115% BPA 624.1 1/15/2021 11:42 SAS Orthophosphate - Filtered upon receipt at the laboratory. The filtration should occur within fifteen minutes of sample coIlection. Page 4 of 13 R.I. Analytical Laboratories, Inc. Laboratory Report WSS Tnc.dba Weston & Sampson Work Order #: 2101-00577 Project Name: PROTECT #25364 OCEAN EDGE RESORT ANNUAL WELLS Sample Number: 002 Sample Description: DG MW -3 Sample Type : GRAB Sample Date I Time : 1/11/2021 @ 15:45 SAMPLE BET. DATEITE E PARAMETER RESULTS LEMT UNITS METHOD ANALYZED ANALYST Nitrite (as N) X0.25 0.25 mgll EPA 300.0 1/12/2021 21:24 TML Nitrate (as N) 3.I 0.25 mgll EPA 300.0 1/12/2021 21:24 TML TKN (as N) c0.50 0.50 mgll SM4500NOrg-D 18-21 ed 1/15/2021 15:21 JMT) Orthophosphate c0.02 0.02 mgll SM 4500 P E-2011 1/1312021 0:21 TIAL Total Phosphorus (as P) 0.94 0.02 mgll SM4500P-B,F-2011 1/14/2021 11:00 AE) -1 Volatile Organic Compounds Chloromethane X1.0 1.0 ugll EPA 624A 1/15/2021 12:04 SAS Bromomethane X1.0 1.0 ugll EPA 624.1 1/1512021 12:04 SAS Vinyl Chloride X0.40 4.40 ugll EPA 624.1 1/1512021 12:04 SAS Chloroethane <1.0 1.0 ugll EPA 624.1 1/15/2021 12:04 SAS Methylene Chloride X1.0 1.0 ugll EPA 624.1 1/15/2021 12:04 SAS Trichlorofluoromethane X1.0 1.0 ugll EPA 624.1 1/15/2021 12:04 SAS 1,1-Dichloroethylene X1.0 1.0 ugll EPA 624.1 1/15/2021 12:04 SAS 1,1-Dichloroethane X1.0 1.0 ugll EPA 624.1 1/15/2021 12:04 SAS trans-l,2-Dichloroethylene X1.0 1.0 ugll EPA 624.1 1/35/2021 12:04 SAS Chloroform <I.0 1.0 egll EPA 624.1 1/15/2021 12:04 SAS I,2-Dichleroethane X1.0 1.0 ugll EPA 624.1 11151202I 12:04 SAS I,1,1 -Trichloroethane <L0 1.0 Ug/1 EPA 624.1 1/15/2021 12:04 SAS Carbon Tetrachloride <L0 1'0 no EPA 624.1 11151202I 12:04 SAS Bromodichloromethatte <L0 1.0 ugA EPA 624A 1/1512021 12:04 SAS 1,2-Dichlompropane <1.0 1.0 ugll EPA 624,1 1/15/2021 12:D4 SAS cis-1,3-Dichluropropylene <0.40 0.40 ug11 EPA 624,1 1/15/2021 12:04 SAS TrichloroethyIene X1.0 1.0 no EPA 624.1 1/1512021 12:04 SAS trans-l,3-Dichloropropylene <0.40 0.40 no EPA 624.1 1/15/2021 12:04 SAS 1,1,2 -Trichloroethane <1.0 1.0 ug11 EPA 624.1 1/1512021 12:04 SAS Dibromochloromethane X1.0 1.0 net EPA 624.1 1/15/2021 12:04 SAS Bromoform X1.0 1.0 ug11 EPA 624.1 1/15/2021 12:04 SAS Tetrachloroethylene X1.0 1.0 ugR EPA 624.1 1/1512021 12:04 SAS 1,1,2,2 -Tetrachloroethane X1.0 1.0 ugll EPA 624.1 1/1512021 12:04 SAS Chlorobenzene X1.0 1.0 ug/1 EPA 624.1 1/1512021 12:04 SAS 2-Chloroethyl vinyl ether <1.0 1.0 no EPA 624A 11151202I 12:04 SAS Dichlorobenzenes <I.O 1.0 no EPA 624A 1/15/2021 12:04 SAS 1,2-Dichlombcnzme <'0 1.0 no EPA 624A 1/15/2021 12:04 SAS 1,3-❑ichlatobeuzme X1.0 1.0 no EPA 624A 1/1512021 12;04 SAS 1,4-lDichlorobenzene X1.0 1.0 ugl] EPA 624.1 1/1512021 12;04 SAS .Benzene X1.0 1.0 ugl] EPA 624A 1/15/2021 12:04 SAS Toluene X1.0 1.0 ugh FPA 624.1 1/1512021 12:04 SAS Ethylbenzene X1.0 1.0 ugll EPA 624A 1/1512021 12;04 SAS 0 -xylene <I.O 1.0 no EPA 624A 1/15/2021 12;04 SAS p -Xylene <I.O 1A ugll PPA 624A 1/15/2021 12:04 SAS Page 5 of 13 R.I. Analytical Laboratories, Inc. Laboratory Report WSS Inc.dba Weston & Sampson Work Order 4: 2101-00577 ProjectName: PROJECT #25364 OCEAN EDGE RESORT ANNUAL WELLS Sample Number: 002 Sample Description: DG MW -3 Sample Type: GRAB Sample Date 1 Time - 1/11/2021 cQ 15:45 SAMPLE DET. DATETITWE PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST m -Xylene [1.0 . 1-0 ugh EPA 624-1 1/15/2021 12:04 SAS Mcthyl Tertiary Butyl Ether (MTBE) [1.0 1-0 ug/1 EPA 624-1 1/15/2021 12:04 SAS Acetone <10 10 ug/1 EPA 624,1 1/15/2021 12:04 SAS 2-13utanone(MEK) X1.0 1.0 ugll EPA 624.1 1/15/2021 12:04 SAS 4-methy1-2-pen[anone(MIBK) <1.0 1.0 ugll EPA 624.1 1/15/2021 12:04 SAS Surrogates RANGE EPA 624.1 1/15/2021 12:04 SAS Dibromofluoromethane 86 86-118% EPA 624.1. 1/15/2021 12:04 SAS Toluene -D8 103 88-110% EPA 624.1 1/15/2021 12:04 SAS 4-Bromofluorobcnzene 92 86-115% EPA 624.1 1/15/2021 12:04 SAS Orrhophosphate- Filtered upon receipt at the laboratory. The filtration should occur within fifteen minutes of sample collection- Page 6 of 13 R.I. Analytical Laboratories, Inc. Laboratory Report WSS Inc.dba Weston & Sampson Work Order #: 2101-00577 Project Name: PROTECT #25364 OCEAN EDGE RESORT ANNUAL WELLS Sample Number: 003 Sample Description: DG MW -4 Sample Type : GRAB Sample Date/ Time: 1/11/2021 @ 16:00 SAMPLE DET. DATE/TIME PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST Nitrite (as N) <0.25 0.25 mg/1 EPA300.0 1/121202I 21:39 TMI. Nitrate (as 1d) I.7 0.25 mgll EPA 300.0 1/12/2021 21:39 TMI, TKN(as N) X0.50 0.50 mgll S9450013Drg-D 18-2led 1/1512021 15:21 7MD Orthophosphate X0.02 0.02 rngll SM 4500 P E-2011 1/13/2021 0:21 TMI. Total Phosphorus (as P) 0.54 0.02 mgll SM4500P-B,E-201 I 1/14/2021 11:00 AEH Volatile Organic Compounds Chloromethane <1.0 1.0 ugll EPA 624.1 1/15/2021 1 Z:27 SAS Bromomethane X1.0 1.0 ugll EPA 624.1 1/15/2021 12:27 SAS Vinyl Chloride <0.40 0.40 ugll EPA 624.1 1/15/2021 12:27 SAS Chloroethane <1.0 1.0 ugll EPA 624.1 1/15/2021 12:27 SAS Methylene Chloride <1.0 1.0 ugli EPA 624.1 1/15/2021 12:27 SAS Trichlornfluorometbane <1.0 1.0 ugll EPA 624A 1/15/2021 12:27 SAS 1,1-Dichloroethylene <1.0 1.0 ugll EPA 624A 1/15/2021 12:27 SAS 1,1-Dichloroelhane <1.0 1.0 ugll EPA 624.1 1/15/2021 12:27 SAS traps-l,2-Dichloroethylene <1.0 1.0 41 EPA 624.1 1/15/2021 12:27 SAS Chloroform X1.0 1.0 ugll EPA 624.1 1/1512021 12:27 SAS 1,2-Dichloroethane X1.0 1.0 ugll EPA 624A 1/15/2021 12:27 SAS 1,1,1 -Trichloroethane <1.0 1.0 ugA EPA 624.1 1/15/2021 12:27 SAS Carbon Tetrachloride X1,0 1.0 ugll EPA 624,1 1/15/2021 12:27 SAS 8ramodichloromethane c1,0 1.0 ugll EPA 624.1 1/1512021 12:27 SAS 1,2-Dichloropropane <1,0 1.0 ugll EPA 624.1 1/1512021 12:27 SAS cis-1,3-Dichloropropylene <0.40 0.40 ugll EPA 624.I 1/1512021 12:27 SAS Trichloroethylene c1.0 1.0 ugll EPA 624.1 1/1512021 1227 SAS trans-1,3-Dichloropropylene <0.40 0.40 ugll EPA 624.1 1/1512021 12.27 SAS 1,1,2-Trichloroetbane <i.0 1.0 ugll EPA 624.1 1/15/2021 I2:27 SAS Dibromochloromethane <i.0 1.0 ugll EPA 624.1 1/1512021 1227 SAS Bromoform <1.0 1.0 ugll EPA 624.1 1/1512021 1227 SAS Tetrachloroethylene <.0 1.0 no EPA 624.1 1/1512021 12.27 SAS 1,1,2,2-Tetracbloroethane <.0 1.0 ugll EPA 624.1 1/1512021 1227 SAS Chlorobenzene X1.0 1.0 no EPA 624.1 1/1512021 12:27 SAS 2-Chloroethyl vinyl ether <1.0 1.0 ugll EPA 624.1 1/1512021 12:2.7 SAS Dichlorobenzenes <1.0 1.0 ngll EPA 624.1 1/15/2021 12:27 SAS 1,2-Dichlerobenzene c1.0 1.0 ngll EPA 624.1 1/1512021 12:27 SAS 1,3-Dichlerobanzene <1.0 1.0 ugll EPA 624.1 1/1512021 12:27 SAS 1,44)ichlorobenzeae <1.0 1.0 ug/1 EPA 624.1 1/1512021 12:27 SAS Benzene <1.0 1.0 ngll EPA 624.1 1/1512021 12:27 SAS Toluene <I.0 1.0 ng/1 EPA 624.1 1/1512021 12:27 SAS Ethylbenzene <1.0 1.0 ng/1 EPA 624.1 1/1512021 12:27 SAS o -Xylene X1.0 1.0 ngll EPA 624.1 1/15/2021 12:27 SAS p-Xylcne X1.0 1.0 ugA EPA 624.1 1/15/2021 12:27 SAS Page 7 of 13 R.I. Analytical Laboratories, Inc. Laboratory Report WSS Inc.dba Weston & Sampson Work Order k 2101-00577 Project Name: PROJECT #25364 OCEAN EDGE RESORT ANNUAL WELLS Sample Number: 003 Sample Description: DG MW -4 Sample Type: GRUB Sample Date 1 Time: 1/11/2021 @ 16:00 Orthophosphate - Filtered upon receipt at the laboratory. The filtration should occur within fifteen minutes of sample collection. SAMPLE DET. DATEITEVIE PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST m -Xylene <I.O 1.0 ugll EPA 624.1 1/15/2021 12:27 SAS Methyl Tertiary Butyl Ether (MTBE) <.0 1.0 ugll EPA 624.1 1/15/2021 12:27 SAS Acetone <0 10 ugll EPA 624.1 1/15/2021 12:27 SAS 2-Butanone(MEK) <1.0 1.0 ug/l EPA 624.1 1/15/2021 12:27 SAS 4-methyl-2-pentanone(MIBK) X1.0 1.0 u12/i EPA 624.1 1/15/2021 12:27 SAS Surrogates RANGE EPA 624.1 1/15/2021 12:27 SAS Dibromofluoromethane 81 86.115% EPA 624.1 1/15/2021 12:27 SAS Toluene -M 101 88-114% EPA 624.1 1/15/2021 1227 SAS 4-Bromofluorobeuzene 93 86.115% EPA 624:1 1/15/2021 1227 SAS Orthophosphate - Filtered upon receipt at the laboratory. The filtration should occur within fifteen minutes of sample collection. Page 8 of 13 R.I. Analytical Laboratories, Inc. Laboratory Report WSS Ine.dba Weston & Sampson Work Order -4: 2101-00577 Project Name: PROJECT #25364 OCEAN EDGE RESORT ANNUAL WELLS Sample Number: 004 Sample Description: DG MW -5 Sample Type : GRAB Sample nate 1 Time : 1/11/2021 @ 16:15 SAMPLE DET. DATEITIME PARAMETER RESULTS L111IIT UNITS METHOD ANALYZED ANALYST Nitrite.(as N) X0.25 0.25 mgll EPA 300.0 1112!2021 21:54 TUI. Nitrate (as N) 1.3 0.25 mg![ EPA 300.0 1/12/2021 21:54 TML TKN(as N) 0.99 0.50 mgll SM4500NOrg-D 18-2led 1/15/2021 15:21 7MD Orthophospbatc X0.02 0.02 MO SM 4500 P E-2011 1/13/2021 0:21 TML Total Phosphorus (as P) 034 0.02 mgt] SM4500P-13,E-2011 1/14/2021 11:00 AEH Volatile organic Compounds Chloromethane <1_0 Lo ugly EPA 624.1 1115!2021 12:50 SAS Bromometbane <1.0 1.0 ugll EPA 624.1 1/15/2021 12:50 SAS Vicryl Chloride [0.40 0.40 ugli EPA 624.1 1/15/2021 12:50 SAS Chloroethane <1.0 1.0 ugll EPA 624.1 1/15/2621 1250 SAS Methylene Chloride 01.0 1.0 ugll EPA 624.1 1/1512021 12:50 SAS Tri6lomfluoromethane <L0 1.0 ugll EPA 624.1 1/1512021 12:50 SAS 1,1-Oichloroetbylenc <1.0 1.0 ugll EPA 624.1 1/15/2021 12:54 SAS 1,1-Dichloroethane X1.0 1.0 1g11 EPA 624.1 1/15/2021 12:50 SAS trans-l.2-Dichloroethylene 01.0 1.0 ugll EEA 624.1 1/1512021 12:50 SAS Chloroform <L0 1.0 1 4 EPA 624.1 1/1512021 12:50 SAS 1,2-Dichloroethane <1 M 1.0 ugll EPA 624.1 1/15/2021 12:50 SAS 1,1,1-Tri6loroetbane <1.0 1.0 BER EPA 624.1 1/152021 12:50 SAS Carbon Tetrachloride <1.0 1.0 ugll EPA 624.1 1/15/2021 12:50 SAS Bromodichloramethane G1.0 l,0 ug/1 EPA 624.I 11I512021 12:50 SAS 1,2-DichloroWopane [1.0 1.0 ugll EPA 624.1 1/15/2021 12:50 SAS cis- l,3-Dichloropropylene X0.40 0.40 ugll EPA 6743 1/15/2021 12:50 SAS Trichloroethylene <.O 1.0 ugll EPA 624.1 1/15/2021 12:50 SAS trans -4,3 -Diehl oropropylene [0.40 0.40 ugll EPA 624.1 1115!2021 1230 SAS 1,1,2 -Trichloroethane <1.0 1.0 ug/1 EPA 624.1 1/15/2021 12;50 SAS Dibromochloromethane X1.0 1.0 ug/l EPA 624.1 1/15/2021 12:50 SAS Bramoform X1.0 1.0 ugll EPA 624.1 1/15/2021 12:50 SAS Tetrachloroethylene X1.0 1.0 ugll EPA 624.I 1/15/2021 12.50 SAS 1,1,2,2 -Tetrachloroethane <1.0 1.0 ugll EPA 624.1 1/15/2021 12:50 SAS Chlorobeazeue <Lo 1.0 ugll EPA 624.1 1/15/2021 12:50 SAS 2-Chloroethyl vinyl ether <1.0 1.0 ug/l EPA 624.1 1/15/2021 12:50 SAS Dichlorobenzenes <1.0 1.0 ugll EPA 624.1 1/15/1021 12:50 SAS 1,2-bic6lorobenzene <1.0 1.0 ugll EPA 624A 1/15/2021 12:50 SAS 1,3-❑ichlorobenaene X1.0 1.0 ug/l EPA 624.1 1/152021 12:50 SAS 1,4 -Dichlorobenzene <i.0 1.0 ugll EPA 624.1 1/1512021 12:50 SAS EeRze,e [1,0 i.0 ugll EPA 624.1 1/15/2021 12.50 SAS Toluene c1.0 1.0 ug/l EPA 624.1 1/15/2021 12:50 SAS Ethylberuene <1.0 1.0 ugll EPA 624.1 1/15/2021 12:50 SAS o-Xylenc <1.0 1.0 ugll EPA 624.1 111512021 12:50 SAS p-Xylenc <1.0 1.0 IWO EPA 624.1 1/15/2021 12:50 SAS Page 9 of 13 R.I. Analytical Laboratories, Inc. Laboratory Report WSS Ine.dba Weston & Sampson Work Order #: 2101-00577 Project Name: PROJECT #25364 OCEAN EDGE RESORT ANNUAL WELLS Sample Number: 004 Sample Description: DG MW -5 Sample Type : GRAB Sample Date / Time: 1/11/2021 @ 16:15 SAMPLE DET. DATEITIME PARAMETER. RESULTS LIMIT UNITS METHOD ANALYZED ANALYST m -Xylene <1.0 1.0 ugll EPA 624.1 1/15/2021 12:50 SAS Methyl Tertiary Butyl Ether (MTBE) c1.0 1.0 ugll EPA 624.1 1/15/2021 12:50 SAS Acetone <10 10 ugll EPA 624.1 1/15/2021 12:50 SAS 2-Butancne(MEK) <1.0 1.0 w EPA 624.1 111MO21 12:50 SAS 4-methyl-2-peatanone(MIBK) X1.0 1.0 ugll EPA 624.1 1/15/2021 12:50 SAS $arrogates RANGE EPA 624.1 1/15/2021 12:50 SAS Dibromofluorometbane 87 86-118% EPA 624.1 1/15/2021 12:50 SAS Toluene -D8 104 88-110% EPA 624.1 1/15/2021 12:50 SAS 4-Bromefluorobenzene 92 86-115% EPA 624.1 1/15/2021 12:50 SAS Orthophosphate - Filtered upon receipt at the laboratory. The filtration should occur within fifteen minutes of sample collection: Page 10 of 13 R.I. Analytical Laboratories, Inc. Laboratory Report WSS lnc.dba Weston & Sampson Work Order #: 2101-00577 Project Name: PROJECT #25364 OCEAN EDGE RESORT ANNUAL WELLS Sample Number. 005 Sample Description: UG MW -1 Sample Type : GRAB Sample Date/ Time : 1/11/2021 @ 15;15 SAMPLE DET. DATEITBAE PARAMETER RESULTS LIMN UNITS METHOD ANALYZED ANALYST Nitrite (as N) <025 025 mgll EPA 300.0 1/12/2021 22:08 TML Nitrate [as N] 1.5 025 mgll EPA 300.0 1/12/2021 22:08 TML TKN (as N) <0.50 0.50 Teel SM4500NOrg-D 19-2 led 11151202I 15:21 11AD Orthophosphate <0.02 0-02 mgll SM 4500 P E-2011 1/13/2021 0:21 TML Total Phosphorus (as P) 0-51 0-02 mgll SM4500P-B,E-2011 1/14/2021 11:00 AEH Volatile Organic Compounds Chlorometbane <1.0 1.0 ugll EPA 624.1 1/15/2021 13:I3 SAS Bromomethane X1.0 1.0 ugll EPA 624.1 IiM2021 13:13 SAS Vinyl Chloride X0.40 0.40 ugll EPA 624.1 1/15/2021 13:13 SAS Chloroethane < 1.0 1-0 ugll EPA 624.1 1/15/2021 13:13 SAS Methylene Chloride < Lo 1-0 ug/1 EPA 624.1 1/15/2021 13:13 SAS Trichloro4aorometbane <1.0 l.0 u911 EPA 624.1 1/15/2021 13:13 SAS 1,1-Dichloroethylene G1.0 1-0 ug/1 EPA 624.1 1/15/2021 13:13 SAS 1,1-Dicbloroethane G1.0 1-0 ug/1 EPA 624.1 1/1512021 13:13 SAS trans-l,2-Dichloroethylene X1.0 1.0 ug/1 EPA 624.1 1/15/2021 13:13 SAS Chloroform <1.0 1.0 1191l EPA 624:1 1/15/2021 13:13 SAS 1,2-Dichloroethane X5.0 1.0 ugll EPA 624.1 1/1512021 13:13 SAS 1,1,1 -Trichloroethane <1.0 1.0 ugll EPA 674A 1/15/2021 13:13 SAS Carbon Tetrachloride <I.0 1.0 ug1l EPA 624.1 1/1512021 13:13 SAS Bromodichloromcthane <1.0 1.0 ugll EPA 624.1 1/15/2021 13:13 SAS 1,2-Dfchloropropane <1.0 1.0 ugll EPA 624.1 1/1512021 13.13 SAS Cis- 1,3-Dichloropropylene <0A0 0.40 ugll EPA 624.1 1/15/2021 13.13 SAS Trichloroethylene <1.0 1.0 ugll EPA 624.1 1/15/2021 13.13 SAS trans-1,3-Dichlaropmpylene <0.40 0.40 ugll EPA 624.1 1/15/2021 13:13 SAS 1,1,2 -Trichloroethane <1.0 1.0 ugll EPA 624.1 1/15/2021 13:13 SAS Dibromochloromethane <1.0 1.0 ugll EPA 624.1 1/15/2021 13:13 SAS Bromoform <1.0 1.0 ugll EPA 624.1 1/15/2021 13:I3 SAS Tetrachloroethylene <1.0 1.0 ugll EPA 624.1 1/15/2021 13:13 SAS 1,1,2,2 -Tetrachloroethane <l-0 1.0 ugll EPA 624.1 1/15/2021 13:13 SAS Chlorobenzene <1.0 1.0 ug/1 EPA 624.1 1/15/2021 13:13 SAS 2-Chloroethyl vinyl ether <1.0 1.0 ngll EPA 624,1 1/15/2021 13:13 SAS Dichlorobenzenes <1.0 1.0 ugll EPA 624.1 1/1512021 13:13 SAS 1,2 -Dichlorobenzene X1.0 1.0 ugll EPA 624,1 1/1512021 13:13 SAS 1,3 -Dichlorobenzene <1.0 1.0 ug1l EPA 624.1 1/15/2021 13:13 SAS 1,4 -Dichlorobenzene <1.0 1.0 ugll EPA 624,1 1/1512021 13:13 SAS Benzene <1.0 1.0 ugll EPA 624.1 1/1512021 13:13 SAS Toluene <1.0 1-0 ugll EPA 624,1 1/1512021 13:13 SAS Ethylbenzene <1.0 1.0 uEll EPA 624.1 1/1512021 13:13 SAS a -Xylene X1.0 1.0 ugll EPA 624.1 1/1512021 13:13 SAS p -Xylene <1_0 1.0 ugli EPA 624.1 1/1512021 13:13 SAS Page 11 of 13 R.I. Analytical Laboratories, Inc. Laboratory Report WSS Inc.dba Weston & Sampson Work Order #. 2101-00577 Project Name: PROJECT #25364 OCEAN EDGE RESORT ANNUAL WELLS Sample Plumber: 005 Sample /Description: UG MW -1 Sample Type. . GRAB Sample Date 1 Time: 1/11/2021 @ 15:15 Orthophosphate - Filtered upon receipt at the laboratory. The filtration should occur within fifteen minutes of sample collection. SAMPLE DET. DATE/TIME PARAMETER RESULTS LIMIT UNITS METHOD ,ANALYZED ANALYST m -Xylene <1.0 1.0 ugli EPA 624.1 1/15/2021 13:13 SAS Methyl Tertiary Butyl Ether (MTBE) <1.0 1.0 u911 EPA 624.1 1/15/2021 13:13 SAS Acetone X14 10 ugll EPA 624.1 1/15/2021 13:13 SAS 2-13utanone(ME1K) X1.0 1.0 ugll EPA 624.1 1/15/2021 13:13 SAS 4-methyl-2-pentanone(l M K) X1.0 1.0 ugll EPA 624.1 1/15/2021 13:13 SAS Surrogates RANGE EPA 624,1 1/15/2021 13:13 SAS Dibromofluoromethane 88 86-118% EPA 624,1 1/15/2021 13:13 SAS Toluene -D8 104 88-110% EPA 624.1 1115!2021 13:13 SAS 4-Bromofluorobenzene 91 86-115% EPA 691,1 I11512021 13:13 SAS Orthophosphate - Filtered upon receipt at the laboratory. The filtration should occur within fifteen minutes of sample collection. In rb 11 0 r n., gc 12 ;: f 131 r ..:. _■�■�B■■n■■�■ a f Lm ■■i■■■■■■■■■■ ■iiiiiiiii■©■ _ •�■����■■s■■�■ _• _ .. , .... ®t■i■■ 1111©■■t - ■��� ■■EN■■ _ . ■2n■■■■1102■■ �■■� Im11■■■■ • ii■i■iC■ii■■■ 0i■�■■■■■��■� _ . .. .■.■,...■■... .. _ . _ ... 01111■■■0■■■n■ In rb 11 0 r n., gc 12 ;: f 131 r a f Lm - x a In rb 11 0 r n., ■■■■■■■■■■■■■ ■■■■■■■■■■■■■ ■■■■■ fills - ■rsorf11 E 11■■0■ _ � - • - • ■l 1111111111111101111 !F �i 1■ I■ I= w is ■mmmm a•oh a ?r7 V, IV, L COASTAL engineering co. TECHNICAL SERVICES 260 Cranberry Highway Orleans, MA 02653 508,255.6511 P 508.255.6700 F Orleans I Sandwich I Nantucket c©astalenginee r i ngcompa ny.com To: Preservation of Affordable Housing Attn: Mike Fitzgerald 40 Court Street Suite 700 Boston, MA 02108 TRA RECEIVED FEB 2 2 2021 BREWSTEFt HEA�t_TH DE PAR-rMENT Bate: 02/17/2020 Project No. WBR007.00 Via: ®!st Class Mail DPick up oCertified DFed Ex Subject: King's Landing Apartments 3 State Street Brewster, MA Permit #934-1 [Plans 7Copy of Letter []Specifications ®Other We are sending the following items: Copies Bate No. Description 1 12/2420 934-1 1 Baily Log Sheet 1 12/29/2020 934-1 Monthly Discharge Monitor Report w/Laboratory Test Results 1 12/29/2020 934-1 Monthly Monitor Well Data Report (Field tested data) 1 12/29/2020 934-1 Quarterly Monitor Well Data Report wlLaboratory Test Results 1 06/11/2020 934-1 Annual Monitor Well Data Report wlLaboratory Test Results 1 02/17/2021 934-1 eEEP Electronic Receipt These are transmitted as checked below: []for approval Zfor your use ®as requested 7for review b comment Remarks: Enclosed are the recent reporting forms for the wastewater treatment facility at the above -referenced location. Effluent test results show high levels of Total Nitrogen that exceed the upper discharge limit due to levels of TKN. We will discuss options to help improve treatment of the system with the owner. Annual & quarterly testing of the monitoring wells indicated none of the monitoring wells exceeded the maximum containment limits. If you have any questions regarding this report or the WWTF, please do not hesitate to contact us, CC. Brewster Board of Health CC Commission Horsley Witten Group, Inc, AquaPoint.3 LLC N0 i r-: a enclosures are not as n ❑ ;1 ❑ Q C1 W \W BR 1 007NTRANS MrTALs\TRAN5 MIT Orleans I Sandwich I Nantucket By: Chad A. Simmons, WWTPO Massachusetts Department of Environmental Protection 1934 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit rn •. DAILY LOG SHEET 2. Tax identification Number = 2020 DEC DAILY 1 ' 3. Sampling Month & Frequency C. Daily Readings/Analysis Information date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine UV Flow GPD Flow GPD Flow GPD pH Residual Intensity (mg/1) (°Ia) 1 20625.0 7.40 .38700.0 7.39 3 121150.07.44 4 11632,0 740 5 23279.0 6 123279.0 1 7 23279.0 7.51 a 125344.0 1 j` 7.08 9 120802.0 `6.9� g 10 22246.0 7.30 1I� 11 125116. 10 L 7A4 12 23062.7 13 !23fl62 77 14 423062.7 15 32960.0 Jfj 7.28 16 119198.0 7.41 17 136638.0 7.48 Q 18 11366.0 4 7.41 19 E 0 20 22551.0 21 122551.0 7.34 22 22977.0 7.44 23 19704.0 Q 7.49 24 20656.0 25 125068,5 I 26 125068.5 27 125068.5 Q ! 0 28 125068.5 7.54 29 20806.0 1 7.41 30 21377.0 7.39 31 28425.0 gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT D. Contaminant Analysis Information • For'O", below detection limit, less than (<) value, or not detected, enter "NO" • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled 934 F Permit Number 2020 DEC MONTHLY 3 -Sampling Month & Fr 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit BOD 148 � 20 MG./L. TSS 4823 114 MGIL TOTAL SOLIDS . 360 MGIL AMMONIA -N 18 8 MGIL NrfRATE•N [0.3I 36 4.10 MGIL - - - TOTAL NITROGEN(No3+NO2+TKN) j 15.67 0.050 j MGIL OIL & GREASE MGIL infeffrp-blank.doc • rev. 09/15115 Groundwater Permit discharge Monitoring Report • Page 1 of 1 ANALYTICAL REPORT Lab Number: L2058075 Client: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 02653 ATTN: Chad Simmons Phone: (508) 255-6511 Project Name: KINGS LANDLING BREWSTER Project Number: WBR007.00 Report Date: 01/08/21 Serial No:01082117:05 The original project report/data package is held by Alpha Analytical. This reporVdata package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH -0574), IL (200077), ME (MA00086), MC (348), NJ (MA935), NY (11148), NC (25700/666), PA (68.03671), RI (LAO 00065), Tx (T104704476), VT (VT -0935), VA (460195), USDA (Permit #P330-17-00196). Eight Walkup DrIve, Westborough, MA 01581-1019 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com Page 1 of 18 Project Name: KINGS LANDLING BREWSTER Project Number. WBR007,00 SAMPLE RESULTS Lab ID: L2058075-01 Date Client ID: INFLUENT(COMPOSiTE) Factor Sample Location: 3 STATE ROAD, BREWSTER, MA Sample Depth: Analyst Matrix: Water Parameter Result Qualifier Units RL General. Chemist ry =Westborough Lab Solids, Total 360 m9 A 10 Solids, ata! Suspended ................................................... 48, mgll P5 Nitrogen, Ammonia 18.8 mgll 0.150 BOD, 5 day 48. mgll 30 Page 6 of 18 Serial_No:010821 114 Lab Number: L2058C)7$ Report [late: 01/08/21 Date Collected: 12/29/20 09:00 Date Received: 12/30/20 Field Prep: Not Specified Dilution Date Date Analytical Factor Prepared Analyzed Method Analyst 1 ............................................................................................................................ 0110512106:05 121,2540B DW 5 .. 12/31/20 13:30 ................... _............................................... 121,2540D AC 2 0110512103:26 01/05/2123:05121,4500NH3-BH AT 15 1213012022:00 0110412117:15 121,52146 AM r FiA F Serial No:01082117:05 0: KINGS LANDUNG BREWSTER Lal' Number- L2058075 ber: WBR007.00 Deport Date: 01/08/21 SAMPLE RESULTS Page 7 of 18 L2058075-02 Date Collected: 12129/20 09:00 Lab ID EFFLUENT(COMPOSITE) Date Received: 12/30/20 Ghent ID' 3 STATE ROAD, BRI=WSTER, MA Field Prep: Not Specified Sample Location: sample Depth: Wafer Matrix Dilution Date Date Analytical Result Qualifier Chits RL MOL Factor Prepared Analyzed Method Analyst Parameter Chernlsiry::-We: tborough Lab ....... . General .::....: mgll 14 NA 2.9 12/31/2013:30 121,2540❑ AC Solids, Total Suspended 23. MR _..-...._........__....._�.— ............. .................................._......_._................... 0.21 mgll 0.050 1 - 12/31/20 05:50 44353.2 Nitragen, Nitrite mgil 0.10 - 1 i?131120 05:50 44,353.2 MR Nitrogen, Nitrate 0.36 mgA 1.50 5 ............. 01/06/21 14;45 01/07/21 20:44 121,4500NH3- Nitrogen, Total Kjeldahl 15.1 mg/1 2.0 NA 1 12130/20 22:00 01104/21 17:15 121,52106 Am [30D, 5 day 12. ............................................._ ....... .... .......... ................. _. _.__..u..._.._ ....................................... ....... _—.....w ....... __... ,........... _... ....... _....... ... - ......... _.. Page 7 of 18 0 REEL c l TP � g I k E � � X �o 0C10�QY LY TP z � I k E � � X LY Lu 9 Ft7 � N J ar 0 Ri C3 � y md rte 3r-- Ln Lo- }�u `f m: so N ry ct A 5. i co ' m v _ fC °1 XD Ix LU.� � g � d3 i I I in z k E � � X C�rJ Lu 9 Ft7 � N J ar 0 Ri C3 � rte 3r-- Ln Lo- }�u `f m: so N ry ct A i co ' v a w', v N C�1 k E � � C�rJ i Lu ar 0 Ri C3 � rte 3r-- 6 Lit N E ct A i co v Ix LU.� ENVIROTECH LABORATORIES, INC. AVIA CER T. NO.: MHA 0 63 8 .Tari Sebastian Drive Sandwich, MA 02563 (508)888-6460 1-800-339-6460 FA,Y(508)888-6446 esday, Januar}, 19, 2021 Engir1eering Co. Coastal Cranberry Highway 260 priearas, tbl.4 02653 ProjectName: King's Banding Comments: project Number: WBR007. 0Q Sampled By: Chart Simmons Lab Order Number: WW -202592 Date Received: 12129I20 PT- Paras:eters Units Test Results Reportable Lindis Date Analyzed Analyst h e io mg1L 2.0 1.0 oilgsl2l KB EPA 1664 oil & Grease Grab 1fl1100m1 12JM20 KF @ 15:40 5M 9222 Q Fecal Coliform CFL11100 mf 20 Al! samples were analyzed within the established guidelines of US EPA approved melliods -Willi all requirements met, unless otherwise noted at the end of a given sample's analytical results. Tyecertify rlral rhe following results are true and accurate to [tae best of alrr knawledge. RRL -below reportable limits *see attached By: Donald J. Saari Laboratory Director Page 1 of 1 qlm ry 0 U FY 0 N U LL 0 z U co ❑0 O� O LO x LL 0 m Nt cn co M CD 0 m 0 m 00 00 w ,� co L a� G N ~ amLL F CIJ O 10 c �¢ ru Ln z m m c u Cj a °° 0 E Q Ln us a F N m — c_I 0 [n ui m 0 N N m LA Y U .J d C a 4 mak; E a z z C t] 5 0- cn a� E z J N v E E U m C� w Lu co o T Q W J o a � � W O LL N � U xlj;aw ................. ......... . aldwes 'dwoo 4ejE) U c� 0.. � U a. U7 N J E r_ U Q r C7 r U z r r a) E E 0 0 z,-1— o cl r_cu� cr va E N of `J J vCo E� C�LO 0ow 'a LU 0 .I-- =)U C ❑❑ V W Massachusetts Department of Environmental Protection [3ureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT D, VQC Analysis Information '934 ,-Permit Number 2, Tax identification Number 2020 ANNUAL 3. Sampling Month & Frequency . If VQCs are present, please indicate the amounts of the individual compounds in µg11. ■ For "0", below detection limit, less than (<) value, or not detected, enter "ND" ■ N5 = Not Sampled DRY = Not enough water in well to sample. Parameter/Contaminant Hull -1 HW -2 Units Well #: 1 Well* 2 HVV-3 HW -4 Well #: 3 Well #: 4 Well #: 5 Well #: 6 ACETONE IND N[7 ND NQ UGIL BENZENE I ND N�____.. UGIL 1,1 DICHLOROETHANE �p ND ; ND ND UGIL 1,2 D[CHLOROETHANE ND ND ND ND UGIL 1,1 D1cHLoRoETt IYLEntE NpND u_ ND Nla �J UGIL CIS-1,2-DICHLOROETHYLENE ND NQ IND ND UGIL TRANS 1,2 DICHLOROETHYLENE ND j IND IND UG1L ETHYL BENZENE IND ND IND IND UGIL METHYLENECHLORIDE ND ND NDI ND UGIL TOLUENE I ND ND ND I ND UGL O XYLENE IND11ND �. UG1. PIM XYLENE ND ND i ND ND UGIL CARBON TETRACHLORIDE ND 7 ND I ND UG)L CHLOROFORM ND ND ND ND UGIL 2 6UTANQNE {MEK}ND ND I ND N❑ UGIL mwdgwp-blank.doc - rev. 09/15115 Monitoring Well Data for Groundwater Permit - Page 1 of 1 Massachusetts Department of Environmental Protection SUreau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELT_ DATA REPORT D. VOC Analysis Information 934 _2020 ANNUAL --cz-. 1,- RA__ • If VOCs are present, please indicate the amounts of the individual compounds in pg/j. ■ For "0", below detection limit, less than {�-} value, or not detected, enter "ND,, • NS = Not Sampled • DRY = Not enough water in well to sample. r Parameter/Contaminant HW -1 HW -2 HW3 HW4 Units Well #: 1 Well #: 2 Wei[ #: 3 Well #: 4 Well #: 5 Well #: 6 4-METHYL•2-PEN ANONE (MIS C (�Q �----- i UGIL TRICHLOROETHYLENE ND ND N -D UGIL TETRACHLOROETHYLENE ND ND IND UG/1- NQ 7,1,7 TRICHLOROETHANE IND NQ UGIL VINYLCHLOR)DE NDj UG1L �--_� N° j `N°! NQ STYRENE NQ N❑ f SND IND tJGIL , CHLOROBENZENE ND ND � ND ND UGIL METHYL TERTIARY BUTYL ETHE ND UGIL ND ND ND CHLOROETHANE NQ ND ND ND 11GIL 1,2-lfCHLOROPROPANE ISD ND ND ND UGIL Df8ROMOCHLOROMETHANE ND ND UGIL ND j ND 1,7,2 -TRICHLOROETHANE N❑ ND UGIL IND 2-CHLOROETHYLVfNYL ETHER NQ ND UGIL ND ND sROMODfCHLOROMETHANE ND UGIL ND NQ ND 13ROMOFORM ND ND ND ND UGIL mwd9wp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit - Page 1 of 1 Niassacnusetts department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT D. VOC Analysis Information 1934 1. Permit Number ._ 2, Tax identification Num er 12024 ANNUAL] 3. Sampling Month &Frequency . If voCs are present, please indicate the amounts of the individual compounds in pg/1- For "D", below detection limit, less than H value, or not detected, enter "N D" . NS = Not Sampled . DRY = Not enough water in well to sample. parameterIContaminant HW4 HW -2 HW -3 HVV-4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 1,1,2,2 -TETRACHLOROETHANE ND ND 1 ND iVQ ucrt_ CHLOROMETHANE ND ND LND ND UG.1L aRomoMETHANE ND ND IND ND UGIL CARBONDISULFIDE ND ND! ND ND UGIL 2 HExANONE p N❑ IND ND N UGIL ACROLEIN NDND ND `• ND UGIL ACRYLONITRILE NID ND ND ND UGIL TRANS-1,3-MCHLOROPROPENE ND ND= N♦7 UGIL CIS-1,3-DICHLOROPROPENE ND ND ND NQ Uat- Well #: 5 Well #: 6 rnwdgwp-blank.doc - rev. 09115115 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection I 4 Bureau of Resource Protection - Groundwater Discharge Program 1. P Groundwater Permit MONITORING WELL DATA REPORT 2. T` C. Contaminant Analysis Information • For "0", below detection limit, less than t<j value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS = Not Sampled • DRY = Not enough water in well to sample. Pa rameterlContaminant HW -1 HW -2 HW -3 HW -4 Units Well #: 1 Well #: 2 Well M 3 Well #: 4 r 2020 QUARTERLY 4 NITRATE -N0.59 T 0.57 0.72 0.46 MGIL TOTAL NITR0GEN{NO3+NO2+TFC 0.59 0.57 $.62 0.45� MGlL TOTAL PHOSPHORUS ASP4 32 � 0,459 '11.1 2,52 MGlL _._.._ ORTHO PHOSPHATE 10.008 ND ! ND [10.008 M&L € Well #: 5 Well #: 6 mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 C Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT C. Contaminant Analysis Information 934 1, Permit Number L Tax identification Number 1202DECO MONTHLY 3. Sampling Month & Frequency • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTG = too numerous to count. (Fecal results only) • NS =Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant HWA HW -2 HW -3 HW -4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 PH 5 91 15.75 15.34 5.84 S.U. STATIC WATER LEVEL .......... 22.23 23.04 i22,6=1 124.97 SPECIFIC CONDUCTANCE 40056D � 310 580 UMHOS/C Well #: 5 C Well #: 6 mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 ILL �+�A\- HA 'A - N A L.T 1 c A L ANALYTICAL REPORT F Lab Number: L2024704 Client: Coastal Engineering Campany 260 Cranbeny Highway Route 6A Orleans, 10A 02653 ATTN: Chad Simmons Phone: (508) 255-6511 Project Mame: KINGS LANDING BREWSTER Project Number: WBR007.00 Repan Date., 06/18/20 The 0riginai project report/data package is held by Alpha Analytical. This repo rUdata package is paginated and should he reproduced only in its entirety, Alpha Analytica€ hoids no responsibility for results and/or data that are not consistent wth the original. Certifications & Approvals: MA (M-MA086), NH NEI..AP (2064), CT (PH -0574),. IL (20077), ME (MA00086), MO (348), Ni (MA935), NY (11148), NC (470W666), PA (68-03671), RI (LA000065), TX (T104704476), VT (VT -139.35),. VA (460195), USDA (Permit W330-17-00196), Eight Walkup Drive, Westborough, MA 01581-1019 508-898-9220 (Fart) 508-898-9193 800-624.9220 - www,alphalab.com Page 1 of 35 -�'. Name: KINGS LANDING BREWSTER Number: WBR007.00 SA[JIPLE RESULTS Lab ID: L2024704-01 Client ID: HW -1 Sample Location: 3 STATE ROAD, BREWSTER, MA Sample Depth Matrix: Water Analytical Method: 128,624.1 Analytical Date: 06/13/20 11:47 Analyst: GT Serial No:06182021:20 Lab Number: L2024704 Report Date: 06/18/20 Date Collected: 06/11/20 14:00 Date Received: 06112/20 Field Prep; Not Specified Parameter Result Qualifier Units RL MDL Diiutiorr Factor i ` e. Or -a ics I, GCIMIS.:n;..). U.estbbTu h La.B �gIr . - y ::' ..:':.: -.. ........ .. ....... Methylene chloride ND ............ _........... ugll _. _....... _........ ..................... . i.fl - 1 i,1-Dichloreelhana NO ugh .... ... .... ..... ...... .—.__.._ _........... Chioroforrn_ ND u n _...__._._._._.._......�..._.-..._...�.� i.fl ..............._............_ - 1 -._......._............... ._.. �._..._ Carbon tetrachloride ............. .._... ....... _ NO ..... . ........ _........ _.__. ugft .... _.... __....... ....-.__..._......... .._ 1.0 ... .... _.... ... .._....._...._.. - 1 ......... ..... ........ _...... _. 1,2-Oichloropropane NO ugA 9.5 - 1 ._ _............. ............ ........ ......... . _.__.. Dlbromochlororr,ethand NO ugA 1,1,2-TrichloroalhaneND ..... ..... ... Ugll 1 -........_.... .......... 2-Chloroathylvfnyl ether �__......._.. - •....._ ....... _._.........._.........._.. NO ugll ....__.._�.w__... ..... _..._._. 10 _._� . - 1 �._ ,,..... �.__�.._.._ _ - ............_ .................._I...._...._..._. ........ . Tetraohloreethehe ... ..... NO � � ugA ................ --...:...._........_._.—.�_... Y,..._.._._._._...... _.__..._._..,...__...... ._. w� -.,._.. ._.....__....,.._......,..:......�............... -... _.- Chlarobahzene ND U. 3.5 - .- Trichlerofluorvmethane. NO ugA 5.0 1 1;2-Dichloroethane NO ugll _.._.._ 1.5 .._....._...... 1 -............. . _.... _.:..... 7 ,1,1 Tr r]7loroethahe _......... ..... ... NO .. ugll ..... . 2.0 ... ......................._-.............._._ 1 ......... ... .._......__...._ - BramodlchloromathanvNO ... ........... ug/1 .... ,.W , ........__� . _ .�. __ .................--�...._...._.__ . �_._.._. trans-1,3-Dichloroproperie _.._ . _ ......_._. ND .... _............. ugm _... _ 1.5 _...___ _...._._._....._........ _..,...._ __ ....._......._ .... _.........�. . .... _ _., ._..._ . cis-1,3-Dichlorapro)ene ND ugA 3.5 -• 1 Bromoform NO ugli 1,1,2,2 -Tetrachloroethane ............. _........... .........._......._. __... NO ...._... ug/l _ ._ _ .._. _ .. 1,0 -._............................................ ._. 1 ............. Benrena--„............-...-_,. N D _..._......__......�.,�-- u ..... . . ............. .. ..... .._.__�� .._�-_....._._....�., ._.. _ TolueneND _......... ._.... 69A 1.0 - 1 ...... ..... .w_.__.._._� __ _...,. _.�:.._...__. Fthylbemene ND ugh 1.0 - 1 Chloromethane ND ....:.:................__......._........................,.:......_ ugll 5-Q ... r. - 1 ...... .-_._.. BromornathaneND ....... .... ... ugA _... r. 6.0 1 .... ........... .............-._ . ........._-._. .......... .-.� . _........_ Vinyl CTIToride .,. _....................... .............................. ..... NO _.__ ugll _.:_..... - _..._..._......_......... _..... __.._ ChloroetharieN❑ --__........ _.._... ugn ._----- 2.0 -- 1 _._........ 1,1-Dlchlorcethene .�....,._ ........ ...__............I.............._.._..__._— ND uw ,�__w , 1.e _ f_...__._.-...._.._.... -- 1 __ . ..._.._..._w.. _ ..._..................... .._ trans-1,2-Dlohloroethene _.... ....... w.-_ ....._ ND ............... --.-_.................. 41 1.5 - . t ..._...... .._ _. ,—__. Y......... qls-1,2-Dichlaroathene NO ugll Page 7 of 35 Pentailuorebenzene Fluorobenzene 105 60-140 4-B ramaflu Qroban zene 98 60-140 ill 60-140 Page 8 of 35 AA—M. Serial_No: 05182021:20 Project Name: KINGS LANDING 13REWSTER Lab Number: L2024704 Project Number; WBR007.04 Report Date: 06/18/20 SAMPLE HES Lab ID: L2024704-01 Collected: 06I11120 14:00 Client !C]: HW -4 Date Date Received: 06/12/20 Sample Locatton- 3 STATE ROAD, BREWSTER, MA Field Prev Not Specified Sample Depth: Parameter Result Cluaisfiar Units RL MDL Dilution Factar Volatilp Organics by GC/MS Westbarraugh. Lab;.. TOrhlorcafhene Nl7 _........_:..._.......__..._......__.............__................... 1,2-I}ichlorobenzene __......_.....�_�._.,...�............._......._....._....` Nl1 ugh ......... _— 1.0 ...... ............... ...... ....w_.......... �.. _.._..—..._......._.._ �...._.............._... _ `—........... ....._......_.. . — _ . _............ ug4 5.0 1 1,8-Dichiorn6enzene NO - _ _.. 1 ,4-flich]nro3enzene - _.. _............ .. .. . .... _. N❑ ugli 5.0 __.._.. ..... 7.. p!m-3[ylene ll .... _._... ........ _ .................... $0 .... 1 NO ugli 2.0 Xylene . _.....................__. _.._...._._.._..._. NO ugly 14 Xylenes, Total IND 1 ugA 1-0 1 Styrene NO ugll 1.0 Aceipne ND i _ ................... Carbon disul$de ugll 10 - _........____1. - —.._....�. -------...._.._.... .._- _ NA .—_...,,...__......,..�_..�.�. _ ._.�...-—...._.... ugll 5.0 Ivo ugll 10 _... .. ........`_...._ �� ._ Vint'! acetals _...__._............ _._...__.. _ w. .._...._,_._. -------••••,—__�..___.......`_...,._..._._�._�. _.... __. `. 4-FAethyi-2-pentanone �._._.......... Nil — ...__.._ _....._.._,...___ - _........ Ni] u ! 70 . ....... _.._........... ....... — -... - ---...._ Acroiein - .._.... _--...._.__ ._.... ugn 10 _._.._......... ....... ........ ... ..... _........ .......__.._.. NO _. ugh 8.0 .................. Acrginnihile ND - �..._ _-.-...._._ .. _ Dibrarriomethane _. .. ... .. _. `....�._--........ tV0 Ug! 1 _...... _......_._........_...._....::........:.�._. 1fl _ . _.: ... .. _�. .._._.._... ,^_..._._..�,...._ ._..._.._._____Y..._...._._._. ag 1.0 _ Surrogate Acceptance t Recovery Qualifier Criteria Pentailuorebenzene Fluorobenzene 105 60-140 4-B ramaflu Qroban zene 98 60-140 ill 60-140 Page 8 of 35 AA—M. F Nanze KINGS LANDING BAEVVSTER ect /Num��n YYBROU7DD p/o{ac ' SAKOpLEME8DLTS Lab |D, L2024704-02 CUant UU HW -2 sample -Location: 3 STATE RDAD, BREVV8TER, MA Sarnple Depth: Matrix: VVotex Analytical Method: 128,6241 Analytical Date: 013/13/20 12:20 QT BaduLNn:08182021:20 Lab Number, L2024704 Report Date: 06/1 B/20 Date Collected.: 06/11/20 15.00 Date Received: 06/12/20 Field Prep: Not Specified Result Qualifier Units RL mDL Dilution Factor Parameter we��en cmv�u wo m� ~ _— �u - _- � _________ - .��� _ _ _ _ i.-m0mn�mmo____ wo �N �s - --________ _ ` - wo �� - � __-_ -_- -----��� - __� __�__'_-______� cu�nnm�mmvn�____________��_---___--------_______ wo �u - , ____ ______�~________�_______-- ___-_. .�......._____________________�__wo________________�p0_________o� * wo �N 1-0 ' tter"mm��v��. wo __ — unA �� ------ - ---- � ' -- - --------_-_----_ 2�m11vmwmvwnyemm NO -------'-- .~,~~ wo _____. 10 -_________--- -_ -Gi --_ NO 00 � Bromodichlorornelh - ant NO NO ugA Benzene ND UgIt 1.0 Toluene NO ugA ND UgA 1.0 NO Ugli &0 ND Ug/1 Chloroethane. ND UqA 2.0 ljwDichldroetKen� NU Ug/1 1.0 trans- 1,2-DIGhWoLffie" ND UgA 115 page 0of3S Sample Depth: Parameter Result Serlal_Nu:06182021:20 Project Mame: KINGS LANDING BREWSTER Eab Number, L2024704 Project Number: WBR007.00 Report Elate: 06/18/20 No _...�... ...:............. SAMPLE RESULTS Lab ID: L2024704-02 Date Collected: 06/11/20 15:00 Client ICS: HW -2 Date received: 06/12/20 Sample Location! 3 STATE ROAD, BREWSTER, MA Field Prep: Not Specified Sample Depth: Parameter Result Qualifier Units RL MOL 01!ution Faotor VkIatile Dr9 allcsa i GCF.MS Westf�orough...aEi' . ;. Y ....... Trichloroethana �._.._._.�__.....,....W._.....,..__..._............................ _... _...,......... _ No _...�... ...:............. ug11 1,2-Dichiarabarizene ND __.. ugll 5.0 _. __ ..........._........... 1 1,3-0ichIwo benzene Na ugli _ . 5.0 _............... . 1 - 1,4-Oiahlorbbenzene -.__........... ........................... .....__.. - .._............ N© . ...... ........ ugll ........... _........ .......... Win -Xylene ND __ ugli 2.0 ....... 1 o-xylene ..........................._.__... ........ ... - - ...._._._....._._.. ND ugR ._....._........._...._...---...—.. 1.0 - 1 Xylenes, Tata! NO ug.1 1.0 _ 1 Sq,rene NO ug]f 1,0 - 1 Metarne --.._......_._...._.._........---......... ... No _ _._ . .._ .................. ..._ LIGA 16 1 Carbon -disulfide ND ugli ............... _..... ..... 5.0 . - 1 2-Buranone _.. - -- --•._-..._........... .......... ............. �__...._ - NO v9A 10 1 vinyl acetate NO ugll 10 _.. r.........-_... - - .- 1 4Methyl2-laenianons ND _. ugA 10 1 2-Haxahone NO ug!! 10 _.............. -- _.... 1 Amlelnug!I —.. -- Nd Acrylonitrile ....--........ _........ _._..-_..�_T-_ NO �..-... ug,�i —_... .--- 10 ............... 1 Dibromomelhane NO fD ug11 1.fl _. ...... ......... ._ .... — - - . ............ 1 Surrogate Acceptance % Recovery Qualifler Criteria. Pen tafluorebenzene 106 60-140 Fluorobenzene 99 60-140 4-Brornofluorobenzene 107 60-140 Page 10 of 35 °!cc t 14ame: KINGS LANDING BREWSTER pralact Nurnber: WBR007.00 SAMPLE RESULTS Lab ID: L2fl24704-03 Client ID: HW -3 Sample Location: 3 STATE ROAD, BREWSTER, MA Sample Depth: Matrix: Water Analytical Method: 128,624.1 Analytical Date: 06/13/20 12:54 Analyst: GT Serial No:06182021:20 Lab Humber: L2024704 Report Date: 46/18120 Date Collected: 06/11120 14.30 Date Received: 46/12/20 Field Prep: Not Specified 'Result Qualifier Units RL MRL Dilution Factor Parameter ....... -.._.._ ._..---- Voiatile d`rganics by. GC/MS - Westborough Late =- Methylene chlarlda ND ugll �...� 1.0 " 1 ........... .... . t,1-Dichlaroethane NO ugA 1.5 _ Chloroform ND __............................__.. ugfl _ --..._..T--.. i•0 _- -.........__..r ....----..._ ..._......_......� _.......... - _ .. - Carbon tetmchlorlde NO ugA 1.0 1,2-0iohlaroproparte NCug11 3.5 1 f ... w pibromochloromethane NO ugh 1.0 1 1,1:2 Trtchloroethara NO _ ........._. ugh .__...................... 1.5 1 _ ... . 2.- Chlorpethylvinyl ether _�_ .._......_N➢ .._.-........-._........................... _ ugl1.......� _14 ...... .......... .............. �_....._....._ ._._ --� _ TetrachloroethaneND -._.�... ,. UO _ _ .....-...._..._.. 1.0 r.�.._.... 1 _ _ __ .__.. _�_.. ..,.. ChiarohenzemND — — • .....nen �. ugll ,, _ _.__... �._ ._....... ............ 3.5 =_ _ __w... 1. _ _M. _..� __ _ .............. ._. Trichlorofluoromethane .......... _ . ......_... ug! -- ... .. _ _ 8.4 ...-.._... _. _ _..... _ _ �......... 1,2. DtchloroethaneND ............. .. m...� _........_u�l...1.5 ............................... ..... . _..._...... _....... 1,1,1 -Trichloroethane NO -• _..__.._......� ugA -.... :D ....�......__........ 1 _- .. ... .............. _ 8mmordichloromethane NO ....... _..�_.__T._.. ugfi .. _ - w... i.Q ._.._., �.. 1 _......_.....� trans 1,3 [7ichlarnprapeneN❑ _._........-.,..W ..........—__....._ ug/l _......� ..................._�-_.....,. ......_. _..._...._._. ...... ...... ......... _. _ .--....__. Cs 1,3 Dichloroprapene NO ugn i.5 1 Brflmoform NO ug.A 1,1,2,2 -Tetrachloroethane NO ugll iA 1 Berizsna NO ug/1 1.0 _ 1 Tolueneu �.,... 1,0 1 _.._ .._.._- ............... Ethylbenzene NA uo i•0 Chloramefhane NP ugA _....,.................. -.__.. _.�_ ............ ... . Bromomethane -.............. ND ... >tgll _�......--- ..._ . 5.0 �.. _........ ..... _...... _.._._._.........-....m_.__......_.... _ ..._ Vinyl WorldsNL! - _..... ..__...... _........ .... ugll .... ......... _.......... .... ..._.......... ..... _.... .._......................... 1.Q . .... _ Chloraathane ND ... -- ug!] .._...--�..—_ _ 20 -•-.................. __ _. .._.. ..._�.. _.. .,. _ ..,_............�_�-W 1,1-Dichlorosthene NO ugA irar s•1,2-DEchloroethem .... ugll _.� .. _._.......... _ .....-............-....... i.5 _.,...._._. �_.�...__....._......._....__....._......_._...._.._.. cls -1,2 DichlometheneND ug/1 1 Q 1 Page 11 of 35 Sample Depth: Parameter _ Result qualifier Seria [—No: 06182021:20 Project Name: KINGS LANDING BREWSTER Laky Number: L2024704 Project Number. WBR007.00 Report Date. 00!18/20 NO SAMPLE RESULTS Lab ID. L2024704-03 Gate Collected: 06/11/20 14:30 Client 1C: HW -3 Bate Received: 05/12/20 Sample Location: 3 STATE ROAD, BREWSTER, MA Field Prep: Not Specified Sample Depth: Parameter _ Result qualifier Units RR MDL Dilution Factor Trichloroethene NO ugll 1.0 1 1,2 oh orof?anzene NDugll I ............. . ....... 5.0 1.3-Dichlorobenzarke ND 5-0 _....... .... ...................... ...... ..... ug!I 1 - rch arotienzane NQ u911 5.0 – 1 Xylene ....._._....._............... _.._T. _..._........_......._................._._....._—__.._._..... NO ugli 2.0 – 1 o-xyane _.............__._..,. _...,,....._ _._._.._...._ ............._..__....._. NR _.........N- ug...... Xylene8, Total ugll 1.0 Siyrane NO ugll 1.0 1 Acetone ....................... -- ---- .............................. _. _ _. No ugll 10 .. 1 Carbon disulfideNl3 $ ............ �._ �.__..... �.__ ...._. u gli _. 0 1 u anona isdp g........._........_.._........_.. u 11 10 Fny] acetate......... NO . ......... . ......... . ..... ug/1 7p 1 4-ilethyl-2-pentanone-- NO ugll 10 .—. 2- exanadia_ __. NQ --- UgA10 1 .•• ..• NA u gn 8,0 1. cry onitri a ND u ! 10 ihrgmomethane NO ugA 1.0 _.......... .._._ 1 Surrogate Acceptanoe to n i�eco�ery Qualifier Criteria Pentafiuorobenzene 106 60-140 Fluorobenzene 100 50-140 4-Sromofluorobenzene 109 60 -140 .l A Page 12 of 35 '" "" Name: KINGS LANDING BREWSTER Number: WBR007.00 SAMPLE RESULTS Lab ID: L2024704-04 Client ID: HW -4 Sample Location: 3 STATE ROAD, BREWSTER, MA Sample Depth: Matrix: Water Analytical Method: 128,624.1 Analytical Date: 06113/20 1328 Analyst: GT Serial No:0B182021:20 Lab Humber: 1-2024704 Report Date: 06/18/20 Date Collected: 06/11/20 13:30 Date received: 06/12/20 Field Prep: Not Specified Parameter Result Qualifier Units RL MDL Dilution Factor +Itik tiie Organ C by GCJMS R-WeStb6rough Lab — .. - Methylene chloride NO ugtl 1.0 1 .... ...... i,1-Dichloroethane ND uglf 1.5 . 1 Chloro crmNA ..... ......... ._.._.�...... - UO - - .............._...-....... ......._...._...._.....__..� 1 •r] __ 1 _._ _..... ._.._.......__._.r-._............. ...... ...... ....... Carbon tetrachloride _.... N© ....... ........ _................ ugl11 ...._._...........__.._ ....�_.... 0 ---......,.. 1 -......................—_.......... _..._..._. ...._.,...._..........._.._..—_ 1;2-Dichi0iropro0ane NO u9A ..W ....... .........-............. . ... ..._..�.�_.......... -..... . _._ .. D-lbro mochloromethane IND 1.0 -• 1 10,2 Trieh[oroethaneNQ ugl 1.5 - 1 2-Chlarcethylvinyl ether .... _.............................__._� ✓uD ..---...._........................................................._.......... ugA _......._-.� ...................._....__ .__..�..,._. —.-..—....—__...._. ._�....r _....,......__.._............... ...._._..... Tetrachinroethsne ND _. ........_......._.... u� ..__...... .........-............_.._._._.......-................. 1.0 1 _.. _.......... _.._ Chlbrobenzene ND ._.....__......-..._........._._._.._:._._.. _ _ ugll 3.5 �............... 1 �.._. �_._._....w.__.�._ -..... . W...�....� ..m...... r..._ .__... - - ...._....._....._.....__... Tdchlorofluoromethane NO ug/1 ................... _...... __.. ..... 5.0 .. - 1 _........_ _._........_. 1,2-Dichlomethane .... ....... - .... .............. NO --.._.__......_...... ugfl _.._.............�._....._......_.............__... 1.5 - 1 1,131-Tdchioroethana ND ugh 2.0 - 1 Bromodic hlaromethana NO ug/l 1.0 -• 1 trans-l,3-Dlchloropropene _....� NO _. _. _ ._.... ._. ugn ..._ _ _ ...:-.......... _......_............_... 15 - 1 .. . ,,._.._. ,.. _.. _..._.... ......__........._.__,.. _.._...._....._.......... cis-1,3-Richiaropropene ND ._..._.._...................... .__.._.._ .. �m_ 0grl -.. � T......,_...........r.... 1.5 � _.... �_......_.....................__.._.._. 1 ..._..- ..._............_......... _ � .. ......... ...... _... --._._.,--------- — Bromcform No uglf 1.0 1 1,1,2,2-Tetrachforoethane NO T._....- ....................... .........................—.-_ ugll ._.......` --....._....._..._—......... 1.0 - 1 _ - - ...._......_. Benzene ND _ _.ugA 1.0 -_.................... ...... - 1 ......______. ..... ... ........ �.� - Toluene ND u I 1.0 - 1 �_.._. Ethylbenzene ........ .......,... NO .... .�. ug11 i.p - 1 _...... -_. _ ... Chlorornethans NO _.. ugA _.................._........ ...._.............. 5.0 .._........_ 1 _. Bromomethana - No ugA .... .......... ............. ...... __.......... 5.0 _......... ........... - 1 _ . ...... - _. Vinyl chlorideNO UO. _....._-_.-.._.-...... 1.0 .....�...—._.._..............._.....�...... - . - 1 _. .. Chloroethane ND _ ��._- uga- - -._ ..�.. _........_._......-....._.�:p...._•._... 1 W_ ......... __....._........ 1,1--Dichlorosthene w.._... ND .... _....... ........__...... _ _._.__v,.,_ ugh ._....._..__........... .... _....... _.... w._ ............ ......:..,.-._......__ W �-._...._.. -._ _._......_._..._»., _....._ �.. W.........�...-:- ._.......... trans 1,? ❑iohieroethenB ...__._...._... N0 ......_._ ._.. ......r_-....._.._..._ ugll ....._..._.._ 1.5 _._................. ............ - 1 _.. ....... Y ......... ._. ... __.... _.._._.. _................_._....._.. cis-1,2-Dichloroetharis: NO ugll 1.0 1 Page 13 of 35 Sample Depth: Parameter Result ..�......._.. .._..__.......... Qualifier Units Serial—N Q: 051$2021:20 Project name: KINGS LANDING BREWSTER Lata Number: L2024704 Project number: WBR007.00 Report bate: 05/18/20 1,2 -Dichlorobenzene SAMPLE RESULTS 5:Q _._,.._.� 1 Lab ID: L2024704-04 Date Collected: 06/11/20 13:30 Client ID: HW -4 Date Received: 06/12/20 Sample Location: 3 STATE ROAD, BREWSTER, MA Field Prep: Not Specified Sample Depth: Parameter Result ..�......._.. .._..__.......... Qualifier Units RL MOL Dilution Factor o a a Or anjcs by: GGI...:5.'.esardtagl Lab. -- Trichloroethenehe ugli 1,2 -Dichlorobenzene ugll 5:Q _._,.._.� 1 1,3-Dichlombe-nzsne NO u 1 1,4-Dich€orohenzena NO ugll 5.4 -- } PIM -Xylene— __.... No ...... tgn �.a -xylene NE) ... ........ ._._ _. ........_.. ugh i.o _......� ....._ —_...d —_.. 1 Xylenes, Total ND ugll 1 ❑ 1 Styrene Np ug11 1.0 -- y Acetone ND — _ .......... __.::.. _. _..... ugli 1 — 1 Carbon disuCfda NO --............................. ... u9 11 -- . ... ............. ......._. 5,0 } 2-13utanons N D gA .... ................ ..... .__�. � ......... —... Vinyl aretate ND —. ._ ...._ ............... ... ,, __._.. _ _.. _...._....._.._..... _ .... _.._ ugll _ _.. ...._........_ } 4-Methyl-2-pentanone NQ ..... m..._ �..... ugn --.................. ....., 10 ..... _ __... ._.._ _ - 1 2 exanona Ni] 10 -- AcrolainR ........................._.........._.. ugll 810............_.....--- — 1 a orylonitdle ND ugll 1 y D16ramomethane ND" ugli 19 Surrogate Peritafluorobenzene Fluorobenzene 4-Wornof7.ud rob a nzen e Page 14 of 35 % Recovery Qualifier los 990 909 Acceptance. Criteria 6b-140 60-140 60-146 projerName: KINGS LANDING BREVYGTER �Numben YVBRDO7 pvn��c .00 Method Blank Am8|yskg Batch Quality Control Analytical Method: 128,6241 Analytical Date: 06/13120 08:57 MKS 8erisd_No:08182021:20 Lab Number: L2024704 Report Date: 06N 8/20 Volatile organics Lab hnsamp���O14J4'BaVct ^ ' _ ohmmunzena VVQ138 Mmhveriacmuod, wo UgA Io- _ -_ _ -- ....... .................. '... .... __--'- -_ ---___-__-�__' No -.... -__- w/1 115. - Chlmdform wo ugA 1A - ....... .... ...... -_...... ' _...... ... ............ .... .......... ....... _ '-- ' 112- 1 1.0 ____.. -_ _ Dibromochloromethane mo ugA 1.0 - �����--'�----- --'--'-' -�-- -^----------'---------- 1.5 ---' -'----'-- i Y1 ether 14b --- - -----'--------��--'~----------��`----'--T'��----'--------�^^~'------ Benzene ND ��____ NO UgA 3,5 - 1,2-Dichloro.ethane ND Ug/l 1.6 -1,6-Trichloroethane NO ugA 2.0 Brornodichlororneth�e NO UgA 1.0 cis h1oropropene ND ugA 1.5 oro�ivm,m NO vn0 1.0 - --- - -----'--------��--'~----------��`----'--T'��----'--------�^^~'------ Benzene ND __. "e 1�0 - - � ' �oma� --_--���_-- w 1.0 - ---- Ethylbenzene --���-- Tj�-~-'---��-----'--~- '- '-------- ' --^' - - -- `------�� cm�mm�xmm - - UR/ ~--�n' - -............ ........ --__�__--_-__-_--__'_��-----___--_�______------- m�wom�xune ugN ----' oo - wn�uNnr/ue xo._.,_______�.__�________ _�_~______wo___________ugN b»���nana ��--�------~'-----'---'�- no --__w� -^--'------'�N----- wo �A _-_- ___-__-.__'-__--' ��no'I.c.oiuNommmeoo --- -'-_ wo -- ��- �� 6������h6�o��ne----�---�--'----NO----�------ mi�'�-- --i�-----'----'��-'-'---�-'--- --1-.0-'------'--���----' f,ic h I -or, o' e-t"h -e -n- e---'-------------- ' mo '�� ' Page 15 of 35 projc�utName: KINGS LANDING BREVVSTER project Number: VYBR007.00 Method Blank Analysis Batch Quo]|tyOontno| Analytical Method: Analytical Date: Parameter Rvm,u Qualifier un/un RL mo/ GC/MS _-WestburoughLab for �°�p�(s)., 01-04 BatcM VmG1381614-8 1 No 41 &o ' mowu�"��6� -------- --'---��----- -----l��'— --'- 14-Mmmnmuomzene wo �N au - ---�----'---'-- -'--T��--------------''-----------'- �� - - ------------ oo io---'— — vex -- --- — ---------- 1u - - _ .... ....... _....... ........... .___ ..... ............... D' ............. -- -..... ^cetorin wo �m ----- ' -- ---- �» - �omo moumu ��� -- '----- ND ugA ----�------------- &0 u-Butanunn NO �N m v_ m������—' --- '--� �--- �--- - -~--- u9A - 1-0 �4,3xanon-e---NO 10 - uUx -B�------'-��----------- 'dm *cuuvf NU - ------'7�--' -' - �- --------'' e x a- n, e -----------------------��5--- -------"----�---''2m---'--- gM -��------------- - wel hyl tD rt wo1u - �iu,umpmpmwnm ����-----��------------ ugA��--------�------------ --- j^ ' '-__ ''~--nel "" Ugw '_............ ---_'__- uouu - Tea -Butyl whol '------- --- -�N D----------'vg --���-----'-��--- - ' /moa�T7�1wmWanerwo �N co '���---------- Acceptance 8unogotm 0/cRecuvery QuaUhor Criteria Pentafluorobenzene /1» 6o -14o ,luomoenzano 101 60-140 4-Bromofluoroberizene 103 60-140 Page 1Gof 35 Page 21 of 35 14 Serial No:06182021:20 ect Mame:KINGS LANDING BREWSTER Lab Dumber: L2024704 ect Number: F WBR007.00 Report Date: 06/18/20 SAMPLE RESULTS Lab ID: L2024704-01 Date Collected: 08111/20 14:00 Client 1D: HW -1 Date Received: 06!12%20 Sample Location: 3 STATE. ROAD, BREWSTER% MA Field Prep: Not Specified Sample Depth: Matrix: Water Dtlutlon Date Date Analytical Parameter Resuit Qualifier Units RL Milt, Factor Prepared Analyzed Method ,analyst General .Cl rnistry. - W€ stborough Lab:::.: _ ,: . ;: '+;;::.::.:: `r` :::.....:::':" :::::::::":::....:::.:::.::: :::.... Nitrogen, Nitrite ND mg/l D.05D 7 98!13.12004:42 44,353.2 �..............._...._.....__....... —_._...... ........................_. id1R Nitrogen. Nitrate ]8. mgll 0.50 5 - 46113!20 05:10 44,353.2 _. ................. MATR ...._.............._........._...............—..........._, NEtragen, Total KteidahE ........ N� ...............................................-......_............... rrtgll (7.500 2 08!]512018:04 08fi8l2022:38 121,450DN 3 Phosphorus, Tota] 1.58 mgn 0.020 -- ... 2 .. .....—_ 05135120 11:30 4811512. 18:2. 121,4500P E ............ _ ....... __......... ... -.. 5L1 Phosphorus, orthophosphate 0,055 ........ ..... ............................ _...... rngll 0,005 - 1 .6113120.06:43 121,4500P -E CB Page 21 of 35 14 Protect Name: KINGS LANDING BREWSTER Project Number: WBR007,00 SAMPLE RESULTS Lab ID: L2024704-02 Client ID: HW -2 Sample Location: 3 STATE ROAD, BREWSTER, MA Sample Depth: Matrix; Water Se ria I_NO:06182021:2, Lab Number: Report [)ate: Date Collected: Date Received: Field Prep: L2024704 06/18/20 06111/20 15:00 08/12/20 Not Specified Parameter ResultDilutlon qualifier Units N7_ Factor Date are Date Analytic al �__..Genera! GhA- rs3istry........RL f...;: .. ' ... .....Nitrogen, Analyzed e ❑ analyst.-::a Nitrite _�.._.—... ND ........................_.__....�_._......._.__._.._ rngll 94)50 Nitrogen, Total Kjeldahl 17. m9� 13.50 -- _............ _.. .. $ _ `_.__� _.. "......_....._ 06/13/2 0 04.44 ..._......__.._. _.. 44,353 ............ Phosphorus, Total ND - — - ..— rngn .. 2 DEl# 3'x20 45:12 - - _ -- -.. 44,353.2 Phosphorus, Drihophosphate.........0.055._ .... ......................... ......................- 0,200- -- 20 OCi115f201844 06/16/202-2:41--121,450014k- -RVI 3 -ii - _ M O.00S __ 0611512p 11:30 0$115/2+] 15:57 121,4500P -E 8 .............. 06/1 a 20 06:44 121,0.SQ0P-E Cg Page 22 of 35 Serial Na:061 B2021:20 Name: KINGS LANDING BREWSTER Lab Number: L2024704 Number: WBR007.00 Report date: 05/18/20 SAMPLE RESULTS Lab ID: L2024704-03 Date Collected: 06/11120 14.30 06/12/20 RW -3 pate Received: Client ID: Sarnple Location: 3 STATE ROAD, BREWSTER, MA Field Prep: Not Specified Sarnp[e Depth: water ater ❑ilufion Date Date Analytical parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst 'General chemistry.- Westborough Lab Nitrogen, Nitrite ND. mg/1 6.056 1 ..... .. 0611312004'45 44,3b3.2 --........._.......................0611312005:34...—....44,353.2 MR _....._.........._........ -.......--- Nitrogen. Nitrate ..................................................._._..........-.._...... 2.7 .._.......... mg,1 ._.........._.I...._._....._ 0.1❑ .... -- 1 ... MR ... Nitrogen, TotaE Kjeldahl NQ mg/1 0.300 – i 08J15!20 18:[]4 {3&116!20 22:42 121,4500NH3-Fi AT Phosphorus; Total 0.250 mg!l 0-01fl 1 05115!2011 ,36 06I15120 15.57 121,4500P - 61) Phosphorus, Orthophosphate 0.014 mg!€ 0.005 1 - 05!i a!20 06:44 121,4500P -E 013 SY1 1'-A Page 23 of 35 Serial—N D : 0 618 2021:2 0 Project Name. KINGS LANDING BREWSTER Lab Number; L2024704 Project Number: WBR007.00 Report Date: 06/18/20 SAMPLE RESULTS Lab ID: L2024704-04 Date Collected: 06111/20 13:30 Client ID: HW -4 Date Received: 06/12120 Sample Location: 3 STATE ROAD, BREWSTER, MA Field Prep: Not Specified Sample Depth: Matrix: Water Pane 24 of 35 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemist .- estz h prbiu Lab: ryW _ Nilrogen, Nitrite ND mgA 0,050 1 - 05!13120 04:48 44,353.2 MH Nitrogen, iJitrate 32. mg/l 0.50 5 - 05I1312p 05:16 44,353.2 MR Nitrogen, Total Kjeldahl ND mgll 4.600 - 2 68115, 26 18:04 41;116120 22:43 121,4500NH3-H AT ........ — ..... ....._... _........ _....... .. . Phosphorus, ictal 2.22 mgll 0.040 - 4 06/15/20 11:30 06/15/20 16:21 121,4500P -E SD Phosphorus, Orthophosphate _... - 0,057 _.. _........ rnW1 6.005 1 - ....................................... 06/13/20 06;45 121,4500P -E CR Pane 24 of 35 4 =� F't °`C=sem + 3 ❑SO PCI �1 Al r tl ^�❑ ; flk�j3 0 4c 000 Fj E] ® e ❑.biliLf Plo 0 .11 !�� ❑ []' ED awn a ©� .s � �Feyds�aydc'�'CI '�L3�! '��til r ❑ :1 ff rz f: [7 V- cn d Ul LM LL. .E 0 ry rj 00 Y F V 6 � 75 CL `d U� 2 ii u�1 ❑ VL �?Y Cl. C LU _. 2/17/2021 eDEP - MassDEP's ❑nlineFiling System MassDEP Home i Contact I Lj MassDEP's Online Filing System Receipt _..... — ..._ ._ ..-_._... — Forms . Signature Receipt Summary/Receipt print receipt Exit Your submission is complete. Thank you for using DEP's online reporting system. You can select "My eDEP" to see a list of your transactions, DEP Transaction ID: 1255553 Date and Time Submitted: 2/17/2021 11:26:02 AM Other Email: DEP Transaction ID: 1255553 Date and Time Submitted: 2/17/2021 11:26:02 AM Other Email : DEP Transaction ID: 1255553 Date and Time Submitted: 2/17/2021 11:26:02 AM Other Email : DEP Transaction ID: 1255553 Date and Time Submitted: 2/17/2021 11:26:02 AM Other Email : DEP Transaction ID: 1255553 Date and Time Submitted: 211712021 11:26:02 AM Other Email : DEP Transaction ID: 1255553 Date and Time Submitted: 2/17/2021 11:26.02 AM Other Email: Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 Daily Log Sheet(2020 DEC DAILY) Form Name: Groundwater Discharge Monitoring Report Forms https!lledep.dep,mass.goyleDEP/Pages/PrintReceipt.aspx 1 112 eDEP - MassDEP's Online Filing System nation: ��ation Number: 352432096 3 STATE STREET i3REWSTER 0 Charge Monitoring Report(1 - 2020 Dec Monthly) rorm Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 Monitoring Well Data Report(1 - 2020 Quarterly 4) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 Monitoring Well Data Report(1 - 2020 Dec Monthly) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 Monitoring Well Data Report - VDC(1 - 2020 Annual) Monitoring Well Data Report - VOC(2 - 2020 Annual) Monitoring Well Data Report - VDC(3 - 2020 Annual) Form Name: Comments My eDEP MassDEP Home I Contact i Privacy Policy MassDEP's Online F ling System ver. 15.17.1.OQ 2019 Mass DEP https://edep.dep,mass.gov/elDEP/Pages/PrintReceipt.aspx 2/2 COASTAL engineering co. TECHNICAL SERVICES 2.60 Cranberry Highway Orleans, MA 02653 509.255.6511 P 508,255,6700 F Orleans I Sandwich I Nantucket coastal engineer! ng[ om pa ny, cam To: Preservation of Affordable Housing Attn: Mike Fitzgerald 40 Court Street Suite 700 Boston, MA 02108 Subject: King's Landing Apartments 3 State Street Brewster, MA Permit #934-1 []Plans OCopy of Letter 05pecifcations We are sending the following items: RFCtlJJ ED MAR f.) u 2021 �R%vejRAMS ITTAL Date: 02/25/2021 Project No. WBR007.00 Via: ®1st Class Mail Pick up oCertified EFed Ex ®Other Copies Date No. Description 1 0112021 934-1 Daily Log Sheet 1 01/29/2021 934-1 Monthly Discharge Monitor Report w/Laboratory Test Results 1 01129/2021 934-1 Quarterly (1) Discharge Monitor Report w/Laboratory Test Results 1 01/18/2021 934-1 Monthly Monitor Well Data Report (Field tested data) 1 02/25/2021 934-1 eDEP Electronic Receipt These are transmitted as checked below: F-Ifor approval ®for your use ®as requested for review 6 comment ❑ Remarks: Enclosed are the recent reporting forms for the wastewater treatment facility at the above -referenced location. Effluent test results show high levels of Total Nitrogen that exceed the upper discharge limit due to levels of TKN. The average daily flow was approximately 11,142 gpd. Test results also indicate high levels of BOD that exceed the upper discharge limit. We will adjust the system settings and use of process control chemicals to help improve treatment of the system. If you have any questions regarding this report or the WWTF, please do not hesitate to contact us. cc: Brewster Board of Health By: Chad A. Simmons, WWTPO CC Commission Horsley Witten Group, Inc, AquaPoint.3 LLC MOTE: If enclosures are not as noted, please contact us at (508) 2556511 n'lnnr-\w\vuRP\nn7\Tanu, c\T.Au . rni (r,... ov 761711 — Orleans I Sandw[ch I Nantucket I E. w7 Massachusetts Department of Environmental Protection 934 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number $' DAILY LOG SHEET 2021 JAN DAILY 3, Sampling Month & Frequency C. Daily Readings/Analysis Information Dae Effluent Reuse Irrigation Turbidity Influent PH Effluent Chlorine W Flow GPD Flow GPD Flow GPD pH Residual Intensity (mgll) N 1 111637.0 2 11404.0 3 111511.0 4 111529.0 7.13 J 5 E 11624.D 17.04 6 111095.01 1 E. 7.12 1 r 11742.0 - 7.25 �[ 10860.0 s 11766.0 I� 10 10708,0..) _ ._....� 11 10273.0 7.29 EEd 12 10219.0 1 €7.14 13 12145.0L7.17 J 14 10529A _ � 7.03 15 111100.o j 1. 7.01 16 11806.0 17 10909.0 I_ 18 11468.0 `7.05 1 11314.0 17.02 20 11197.0 6.99 21 10417.0 17.07 22 9654.0 6.94 23 8909.0 24 10567.0 25 19683.0 �J. �- 6.91 25 10517.0 j 16.98 1 _J 27 9566.0 7.07 28 9972.0 7.02 29 10257.0 7.04 Q 30 10571.0 1 ���I 31 1.9324.0 gdpols.doc - rev. 09/15/15 Groundwater Permit Daily Log Sheet - Page 1 of 1 Massachusetts Department of Environmental Protection X934 3 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit DISCHARGE MONITORING REPORT 2. Tax identification Number .2021 JAN MONTHLY 3, Sampling Month & Frequency D. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count, (Fecal results only) ■ NS = Not Sampled 1. Parameter[Contaminant Units Rm MOIL TSS MGIL TOTAL SOLIDS MGIL AMMONIA -N MG>L NITRATE -N MOIL TOTAL NITROGEN(NO3+NO2+TKr4) MGIL OIL & GREASE MGJL 2. Influent 3. Effluent 53 131-- I. 4. Effluent Method Detection limit 10 � 147 15 10 [420 ..... �. 24.5 0.36 '23.26 ND !0.10 I t7.050 2.D infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit ❑ischeirge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection i934 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit DISCHARGE MONITORING REPORT 2•Tax identification Number 2420 QUARTERLY 4 3. Sampling Month & Frequency D. Contaminant Analysis Information ■ For "0", below detection limit, less than (<) value, or not detected, enter "NR" • TNTC = too numerous to count. (Fecal results only) • N5 = Not Sampled 1. Para meter]Contam in ant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit TOTAL PHOSPHORUS A5 P g 10 0.125 nrtGtL — .. ...__.. _ ORTHO PHOSPHATE 15.6o 0,125 MG/L infefFrp-blank.doc • rev. 09115/95 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 I1 ■ ' H A ..'A roRi«.-TICAL ANALYTICAL REPORT Lab Number: L2104752 Client: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 02653 ATTN: Chad Simmons Phone: (508) 255-6511 Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 Report Date: 02/05/21 Serial No:02052114:31 The original project reporUdata package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), NH NELAP (2664), CT (PH -0574), IL (200077), ME (MA00086), Ma (348), NJ (MA935), NY (11148), NC (25700/666), PA (68-03671), RI (LAO 00065), TX (T104704476), VT (VT -0935), VA (460195), USDA (Permit #P330-17-00196). Eight Walkup Drive, Westborough, MA 01 581-1 01 9 508-898-922((Fax) 508-898-9193 800-624-9220 - www.alphalab.com AILPHA Page 1 of 20 Project dame: KINGS LANDING BREWSTER Project Number: WSR007.00 SAMPLE RESULTS Lab ID: L2104752-01 Client ID: INFLUENT(COMPOSITE) Sample Location. 3 STATE ROAD, BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units RL MDL ............ General Chemistry.- Westborough Lab '. Sollds, Total 420 mg/! 10 NA Solids, Total Suspended 47. mgll 16 NA Nitrogen, Ammonia 24.5 mg/1 0.150 - BOD, 5 day 53. mgll 30 NA Page 6 of 20 Serial No:02052114:31 Lab Number: L2104752 Report Date: 02/05/21 Date Collected: 01/29/21 08:00 Date Received: 01/29/21 Field Prep: Not Specified Dilution Date pate Analytical Factor Prepared Analyzed Method Analyst 1 - ............... _ ...................... 02/02/21 11:40 121,2540B DW 3.3 ........................ 0210212116:50 _ ............. 121,25406 AC 2 0210312102:09 02/03/2119:03121,4500NH3-BH AT 15 0113012118:55 0210412113:10 121,5210E SH k . �-� huh Serial No:02052114:31 Project Name: KINGS LANDING BREWSTER Lab Number: L2104752 Project Number: WBR007.00 Report date: 02/05/21 SAMPLE RESULTS Lab 1D: L2104752-02 Date Collected: 01/28/21 08:00 Client ID: EFFLUENT(COMPOSITE) Date Received: 01/29/21 Sample Location: 3 STATE ROAD, BREWSTER, MA Field Prep: Not Specified Sample Depth: Matrix: Water Page 7 of 20 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst Genera] Chemistry - Westborough g Lai�'r . :... . -. . ......................... . Solids, Total Suspended 15. mg/1 10 NA 2 .. ............................... 02/02/21 16:50 ...... 121,25404 ........ __........... _........................................ AC . ...... ......................... _...................... ....................... .............. Nitrogen, Nitrite ........ _.._......- 0.20 ...... _.... _.... _................................................... mgll ...... ..... ........ 0.050 - 1 01/30/21 64:50 44,353.2 MR Nitrogen, Nitrate 0-36 mgll 0.10 - 1 - 01/30/21 04:50 44,353.2 MR Nitrogen, Total Kjeldahl 22.7 m9 li 0.300 - 1 02/03/21 03:08 02/03/2121:37 121,4500NH3 H AT 80D, 5 day 31. mgll 10 NA 5 01/30/21 18:55 02/04/21 13:10 121,52108 SH Page 7 of 20 Project Name: KINGS LANDING BREWSTER Project Number: WBIP007.00 SAMPLE RESULTS Lab f D: L2104752-03 Client ID: EFFLUENT(GRAB) Sample Location: 3 STATE ROAD, BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units General Chemistry - Westborough Lab Phosphorus, Total 6.10 mg/l ..... _....... __.............................................................. . Phosphorus, Orthophosphate 5.60 rngll Page 8 of 20 Serial No:02O52114:31 Lab Number: L21O4752 Report Date: 02/05/21 Date Collected: 01/29/21 08:00 Date Received: 01/29/21 Field Prep: Not Specified Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 0.125 -- 12.5 0210112110:05 02/01/2114:14 121,4500P -E SD 0.125 25 - 0113012106:05 121,4500P -E MR w H x w A I u �i QCI❑ aQ�� �+.+ 0 73 n LQ ❑ -!i Q � S Nr �L LLI E. EL Ex ti? N = N7 G C CL � S LLI E. EL Z ti? d es °w CL LLI E. EL ENVIROTECHLARORATOR-IRS, -INC. MA CERT. NO.: M -MA 063 8 ,Tan Sebastian Drive Sandwich, MA 02563 (508)888-6460FAV(508)888-6446 646 Suf:day, February 14, 202I Coastal Engineering Co, 260 Cranberry HighwaY Orleam, MA 02653 ProjeetNante: Kings Landing Comments: Project Number: WBR-007.00 Sampled By: Chad A Simmons Lab order Number: WW -2102.2 Date Received: 01128121 S=Ple Time Sarxnle Bate Camrneatis ,sampte 7)'Fe Effluent A 12:00 O 28121 Units Test Results Reportable Litnifs Date -Analyzed Analyst Frerhod Parameters pil & Grease Grab I mgit 2.0 ID 02110/21 KB EPA 1664 ccrel r nl�fnrm CFU1100 ml 10 1x11 a0ml _ _ 81/28/21 KF @ 15:P2l 5M 8222 ❑ ,411 samples were analyzed within the established guidelines of US EPA approved methods with all requirements met, unless otherwise noted at the end of a gic,en sample's analytical results. We certify that the following results are true and accurate to the best of our knowledge_ BKL=helow reportable limits *see attached By: Ronald J. Saari Page 1 of 1 Laboratory Director CC C3 Li W w C3 v u LL v a u, LA r= L c c LO E r ❑ ❑ LL LL7C a LD c LO _ rn m yr m °J ❑ m Q � CO N 3 N Ln M 7 WC u i11 E o w � mi ri ro C Ci C u Lu � c A-- E! v C ❑ U M- alE 1 U a u, LA r= 'v E ❑ ❑ ❑ o N 3 i11 E � cr N m C cr tl+ 1= M S7 L b Z 7ra + e� n _� LL is V c r� U- � L LL � � C C N Ln it ¢ d E m E L l vi all (11 L r13 a ro a XPICL � aIdUJ2S z� ,dWO3 LLc a a E aj C a] � 7 cu 7 w VI 1 C u Er L lJ z E E LP m b w � L ra s Ul C A v CLn - Lei w E � � m 'r *' �,D Q m a• m w N zs - -C ❑ ❑ L!'L LY Z 'v Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT C. Contaminant Analysis Information • For "0", below detection limit, less than (C) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled • DRY = Not enough water in well to sample. .934 1. Permit Number T 2. Tax identification Number 2421 JAN MONTHLY 3. Sampling Month & Frequency ParameterlContaminant HW -'i HW -2 HW -3 HW -4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 PH 15.87 5.99 � 6.24 � 5.77 S'U. STATIC WATER LEVEL 23.16 x25.05 E2 73 26.54 FEFr SPECIFIC CONDUCTANCE 620 864 1 1320 €$00 UMHOSIC C Well #: 5 Well #: 6 of 1 2/25/2021 eDEP-MassDEP's Online Filing System # . Ma..DEP's online Filing System MassDEP Home i Contact i Privacy Username;CASDVIR Receipt __:- - - __-_ , -. ° ' may- •�. P -1 Forms Signature Receipt Summary/Receipt prinf receipt ;=xit ' �I Your submission is complete. Thank you for using DEP's online reporting system. You can select "My eDEP" to see a list of your transactions, DEP Transaction 1D.- 1258787 Date and Time Submitted: 2/25/2021 10:45:28 AM Other Email : ( DEP Transaction I D: 1258787 Date and Time Submitted: 2/25/2021 10:45:28 AM Other Email : 'DEP Transaction ID: 1258787 Date and Time Submitted: 2/25/2021 10:45:28 AM Other Email : DEP Transaction 1D., 1258787 Date and Time Submitted: 2/25/2021 10:45:28 AM Other Email: DEP Transaction ID: 1258787 Date and Time Submitted: 2/25/2021 10:45:28 AM Other Email : Form Name: Groundwater- Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BRLWSTER ZIP: 02631 Daily Log Sheet(2021 JAN DAILY) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 hftps:lledep-dep.mass.govleDEPlPageslPrintReceipt.aspx 112 eDEP - MassDEP's OnlineFiling System �Orscharge Monitoring Report(1 - 2021 Jan Monthly) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 Discharge Monitoring Report(1 - 2020 Quarterly 4) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 Monitoring Well Data Report(1 - 2021 Jan Monthly) Form Name: Comments My eDEP MassDEP Home I Contact I Privacy Policy MassDEP's Online Filing System ver.15.17.1.0Q 2019 MassDEP https:lledep.dep.mass.govleDEPIP ageslPrintReceipt. aspx z« RECEIVED 260 Cranberry A 0266 FEB �� 11" TRANSMITTAL Orleans, MA U2&5 508.255.6511P 508.255,5iU0r�-� TF -R HEPLLTH Orleans I Sandwich I Nantu[ket ❑EPARTM NT coastalen gin e eri ngco m p a ny.com To: Brewster Town Hall Date: Board of Health Department 2198 Main St Via: Brewster, MA 02631 Subject: Cape Cod Sea Camps 3057 Main Street Brewster, MA GWDP 977-0 ❑ Plans ❑ Copy of Letter ❑ Specifications We are sending the following items: 02/09/2021 Project No. C16845.02 ®1st Class Mail OPick up Certified [Fed Ex ® Other Copies Date No. Description 1 01/2021 C16845.02 daily Log Sheet (pH & GPD not recorded due to off season) 1 01/2021 C16845.02 Monthly Discharge Monitor Report (Not sampled due to off season) 1 02/09/2021 C16845.02 eDEP Electronic Receipt These are transmitted as checked below: FIfor approval ®for your use las requested for review & comment Remarks: Enclosed are the recent monthly reporting forms for the system at the above referenced location under GWDP 977-0. The laundry mat has been shut down for the off season and there is currently no flow. With the laundry mat shut down for the off season no flow or pH was able to be recorded and the distribution box was not sampled, Please do not hesitate to contact us if you have any questions or comments. JGS/acc By: John G. Schnaible, R.S. Cc: Ed Barber, Associate Director, Facilities VIA EMAIL: ed ca ecodseacam .com VIA EMAIL: nw arran3367 mail. om NOTE: 1f enclosures are not as noted, Please contact us at (508) 255-6511 Orleans I Sandwich I Nantucket Q:\D0C1C16800115545,021Transmiftofs12021-02-09 Transmittal (GWUPJanuary 2001).doc Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 r Massachusetts Department of Environmental Protection 1977 J Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit DAILY LOG SHEET 2. Tax identification Number --_ 2021 JAN DAILY _ J 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Effluent Reuse Irrigation Flow GPD Flow GPD Flow GPD NS NNSS NS NS NS N5 N5 NS NS INS NS N5II ,INS 1 N5 NS INS J NS ii NS `NS NS NS NS NS NS NS NS iNS NS 1 gdpols.doc • rev. 09115/15 Turbidity Influent pH Effluent Chlorine pH Residual (mgfl) NS NS NS j -n NS NS NS NS NS INS NS f NS NS NS NS NS NS NS NS NS NS NS 0NS NS NS NS NS I UV Intensity (°/n) Groundwater Permit Daily Log Sheet • Page 1 of 1 I Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT C. Contaminant Analysis Information 1977 1. Permit Number 2. Tax identification Number 2021 JAN MONTHLY 3. Sampling Month & Frequency • For "D", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant LAUNDRYEFFL Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 TSS N5 MGA - OIL & GREASE F- M GWL N MGIL FOAMING AGENTS (MBAS) NS MG1L Well #: 5 Well #: 6 mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 C eDEP - MassDEP's onlineFiling System MassDEP Home I Contact I Privacy Policy La F— MassDEP's Online Filing System • Username:CASOMR M�[mame: COASTAL260 now"- — Receipt Forms Summary/Receipt Your submission is complete. Thank you for using DEP's online reporting system. You can select "My eDEP" to see a list of your transactions. DEP Transaction ID: 1256078 Date and Time Submitted: 2!912021 9:37:17 AM Other Email: DEP Transaction ID: 1256078 Date and Time Submitted: 2!912021 9:37:17 AM Other Email: DEP Transaction ID: 1256078 Date and Time Submitted: 219!2021 9:37:17 AM Other Email : Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 043070847 location: 3057 MAIN STREET Address: BREWSTER ZIP: 02631 Daily Log Sheet(2021 JAN DAILY) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 043070847 location: 3057 MAIN STREET Address: BREWSTER ZIP: 02631 Monitoring Well Data Report(l - 2021 Jan Monthly) Form Name: Comments 8lgnature Receipt print receipt Exit My eDEP MassDEP Home I Contact I Privacy Policy MassIDEP's Online Filing System ver.15.17.1.00 2019 MassDEP https://edep-dep.mass.govIeDEP/Pages/PrintRecelpt.aspx 1 �� �—� dE1bk-- COASTAL F engineering co. 260 Cranberry Highway Orleans, MA 02653 506.255.6511 P 508.255.6700 F Orleans I Sandwich I Nantucket caastaiengineerin gcom pa ny.cam To: Brewster Town Hall Date: Board of Health Department 2198 Main St Via: Brewster, MA 02631 Subject: Cape Cod Sea Camps 3057 Main Street Brewster, MA GWDP 977-0 [� Plans ❑ Copy of Letter ❑ Specifications We are sending the following items: TRANSMITTAL 01/19/2021 Project No. 016845.02 []1st Class Mail DPlck up ®Certified EFed Ex ® Other Copies Date No. Description 1 1212020 C16845.02 Daily Log Sheet (pH 5 GPD not recorded due to laundry mat off season) 1 1212020 C16845.02 Monthly Discharge Monitor Report (No sample due to laundry mat off season) 1 1212020 C1684S.02 Annual Discharge Monitor Report (Parameters not listed in GWDP) 1 01/19/2021 C16845.02 eDEP Electronic Receipt These are transmitted as checked below: []for approval ®for your use Das requested for review 6 comment D Remarks: Enclosed are the recent monthly reporting farms for the system at the above referenced location under GWDP 977-0. The laundry mat has been shut down for the off season and there was no flow running through the system. We have entered NS (no sample} on the required DEP daily lag and discharge monitor report forms associated with the laundry mat. Please do not hesitate to contact us if you have any questions or comments. JGS/acc Cc: Ed Barber, Associate Director, Facilities VIA EMAIL: nancy(Ocapecodseacamps.com By: John G. Schnaible, R.S. NOTE: if enclosures are not as noted, please contact us at (508) 255-5511 D:1DOC1C16BOO 126845.021 Transmittals \2021-01-19 Trons [December 2020].doc Massachusetts Department of Environmental Protection977 �_............__............ Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit DAILY LOG SHEET 2, Tax identification Number 2020 DEC DAILY 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine LIV Flow GPD Flow GPD Flow GPD pH Residual Intensity (mg11) {°/oJ 1N-sN5 ........_J 2 I..NS............._ NS N 4 NS 5 NS 6 NS S �.................. N .... NS C._._! g i N'S F_ ............. NS O ....................- _._..... 9 INS [ NS 10 ; NS N5 FNS 11 NS12 NS f 13 NS [ . NS 14 ��] l rN5 1_....._. ................_...._. _ NS _. 15 NS NS 16 NS NS 17 NS [ I F � NS ...................... NS ..... ....... 19 NS NS 20 NSf( jN S 21 S 22 NS NS 23 NS 24 NS..... NS 25 INS 26 NS I 27 28 29 NS NS 30 ........... L_ 1 INS 31 INS gdpols.doc • rev. 09115115 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT C. Contaminant Analysis Information 977 _.__.... _._._.__._.��....�.�. 1. Permit Number 2. Tax identification Number m ................._ _; 12020 DEC MONTHLY ._..._._ .............. 3. 3. Sampling Month &Frequency • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • N5 =Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant LAUNDRYEFFL Units Well #: t Well #: 2 Well #: 3 Well #: 4 TSS I NS— MGA- OIL 5MG/L OIL & GREASE NS MG/L FOAMING AGENTS (MEAS) Nor MG/L Well #: 5 Well #: 6 C mwdgwp-blank.doc • rev. 09M 5/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT D. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "NY • TNTC = too numerous to count, (Fecal results only) • NS =Not Sampled 9i7 1. Permit Number 2. Tax identification Number 2Q20 ANNUAL 3. Sampling Month & Frequency 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit eola INS N5 I MGIL TSS NS NS MGIL NITRATE -N NS NS MOIL TOTAL NITROGEN(NO3+NO2+TKN)N5 AIS MGIL infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 eDEP - MassDEP's onlineRling System MassDEP Home I Contact I Privacy Policy MassIDEP's Online Filing System Username:CASDMR Nickname: COASTAL266 My eDEP I Forms fly Prc'filem* Help 1 Notifications ftm IReceipt Forms Signature Receipt"� b Summary/Receipt print receipt exit Your submission is complete. Thank you for using DEP's online reporting system. You can select "My eDEP" to see a list of your transactions. DEP Transaction ID: 1251724 Date and Time Submitted: 1119/2021 1:40:51 PM Other Email: DEP Transaction ID: 1251724 Date and Time Submitted: 1/19/2021 1:40:51 PM Other Email : DEP Transaction ID: 1251724 Date and Time Submitted: 1/19/2021 1:40:51 PM Other Email : DEP Transaction ID: 1251724 Date and Time Submitted: 1/1912021 1:40:51 PM Other Email : Farm Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 043070847 location: 3057 MAIN STREET Address: BREWSTER ZIP: 02631 Daily Log Sheet(2020 DEC DAILY) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 043070847 location: 3057 MAIN STREET Address: BREWSTER ZIP: 02631 Discharge Monitoring Report(1 - 2020 Annual) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 043070847 https://edep.dep.mass-gov/eDEP/Pages/PrintReceipt.aspx 112 rddr ' on: 3057 MAiN STREET eDEP - MassDEP's pnlineFiling System ess: BREWSTER ZIP: 02531 Monitoring Well Data Report(1 - 2020 Dec Monthly) Form Name: Comments My eDEP MassDEP Home I Contact I Privacy Policy MassDEP's Online Filing System ver.15.17.1.0p 2019 MassDEP https://edep.dep,mass.gov/eDEP/Pages/PrintReceipt.aspx 212 Massachusetts Department of Environmental Protection r, eDEP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. d Username: EBELAIR Transaction ID: 1250131 Document: Groundwater Discharge Monitoring Report Forms Size of File: 424.42K Status of Transaction: Submitted Date and Time Created: 112712021:3:29:01 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. 4Ul cQu V1 I 1 IVlGlLPV11 y1 VU11U WVU LC1 1gj � 1 IL 14f11 �} 1. f Cl 11 111 1YU111lJ �.I Groundwater Permit MONITORING WELL DATA REPORT 2. Tax identification Number 2020 DEC MONTHLY I 3. Sampling Month & Frequency A. Facility Information ,)octant: When ling nut forms on 1. Facility name, address: 6 computer, use BREWSTER MANOR - - only the tab key to a. Name move your cursor - do not use the 873 HARWICH ROAD return key, b. Street Address BREWSTER — — — MA 02631 � C. City d. State a. Zip Code 2. Contact information. DAVID FELDMAN a. Name of Facility Contact Person 7817079527 dfeldman@wingatehealthcare.com b. Telephone Number G. e-mail address 3. Sampling information: 12!712020 WHITEWATER a. Date Sampled (mmld&yyyy) b. Laboratory Name JOHN APREA c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2020 Dec Monthly .r ~ All forms for submittal have been completed. 2.- This is the last selection. 3. i- Delete the selected form. gdpols 2015-09-15.doc • rev. 09115!15 Groundwater Permit Daily Log Sheet • Page 1 of 1 uul cru .•T Ixv.a uILu1 IVLOIuVII -L'�Wl luYYr Groundwater Permit Li MONITORING WELL DATA REPORT yC I I Vuk C. Contaminant Analysis Information • For '0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled • DRY = Not enough water in well to sample. III.i CI r 2. Tax identification Nun 2024 DEC MONTHLY Parameter/Contaminant MW1 MW2 MW3 MW4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 PH 56 5.9 5.2 6 S.U. STATIC WATER LEVEL 59 58.1 56.9 25.1 FEET SPECIFIC CONDUCTANCE $Q0 422 587 183 UMHOSIC mwdgwp-blank.doc • rev. 09/15/15 Well #: 5 Well #: 6 Monitoring Well Data for Groundwater Permit • Page 1 of 1 c 'filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Any person signing a document under 314 CMR 5.14(1) or (2) shall make the following certification If you are filing electronic -ally and want to attach additional comments, select the check box. 7L1f GGU Vi I%GODUI LG 1 IVL=";l it - VI VVI IV YY Q k. P VPO] 1101 L,G 1 PWU1 QI 11 Groundwater Permit Information REWSTER MANOR 1. 1 CI IIIYI Y\LII IIIJGI 2. Tax identification Number a. Name 873 HARWICH ROAD b. Street Address BREWSTER MA 02631 c. City d. State e. Zip Code Certification q certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that the are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." ELIZABETH BELAIR 1/27/2021 a. Signature b. Gate (mmlddlyyyy) gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 J.M. O'Reilly & Associates, Inc. Engineering & Land Surveying Services 1573 Main Street, 2nd Floor, P.O. Box 1773 Brewster, MA 02631 (508) 896-6601 Fax (508) 896-6602 TO: Department of Environmental Protection Attn: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 Shipping Method: Regular Mail 0 Federal Express Certified Mail El UPS Priority Mail F-� Pick Up Express Mail F� Hand Deliver DATE: D1/11/2021 LETTER OF TRANSMITTAL JOB NUMBER: 8082W White Rock Commons Subdivision, White Rock Road, Brewster COPIES DATE DESCRIPTION 1 12/30/20 DEP Approved Inspection Form wl Signed Operator Signature page SeptiTech Form Lab Results For review and comment: For approval: 71 As Requested: F7 For your use: 71 REMARKS: cc: John M. O'Reilly, P.E., P.L.S. Board of Health Client From: GJB If enclosures are not as noted, kindly notify us at once Site/Address: Fite Rock Commons Subdivision White Rock Road Brewster, MA 02531 Date: 1 213 012 02 0 Time: 11:00 am Rep: Greg Brehm 1. Remove lids & covers on processor. Visually inspect media & spray pattern. GJB (Initial) 2. Exercise entire system in maintenance mode. GJB (Initial) a. Recirculation pump(s) b. Pumpback pump(s) c. Discharge pump(s) 3. Perform maintenance/cleaning tasks required for proper operation of unit. GJB (Initial) a. Spray headers b. Media c. Screen 4. Take effluent sample from sample tube GJB (Initial) 5. Record following values from controller read-out (Discharge Pump) GJB (Initial) Days Runtime: s s Hours Runtime: 9 9 Seconds Runtime: 21,17.5 4a4.7 6. Record controller program version: Commercial GJB (Initial) 7. Record controller firmware version: V121 GJB (Initial) 8. List parts and supplies used: None GJB (Initial) 4. Return system to "run" mode GJB (Initial) 10. Re -install covers and lids on processor. GJB (Initial) 11. Check air intake muffler for obstruction and proper draw, GJB (Initial) General Notes and Remarks: The system is operating correctly mechanically. Effluent quality passed field tests. Effluent sample collected for lab analysis. C:l --%11WAppDnWJt .lWlicma MWindowa7Mf4mry IM=DLF�e94Conw�coudvax+Lpj.THlQnaegkxhaoc Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems F A. Installation Important: When White Rock Commons Subdivision filling out forms Owner on the computer, White Rock Road use only the tab key to move your Facility Street Address cursor - do not Brewster 02631 use the return City Zip key. 011—� Mailing address of owner, if different: vt�::4 P.O. Box 3843 Street Addres slPO Box: New Haven CT 06525 City State Zip (203) 312 - 3484 ext. Telephone Number B. Authorized Service Provider J. M. O'Reilly & Associates, Inc. O&M Firm 1573 Main Street - P.O. Box 1773 Street Address Brewster MA 02631 City State Zip 508) 896 - 6601 ext. Telephone Number John O'Reilly 17746 Certified Operator Name Certification Number C. Facility/System Information BREW Sou157-Sep Septitech M3000N DEP ID Manufacturer ID Model Number Unknown January 2016 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence -- used less than 6 mo./year: ❑ Yes ® No D. Operating Information 12/30/20 Inspection Date taken 03-19-20 Sludge Depth {to be checked yearly) t5aiom.doc • rev. 04-11-13 09/24/20 Previous Inspection Date - Pumping Recommended ❑ Yes ® No Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 IIA Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other (specify): Odor: ❑ musty ® earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some 6.5SU 4.0m Ib PH 6&5 10 9 �� 2 or greater Turbidity Odor less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected Per Standard Methods and analyzed for BOD and TSS, F. Sampling Information Samples Taken: ❑ influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ® TN ❑ Other (list below) See attached lab results Other 1 Other 2 G. Inspection and Maintenance Other 3 Description of any maintenance performed since previous inspectlon & during this inspection: Maintenance completed per manufacturer's checklist. Notes and Comments: The system is operating correctly mechanical . t5aiom.doc • rev. 04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true accurate, and complete as of the time of the inspection. I am a Massachusett ce ied r tor in accordance with 237 CMR 2.00. ❑perator ig a Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use — by January 31st of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use — by March 31th of each year for the previous 12 months General Use — by September 301h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc • rev. 04-11-13 Page 3 of 3 ENVIROTECHTABORATORIES, INC AVIA CERT. NO.: M -MA 06.3 8 Jan Sebastian Drive Sandwich, AIA 0256.3 (508)888-6460 1-80#-339-6460 FAX (508)885-6446 hoesday, January 19, 2021 J. hl. O'Reilly & Associates, Inc, 1573 Abrin St., PO Box 1773 Brewsler, MA 02631 ProjectName: Afessier Comments: Project Number. 8082W Sampled By: GJB Lab Order Number: PVW-202608 Date Received: 12130120 All samples were analyzed within the established guidelines of US EPA approved methods with all requirements 11,81, "ales atllenidse amted at the end of a given samples amalyfical results. We certi5 that the following resishs are tare and accurate to Me best ofour khan>ledgc ERL=beloav reportable lin:ifs *see attached By: Ronald J. Saari Laboratory Director Page 1 of 1 al 0 i!3 z 0 0 e m a z 0 0 0 ti .I ll a w 41. m 3 CL C _ & og n o D VC M A s m-1 0.¢) ' a 0 p o N = O W W 1p {� CD o C N [n CW G N Q r h {n. rt N ROUTINE OPERATION AND MAINTENANCE CHECKLIST FOR PERC-RITE DRIP DISPERSAL SYSTEM Address: 255 Robbin's Hill Road, Brewster Homeowner: Hayes Residence ❑perator: Greg Brehm WVVTO Lic #:16149 ] o b #.- 6907VV Date: 12/09/20 HISTORICAL DATA and CURRENT READINGS Previous flow meter reading: 248,632 Design flow: 554 Date of last visit: 12/20/18 Current flow meter reading: 305,800 Calculated water usage: 161.490Po Start-up dose rate Current dose rate ZONE 1: 2,2 GPM 22 GPM ZONE Z: ZONE 3: ZONE 4: FIELD CONDITIONS A. Drip dispersal field: visible wet spots YES ❑ NOH Comments: B. Air release valves: erosion YES ❑ NOD leakage/spraying YES ❑ NOD Comments: PUMP CHAMBER/FLOAT OPERATION A. Floats match pin lights in control panel YESD NO❑ Comments: B. Alarm float working YESp NO❑ Comments: C. Solids or scum present YESD NO❑ Comments: CONTROL PANEL A. Switches in AUTO position YES E] NO❑ Comments: B. Peak Level light on YES❑ Comments: C. Power and Run lights on (microprocessor) YESp Comments: PUMP and VALVE OPERATION A. Pump in HAND position: flow meter running YESO Comments: B. Zones 1-4 (one at a time): flow meter running YES Z dose rate correct YES 0 flush rate > dose rate YES 0 Comments: C. Disc filter back flushing: working properly YES Comments: D. Disc filter inspection: excessive residue YES r❑ cleaning required YES❑ Comments: E. Switches returned to AUTO position YES ❑r Comments: F. RESET/CYCLE START: functioning properly YES ❑r Comments: G. Hydraulic Unit: leaks, crimps, or other issues YES ❑ Comments: SEPTIC and/or PRE-TREATMENT TANKS *No Covers @ grade, did not inspect A. Examine and clean effluent filter: excessive residue YES El Comments: B. Septic tank pumping recommended 1. Sludge depth: 2. Scum depth: Comments: C. Service pre-treatment system Comments: NIA Operator signature — z Comments/Observations: System is operating correctly mechanically. YES ❑ YES ❑ NO❑ NOD NO[-] NO❑ NO❑ NO❑ NOD NO ❑ N O ❑. NO ❑ NO ❑ NO❑ License No. 16149 ROUTINE OPERATION AND MAINTENANCE CHECKLIST FOR PERC—RITE DRIP DISPERSAL SYSTEM Address: 25 Nancy May Path, Brewster Homeowner: Gillespie Residence ❑perator: Greg Brehm WVVTO Lic #:17745 ] o b #: 6507AW Date: 12/09/2020 HISTORICAL DATA and CURRENT READINGS g ; 75,050 Design flow: 330 Date of last visit: 12!20118 Previous flow meter reading-. g Current flow meter reading: 107,240 Calculated Water usage: 90-GSGPD Start-up dose rate Current dose rate ZONE is 1.5 GPM 1.5 GPM ZONE 2: ZONE 3: ZONE 4: FIELD CONDITIONS A. Drip dispersal field: visible wet spots YES ❑ NO El Comments: B. Air release valves: erosion YES ❑ NOD leakage/spraying YES ❑ NOO Comments: PUMP CHAMBER/FLOAT OPERATION A. Floats match pin lights in control panel YESD NO❑ Comments: B, Alarm float working YES[Z] NOF -1 Comments: C. Solids or scum present YES❑ NOE) Comments: CONTROL PANEL A. Switches in AUTO position YES❑r NO❑ Comments: B. Peak Level light on YES❑ NOP Comments: C. Power and Run lights on (microprocessor) YES❑r NO[-] Comments: PUMP and VALVE OPERATION A. Pump in HAND position: flow meter running YES❑ Nd❑ Comments: B. Zones 1-4 (one at a time): flow meter running YES❑J NOD dose rate correct YES ❑ NO ❑ flush rate > dose rate YES p NO❑ Comments: C. Disc filter back flushing: working properly YES E] NOF] Comments: D. Disc filter inspection: excessive residue YES NOE] cleaning required YES NO❑ Comments: E. Switches returned to AUTO position YES ® NO ❑ Comments: F. RESET/CYCLE START: functioning properly YES E] NO ❑ Comments: G. Hydraulic Unit: leaks, crimps, or other issues YES No® Comments: SEPTIC and/or PRE-TREATMENT TANKS *No covers @ grade. Did not inspect. A. Examine and clean effluent filter: excessive residue YES [__1 NO ❑ Comments: B. Septic tank pumping recommended YES ❑ NO ❑ 1. Sludge depth: 2. Scum depth: Comments: C. Service pre-treatment system YES NQ❑ Comments: N/A Operator signaturef License No. 16149 Com m ents/Obse rvati o n s : Took apart and cleaned both backwash check valves. Excessive buildup on one of the disk filters thought to he caused by fainly check valve. one filter did have sandy grit in it, cleaned it 0ut and reinstalled. ROUTINE OPERATION AND MAINTENANCE CHECKLIST FOR PERC-RITE DRIP DISPERSAL SYSTEM Address, 266 Brier Lane, Brewster Date: 121lO/2020 Homeowner: Drake Residence ()perator: Greg Brehm VVVVTO Lic #:16149 ]DLJ #: 8206W HISTORICAL DATA and CURRENT READINGS Previous flow meter- reading: 256 Design flow: 440 Date of last Visit: 2112J20 Current flow meter reading: 17.700 Calculated water usage: 57.95gpa Start-up dose rate Current dose rate ZONE 1: 2,0 GPM 1,7 GPM ZONE 2: ZONE 3: ZONE 4: FIELD CONDITIONS A, Drip dispersal field: visible wet spots YES 0 NO ❑ Comments: Line was cut, repaired during visit B. Air release valves: erosion YES ❑ NOEI leakage/spraying YES ❑ NOD Comments: PUMP CHAMBER/FLOAT OPERATION A. Floats match pin lights in control panel YESD NO❑ Comments: B. Alarm float working YESE] NO❑ Comments: C. Solids or scum present YES[-] NO❑r Comments: CONTROL PANEL A. Switches in AUTO position YES [D NO❑ Comments: B. Peak Level light on YES❑ NO❑ Comments: C. Power and Run lights on (microprocessor) YESD NO❑ Comments: PUMP and VALVE OPERATION A. Pump in HAND position: flow meter running YESM NO[-] Comments: B. Zones 1-4 (one at a time): flow meter running YES 0 NOD dose rate correct YES D NO ❑ flush rate > dose rate YES D NO❑ Comments: C. Disc filter back flushing: working properly YES E] NO❑ Comments: D. Disc filter inspection: excessive residue YES [-I NOD cleaning required YES NO❑ Comments: E. Switches returned to AUTO position YES E] NO ❑ Comments: F. RESET/CYCLE START: functioning properly YES E] NO ❑ Comments: G. Hydraulic Unit: leaks, crimps, or other issues YES ❑ NO❑r Comments: SEPTIC and/or PRE-TREATMENT TANKS A. Examine and clean effluent filter: excessive residue YES ❑ NO ❑ Comments: N/A B. Septic tank pumping recommended YES ❑ NO D 1. Sludge depth: o 2. Scum depth: o Comments: C. Service pre-treatment system YES D NO ❑ Comments: See 11A inspection r port Operator signature License No. 16149 Comments/Observations: Systtm appears to be operating oorrcct y at this time. ROUTINE OPERATION AND MAINTENANCE CHECKLIST FOR PERC-RITE DRIP DISPERSAL SYSTEM Address: 75 Johnson Cartway, Brewster Homeowner: Craig & Carolyn Colgate Operator: Greg Brehm VVV TO. Lic #:15149 Job #: 8520W Date: 12110/2020 HISTORICAL DATA and CURRENT READINGS Previous flow meter reading: 1,162 Design flow: 440 Date of last visit: 12120/19 Current flow meter reading: 12,400 Calculated water usage: 3,.66 gpd Start-up dose rate Current dose rate ZONE 1: 2,2 GPM 2,15 GPM ZONE 2: ZONE 3: ZONE 4: FIELD CONDITIONS A. Drip dispersal field: visible wet spots YES ❑ NO F1 Comments: B. Air release valves: erosion YES ❑ NOE] leakage spraying YES NOD Comments: PUMP CHAMBER/FLOAT OPERATION A. Floats match pin lights in control panel YESD NO❑ Comments: B. Alarm float working YES[] NOR Comments: C. Solids or scum present YESp NO❑ Comments: CONTROL PANEL A. Switches in AUTO position YES NOD Comments: B. Peak Level light on YES[-] Comments: C. Power and Run lights on (microprocessor) YES❑r Comments: PUMP and VALVE OPERATION A. Pump in HAND position: flow meter running YESp Comments: B, Zones 1-4 (one at a time): flow meter running YES D dose rate correct YES ❑ flush rate > dose rate YES r❑ Comments: C. Disc filter back flushing: working properly YES El Comments: D. Disc filter inspection: excessive residue YES ❑ cleaning required YES ❑ Comments: E. Switches returned to AUTO position YES Q Comments: F. RESET/CYCLE START: functioning properly YES ❑r Comments: G. Hydraulic Unit: leaks, crimps, or other issues YES Comments: SEPTIC and/or PRE-TREATMENT TANKS IVO❑ NO❑ NOD NO❑ NOD NOD NO❑ NO ❑ N O ❑r *No covers @ grade. Did not inspect. A. Examine and clean effluent filter: excessive residue YES NO ❑ Comments: B. Septic tank pumping recommended YES ❑ NO ❑ 1. Sludge depth: 2. Scum depth: Comments: C. Service pre-treatment system YES ❑ NO[-] Comments: N/A Operator signature License No. 16749 Comments/Observations: System appears to be operating correctly at this time ROUTINE OPERATION AND MAINTENANCE CHECKLIST FOR PERC-RITE DRIP DISPERSAL SYSTEM Address: 19 Cedar Hill Rd, Brewster Homeowner: Neumann Residence Operator: Greg Brehm, WINTO Lic #:16149 Job #: 6518AVV Date: 12/10/2020 HISTORICAL DATA and CURRENT READINGS Previous flow meter reading: 59,154 Design flow: 330 Date of last visit: 11/26/19 Current flow meter reading: 64.340 Calculated water usage: 13-68 GPO Start-up dose rate Current dose rate ZONE 1: 2-14 GPM 1-8 GPM ZONE Z: ZONE 3: ZONE 4: FIELD CONDITIONS A. Drip dispersal field: visible wet spots YES ❑ NO L] Comments: B. Air release valves: erosion YES ❑ NOD leakage/spraying YES ❑ NOF Comments: PUMP CHAMBER/FLOAT OPERATION A. Floats match pin lights in control panel YESM NO❑ Comments: B. Alarm float working YES[Z] NO❑ Comments: C. Solids or scum present YES[] NOF Comments: CONTROL PANEL A. Switches in AUTO position YES❑r NO❑ Comments: B. Peak Level light on YES❑ NOD Comments: C. Power and Run lights on (microprocessor) YES❑r NO❑ Comments: PUMP and VALVE OPERATION A. Pump in HAND position: flow meter running YES❑ NOD Comments: working correctly 6. Zones 1-4 (one at a time): flow meter running YES 0 NO❑ dose rate correct YES 0 NO ❑ flush rate > dose rate YES ❑r NO❑ Comments: C. Disc filter back flushing: working properly YES ® NO[] Comments: D. Disc filter inspection: excessive residue YES ❑ NOD cleaning required YES ❑ NOS Comments: checked filter, clean E. Switches returned to AUTO position YES p NO ❑ Comments: F. RESET/CYCLE START: functioning properly YESEj NO ❑ Comments: G. Hydraulic Unit: leaks, crimps, or other issues YES NO❑r Comments: SEPTIC and/or PRE-TREATMENT TANKS 'No covers @ grade. Did not inspect. A. Examine and clean effluent filter: excessive residue YES❑ NO ❑ Comments: B. Septic tank pumping recommended YES ❑ NO ❑ 1. Sludge depth: 2. Scum depth: Comments: C. Service pre-treatment system YES NO[-] Comments: N/A Operator signature License No. W49 Comments/Observations: System is ❑perating correctly mechanically. Tammi Mason From: Robin Young Sent: Tuesday, March 2, 2021 1:54 PM To: Colette Williams; Jayanne Monger; Amy von Hone; Sherrie McCullough; Tammi Mason; Meg Morris - Recycling Cc: Peter Lombardi Subject: Implementation of Plastic Bag Ban beginning July 1, 2021 Good afternoon, Please be advised that the Brewster Select Board discussed and voted to implement the town wide Plastic Bag Ban beginning July 1, 2021 at their March 1, 2021 meeting with a unanimous 5 -Yes 0- No vote. If you have any additional questions please contact me at your convenience. Thank you, Robin A. Young Executive Assistant To the Town Administrator Town of Brewster 508-896-3701 x1100 Effective December 24 2020, until further notice: Based on current public health data, Brewster Towyn Offices will be CLOSED TO THE PUBLIC. The Town Administration staff are working remotely, and will continue to respond to phone messages and email communications promptly. if you need assistance, please coil (508) 896-3:01 ext. 1100 and or email at ry7!Tbrewster-ma.gov. For the latest updates on Towyn services, please visit www.brewster-w,7.goov. Thank you for your continued understanding and cooperatio;7.