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r D : SoF �_,_'DER'g ..p �3Z rn ❑ N .-Board -Board of Health Penny Holeman Annette Gramewski Joe Ford Jeannie Kampas Kimberley Cracker Pearson 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 BOARD OF HEALTH MEETING AGENDA 2198 Main Street April 6, 2022 at 7:00PM Pursuant to Chapter 20 of the Acts of 2021, this meeting wlII be conducted in person and via remote means, In accordance with applicable law, This means that members of thePublic body may access this meeting in person or via virtual means. No in-person attendance of members of the public will be permitted, and public participation in any public hearing conducted during this meeting shall be by remote means only. Members of the public who wish to access the meeting may do so In the following manner: Phone: Call (301)715-8592 or (312)626-6799. Webinar ID: 820 4394 4509 Passcode: 979174 To request to speak: Press *9 and wait to be recognized. Zoom Webinar: https://usD2Web.i0om.usfi182043944509?pwd=MytpM2kvUExKbU1RSOhmM41Zb3dC)Zz09 Passcode: 979174 To request.to speak: Tap Zoom "'Raise. Nand", then waft to be recognized. When required -6 Y_ law or allowed by the Chair, persons wishing to proviae publlccomment or otherwise participate in the meeting, may do so by accessing the meeting remotely, as noted above. Additionally, the meeting will be broadcast live, in real time, via live brandcust (Brewster Government TV Channel 18), [ivestream (lives tream.brews ter-ma.gov) or Video recording (tv.brewster-ma.go,d) 1. Call to Order .2.. Chairman's announcements 3. Citizens forum: Members of the public may address the Board of Health on matters not on the meeting agenda for a maximum 3$ minutes at the Chair's discretion. Under Open Meeting Law, the Board of Health is unable to reply but may add items presented to a future agenda 4. Aruidal W a -s- fe w 61 f Tieatrh.ent Facility reports: a. Maplewood of Brewster -820 Harwich Road b. Pleasant Bay Health.& Living Centers -- 383 South Orleans Road 5. Ryder & Wilcox -- Local and State variance requests for 399 Bakers Pond Road 6. Discuss Brewster Conservation day 7, Liaison Reports 8. Matters not -reasonably anticipated by the Chair 9. Items for next agenda 10. Next meeting: April 20, 2022 11. Informational items: a. Monthly report for Maplewood at Brewster b. Monthly report for Serenity at Brewster (formally Wingate) C. Monthly report for Kings Landing d. Routine Inspection form for 7-9 Thousand Oaks Drive e. Routine Inspection form for 39 McGuerty f. Inspection form for White Rock Commons g. Information on Hazardous Wilste Days h. MBCC's Statewide Against the Tide Athletic Fundraising Event L Recommendations for people with Covid-•19 and Covid-19 close contacts j. Covid cases update 12. Adjournment Date Posted: Date Revised: 3/31/2022 1101eserverI6lydocuments$ltraasonMesktoplA.genda temp late. docx r•, V` '1; Receiv4 by Town Clerk: February 9, 2022 Joe Smith NSU Water 1573 Main Street Brewster, MA 02631 Re: Maplewood of Brewster Dear Mr. Smith: Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 0263 1-1 89 8 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 Brhealth Brewster -ma. ov W W W.BREWSTER-MA.GCV Health Department Amy L. von Hone, R.S., C.H.Q. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Pursuant to Section 7.00 (Reporting of all SWWTF`s and Wastewater Treatment Facilities that discharge over 10,000 gallons per day) of the Design, operation and Maintenance Regulations for Small Wastewater Treatment Facilities, the Board of Health has requested that you attend (remote participation meeting) their meeting on March 16, 2022, at 7:00PM to discuss the facility's performance and other pertinent issues. Please submit an annual written report that summarizes operating results, plant status, problems experienced and any plan modification necessary to this office no later than March 10, 2022. Please confirm the date and time with this office. Sincerely, Tr�YY�1'� f�GDD� Tammi Mason Senior Department Assistant Brewster Health Department RECEIVED EAR 1 /� f2] BREWSTER I IEALTF{ DEPARTMENT K10842DAX. WW.700 Thursday, March 3, 2022 Amy Von Hone, Health Director Brewster Board of Health 2198 Main Street Brewster, MA 02631 RE: BIOCLERE MBBR WASTEWATER TREATMENT PLANT 2020 ANNUAL SUMMARY Groundwater Discharge Permit # SE 951 -0 Maplewood at Brewster, 820 Harwich Road — Brewster, MA Dear Ms. Von Hone, BENNETT ENVIRONMENTAL ASSOCIATES, LLC (BEA) continues to be retained by Maplewood at Brewster since the Wastewater Treatment Plant operation began in January 2016. BEA is responsible for the wastewater treatment plant operation and maintenance duties, and for maintaining compliance with permit requirements, including but not limited to, fulfilling sampling program requirements and monitoring groundwater quality. The following annual report has been prepared to summarize the 2021 sampling results, any treatment operation issues experienced, and modifications made, as well as the overall treatment plant status. Compared to 2020 operations, the wastewater treatment plant has improved in overall performance and is meeting Massachusetts Department of Environmental Protection (MA DEP) Groundwater Discharge Permit limitations more consistently. During the 2021 period, there were four total groundwater discharge permit exceedances. In April 2021, the Total Suspended Solids (TSS) and Biological Oxygen Demand (BOD) samples collected exceeded the effluent discharge limit of 30 mg/L. The effluent BOD sample collected in June 2021, also exceeded the discharge limit. In July 2021, the effluent Total Nitrogen sample exceeded the discharge limit of 10 mg/L. All resamples collected for these parameters met groundwater discharge permit limits, demonstrating the system returned to compliance. In 2020, BEA was retained by the owner of Maplewood. at Brewster to conduct an engineering evaluation of the entire treatment system. Recommendations for changing the carbon source along with additional process adjustments were made to meet discharge limitations more regularly. Refer to Chart I below to see compliance progress made between the 2020 and 2021 monitoring periods. 2020 2021 TSS: Percent Under 30 mgAL 75% 92% TSS: Average Concentration 35.62 mgLL 19.39 m IL MAPLEWOOD AT BREWSTER/K10842DAX'6'VW.700 BOD: Percent Under 30 m IL 42% 83% BOD: Average Concentration 47.33 m 17.79 m TN: Percent Under 10 m 1L 67% 92% TN: Average Concentration 9.06 m /L 6.78 rn Chart 1 While effluent discharges have improved, BEA will continue to monitor performance and further evaluate and recommend plant modifications for future implementation to consistently meet Groundwater Discharge Permit limits. Regular scheduled and routine maintenance, including pumping of the tanks, inspecting blower Components, and other electrical and mechanical components of the system was performed during the 2021 operation period. Based on the results of the monthly effluent laboratory analysis, and the regularly scheduled and routine maintenance performed during the 2021 operation period, it is the opinion of BEA that the wastewater treatment system servicing Maplewood at Brewster has improved but is not consistently meeting the MA DEP Groundwater Discharge Permit limitations. Very Truly Yours, uperatlons supervisor .SSOCIATES, LLC. Brian Fortin Lead Operator 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. Eased on my inquiry of 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 there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Encl. influent & Effluent Analysis Charts [BOD, TSS, & Total Nitrogen] cc: Branham Foley, Facility Manager -- Maplewood at Brewster [via email] Adam. Stern, PE, Natural Systems Utilities [via email] Maplewood at Brewster 2021 Year in Review DATE LOCATION DESCRIPTION 1/28/2021 Monthly Tasks Test auto -dialer operation, calibrate on-site pH meter, exercise Completed valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. 2/25/2021 Monthiyiasks Test auto -dialer operation, calibrate on-site pH meter, exercise Completed valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. 3/25/2021 Monthly Tasks Test auto -dialer operation, calibrate on-site pH meter, exercise Completed valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. 4/22/2021 Monthly Tasks Test auto -dialer operation, calibrate on-site pH meter, exercise Completed valves and solenoids, flush bicarb feed lines, test and exercise ala thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. 5/28/2021 Monthly Tasks Test auto -dialer operation, calibrate on-site pH meter, exercise Completed valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. 5/29/2021 • Monthly Tasks Test auto -dialer operation, calibrate on-site pH meter, Completed exercise valves and solenoids, flush bicarb feed lines, test ■ Tank Pumping and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. • Robert B. Our pumped out 10,000 gallon out of Eq Tank & Scum Skim. 7/27/2021 • Monthly Tasks • Test auto -dialer operation, calibrate on-site pH meter, Completed exercise valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. 8/24/2021 Monthly Tasks Test auto -dialer operation, calibrate on-site pH meter, exercise Completed valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually Inspect and test operation of all mechanical components in to n ks. 9/21/2021 ■ Monthly Tasks • Test auto -dialer operation, calibrate on-site pH meter, Completed exercise valves and solenoids, flush bicarb feed lines, test ■ Pump Install and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. ■ New EQ lift pump installed 10/19/2021 Monthly Tasks Test auto -dialer operation, calibrate on-site pH meter, exercise Completed valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in to n ks. 11/30/2021 Monthly Tasks Test auto -dialer operation, calibrate on-site pH meter, exercise Completed valves and solenoids, flush Bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. 12/28/2021 Monthly Tasks + Test auto -dialer operation, calibrate on-site pH meter, Completed exercise valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. m a Z [CO m trC tz :3 :3 C Qr rr C .tel ❑ 4 ;,3 m CD no W W A v7 A Ln Lrr CD Ln Lnrn V C fll [n cr po N 0 W o OD a Y o N C Ln 0 N 0 a 0 0 N 0 0 0 CD TO w rr to V � In p co O W A � 0 0 Q rD W 7 r+ m LO NY N Cr1 N H L n N N N y W W ❑ 4p m Y Ln Y W {p LA l.Q � r -F m n 2 5 Ln V W j1 V LnrD V d1 .p W Y ❑7 -1 .P Q1 N W m V rr z Z m W N d Y W N N w d Wj MN Ln co m Ln W rte+ N 5 W Y W w O Y Y w FA N 0 V w N Y Y V W F. m 4P 4P Lri N }' C 0 0 0 0 0 °O 0 o a o 0 0 V r -r m VCn V Z V A (JS N A N N Y V N W ❑ Cp W Y W Y CO 07 V � L7 r -r m n M a n G'] 0 Z z Z Z Z Z 2 Z Z Z Z Z 0❑ Q Q Q d Q D Q Q d O ❑ rb Ln R� rt m 2 o Z 0 Z Z 0 z z z Z z N— Q w ❑ ❑ Ili Q Q L7 Q 0 N r F� 7 rh M @ m 2 W N W N V Y ❑ ❑ ❑ ❑ >� C7l M r�F � r+ f0 a N w N N Y CP l0 O7 [T Ul+ VLJl w L37 W O1 l.O O] m N H N l71 D] Q a C rP Z W a 4 [7 0 a a O 0 a 0 a rt m Z rn N W WLfl s' W Fn p 51,p W rt a W N Ln 0 Y Y DVo w a u1 N i y N m V i� Ln 3 Q 0? r+ �3 m T Y L7] ¢1 W W LU d m C N Ln m LP m E- =r N ❑ Y VlZW t W m m Concentrations mg/L Ln o � a w n a o 0 o a o o a c C7 `T1 ro 51 [}i A w Q N a ro m I --i ro r�r a 3 Y Cr m n❑ M � t rr ro rrz C ro O r ro a ro n rp tr ro ocar, 0 0 5 h ro r+ m Til r -F D ri- �i V] [n f� CD 0. Ln Q N -C Ln Concentration mg1L a o 0 o a o a a S o v p � � p o o a m` GLn Y N C V p d -r� @ s 2 m p Ai I 'n a � � v Q —r, r r* Ra m rD r+ co D 0 Q1 G7 Cn� Concentration mg/L o p q� po o N 0 o a o 0 0 0 C w m m a 0 i I e � February 9, 2022 Joe Smith NSU Water 1573 Main Street Brewster, MA 02631 Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 Re: Pleasant Bay Health & Living Centers Dear Mr. Smith: PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.8 538 brhealthgbrewster-may W W WBREWSTER-MA.GOV Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Pursuant to Section 7.00 (Reporting of all SWWTF`s and Wastewater Treatment Facilities that discharge over 10,000 gallons per day) of the Design, Operation and Maintenance Regulations for Small Wastewater Treatment Facilities, the Board of Health has requested that you attend (remote participation meeting) their meeting on March 16, 2022, at TOOPM to discuss the facility's performance and other pertinent issues, Please submit an annual written report that summarizes operating results, plant status, problems experienced and any plan modification necessary to this office no later than March 10, 2022. Please confirm the date and time with this office. Sincerely, HAOaL Tammi Mason Senior Department Assistant Brewster Heaith Department RECEIVED MAR 14 2022 {3REW ITER HEAL'T'H Uf f'AF'1 A/TENT Wednesday, March 9, 2022 Amy Von Hone, Health Director Brewster Board of Health 2198 Main Street Brewster, MA 02631 K47810DA.X.WW.700 RE: AMPHiDROME WASTEWATER TREATMENT PLANT 2024 ANNUAL SUMMARY Groundwater Discharge Permit # SE 746-1 Pleasant Bay Health and Living Centers. 3 83 South Orleans Road — Brewster, MA Dear Ms. Von Hone, BENNETT ENVIRONMENTAL ASSOCIATES (BEA), LLC., continues to be retained by Pleasant Bay Nursing and Rehabilitation Center and The Woodlands at Pleasant Bay (collectively known as Pleasant Bay Health and Living Centers) since treatment operation began in December 2007. BEA is responsible for the Wastewater Treatment Plant operation and maintenance duties, and for maintaining compliance with permit requirements, including but not limited to, fulfilling sampling program requirements and monitoring groundwater quality. The following annual report has been prepared to summarize the 2021 sampling results, any treatment operation issues experienced, and modifications made, as well as the overall treatment plant status. During the 2021 operating period, the above referenced facility exceeded the total nitrogen groundwater discharge permit limit of 10 mg/L during two sampling events that took place on July 15, 2021, and October 6, 2021. Results from these sampling events are detailed in that attached report. Subsequent resampling for total nitrogen took place on July 29, 2021, and October 26, 2021, and reported results of 0.555 mg/L, and 0.761 mg/L, respectively, demonstrating the system returned to compliance. Total nitrogen concentrations were reported at or below 5.0 mg/L in 16% of the effluent samples collected with an average total nitrogen concentration of 8.04 mg/L for the 2021 monitoring period. All other parameters subject to permit limitations under SE 746-1 were reported below their respective limitations throughout 2021. As such, it is evident the treatment plant continues to provide excellent treatment and operates to design specifications. Regularly scheduled and routine maintenance, including pumping of tanks, maintenance of UV components, and inspections of blower components, and other electrical and mechanical components of the system was performed during the 2021 operating period. Based on the results of the monthly effluent laboratory analysis, and the regularly scheduled and routine maintenance performed during the 2021 operating period, it is the opinion of BEA that the wastewater treatment system servicing Pleasant Bay Health and Living Centers continues to perform optimally. MARCH 12, 2021 PAGE 2 OF 2 Very Truly Your BENNETT ENRONMENDkL ASSOCIATES, LLC. PLEASANT BAY/ K47810DA.X, W W.700 BREWSTER BOH 2020 ANNUAL SUMMARY oseph Smith Brian R. Fortin Operations Supervisor Lead Operator I certify under penalty of lase 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 those persons directly responsible for gathering the information, the information submitted is, to die best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Encl. Influent and Effluent Analysis Charts [BOD, TSS and Total Nitrogen] Cc: Chris Hannon, Director of Operations, Pleasant Bay Health and Living Centers [via email] Steve Colarusso, Facility Director, Pleasant Bay Health and Living Centers [via email] Adam Stern, PE, Natural Systems Utilities [via email] Pleasant Bay / Woodlands 2021 Year in Review DATE LOCATION DESCRIPTION 1/18/2021 Monthly Tasks Test auto -dialer operation, calibrate on-site pH meter, exercise Completed valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. 2/17/2021 Monthly Tasks Test auto -dialer operation, calibrate on-site pH meter, exercise Completed valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. 3/17/2021 Monthly Tasks Test auto -dialer operation, calibrate on-site pH meter, exercise Completed valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. 4/28/2021 Monthly Tasks Test auto -dialer operation, calibrate on-site pH meter, exercise Completed valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. 5/27/2021 Monthly Tasks Test auto -dialer operation, calibrate on-site pH meter, exercise Completed valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. 6/28/2021 • Monthly Tasks + Test auto -dialer operation, calibrate on-site pH meter, Completed exercise valves and solenoids, flush bicarb feed lines, test • Tank Pumping and exercise all thermal overloads in control panels and ■ Blower blowers, visually inspect and test operation of all Maintenance mechanical components in tanks. • Robert B. Our pumped out 20,000 gallon out of Anoxic Tank 42 & Influent Pump Chamber. • All blowers oil changed, belts checked and correct tension and replaced if needed. 7/1/2021 ■ Monthly Tasks ■ Test auto -dialer operation, calibrate on-site pH meter, Completed exercise valves and solenoids, flush bicarb feed lines, test Tank Pumping and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. • Robert B. Our pumped out 5000 gallons out of Anoxic Tank #1. 8/16/2021 ■ Monthly Tasks • Test auto -dialer operation, calibrate on-site pH meter, Completed exercise valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. + HMI Touch screen not functioning properly replaced power supply, Touch screen faulty working on replacing with new screen. 9/22/2021 Monthly Tasks Test auto -dialer operation, calibrate on-site pH meter, exercise Completed valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. 10/22/2021 + Monthly Masks • Test auto -dialer operation, calibrate on-site pH meter, Completed exercise valves and solenoids, flush bicarb feed lines, test • Sludge Judging and exercise all thermal overloads in control panels and • Tanks Pumping blowers, visually inspect and test operation of all mechanical components in tanks. ■ Sludge Judging completed of Anoxic Tanks. • Robert B. Our pumped out 5000 gallons out of Anoxic Tank #1. 11/18/2021 Monthly Tasks Test auto -dialer operation, calibrate on-site pH meter, exercise Completed valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in to n ks. 12/30/2021 • Monthly Tasks • Test auto -dialer operation, calibrate on-site pH meter, Completed exercise valves and solenoids, flush bicarb feed lines, test and exercise all thermal overloads in control panels and blowers, visually inspect and test operation of all mechanical components in tanks. • Robert B. Our pumped out 5000 gallons out of Anoxic Tank #1. z O q z m m n rD Ln Z � h n e ❑ � A a a` 3 O O 4 O 6 O o O O O O 7 y cn m Ln A W 4 t.DO 00 Ln A W m C O O O O 4 0 O O O D 0 O O D rD W N Q O 4 A m [mO W o 4 p 3 rDD z cn z z 2 2 r z 2 z z z ❑ N ❑ a O ❑ N a a ❑ v ❑ fCp 3 .f O W O O O O O O O O O M p 1 W G W lHO Y V V Ih1 w U, M W 00 3 .r A CC) VA 4 V O W N O N W O Y 00 O 00 O O N W00 O 0 O F+ 00 O N in O 7 r_ j rt z z z z z DD m W O C7 [7 v Q w ❑ m oo Cl i--• G r o Y a ° k. o �R F+LO o A `D Y o � H a LD to LO yml n m � z z z z z z z z z z z z o v Q v v a n v❑ a❑❑ v ro K W � z ,aN o o o tQ a a o C O o o f m W V m A W to Ln 00 p P W W m ' z •�' 00 Vn to UD W A LD W V 01 00 N (D d O O N m N O O Ih7 m Ln N W 6) V O 00 Q1 Q1 N W H Ln V V1 A W C [D x z O O $ O O A o O O O sn o ❑ m � W V N [n V 61 l!1 Y Q1 lf1 O 00 61 Lo = p1 � y m Ln v fn v Q 4 "' m T m Lo" rn o rt ro a [.fT [¢ Lp V V N O V ID :3 rr p � N .p N fn c S 000 D7 631 pNp W 9 w p Z S A 00 00 A Ln Ln N Sn r Q1 W LTA V In W Vi N O1 N A W A W A k- E- (D Z, m ID CD 0 0 0 0 Cancentratians rng/L LU .p [n m -f 00 to O d o a o a o d a a a I � ro rD 1 rD 1 m c ro �r a r ro ro 3 rr ro 0 M M ti Z ❑ m ro 3 Cr ro v to n ro 3 6 Z5 RO m 0 r+ v rD CL rD CL V) a n� Ln Y d Concentration mg1L 0 00 O o a o 0 o a o N 0 00 O O O Z G 7 N Concentration mg/L N N A Cll C7 O W Ln H H N N Q P Z 0 m rD 11 rri 73 r+ RyAr &Wilcox SUP,VEYING • ENGINEEMNG HOME PLANNING & DESIGN March 22, 2022 Board of Health 2198 Main Street Brewster, MA 02631 REG EI ED 2.32_ 3 2022 Eif3[ E- AR1TrJFNTLi'H Re: 399 Bakers Pond Road (Assr's. Map 136, Parcel 7) Dear Board Members: 3 GIDDIAH HILL ROAD • P.O. BOX 439 SO, ORLEANS, MASSACHUSETTS 02662-0439 TEL: 508.255.8312 FAX: 508.240.2306 EMAIL: infb@ry&r-wilcox.com On behalf of M. Ann Davis and Frank Schroth, I would like to request you schedule a hearing to consider a request for variances from 310 CMR 15.00 The State Environmental Code Title 5 and Brewster Board of Health regulations. The variances are being requested to allow the installation of a new soil absorption system ("SAS") on the property. The property is a 5.1+1- acre lot. Approximately 3.1 acres are subject to a Conservation Restriction. The remaining 2 acres (89,000 +1- SF) are unrestricted, and abut Bakers Pond. There is an existing four- bedroom dwelling and several outbuildings. The existing septic system, installed in 1989, consists of a 1000 -gallon septic tank, distribution box and leaching pit. The home is served by an on-site well. The property was recently sold. Prior to the sale, the septic system was inspected. The inspection revealed that the leaching pit showed signs of hydraulic failure. (See attached Voluntary Title 5 Inspection Report.) The new owners have assumed responsibility for replacing the leaching pit with a new SAS. Due to the sloping topography, combined with the proximity of the existing well, the proposed SAS is located less than 300 feet from Bakers Pond and greater than 36" below finished grade. Locating the SAS greater than 300 feet from the pond and no more than 36" below finished grade would require the installation of a pump system, at significant additional cost. It should be noted that the bottom of the proposed SAS is approximately 70 feet above the pond level. The proposed SAS and distribution box will be H20 -rated and the SAS will be vented in accordance with 310 CMR 15.405 (1) (b). The proposed SAS, as shown on the attached "Proposed On-site Sewage Treatment and Disposal System", complies with Title 5 and with all Board of Health Regulations with the following exceptions: The proposed distribution box is located approximately 6' below finished grade (3' variance from 310 CMR 15.221 (7)). The proposed soil absorption system is located approximately 6' below finished grade (3' variance from 310 CMR 15.221 (7)). The proposed soil absorption system is located approximately 258' from Bakers Pond (42' variance from the Brewster Board of Health Leaching Facility Setback regulation. I have included six copies of the Application for Board of Health Variances, Site Plan, floor plans, a locus map, list of abutters, abutters' notification form, and a check for $75.00. Please feel free to contact this office if you require any additional information. Sincerely, Stephanie J. Sequin, cc: Davis/Schroth .lob #3610 Voluntary Title 5 Inspection Report Performed by C.S. I. Inspections Cape Septic Inspections Michael Bisienere 52 Rivers End Road Teaticket Ma. 02536 508-280-3356 Septici nspectormi ke@ aol.com Ma. Septic Inspector Lic. 513839 Ma, Wastewater Lic.12979 Property Address: 399 Bakers Pond Rd, Brewster I performed a voluntary Title 5 inspection on 05/14/2023. This 3 bedroom home has an H-10 1000 gallon septic tank with an H-10 D -Box feeding a precast leaching pit with stone. At time of the inspection: the outlet baffle of the septic tank had signs of decay and if the Brewster Health Department allows, I recommend installing a PVC tee to replace the baffle. Also the precast leaching pit had a visible stain line above the inlet pipe. In Brewster this is a failure criteria. Also the discharge cover and the D - Box cover are not within 6" of finished grade. At the time of the inspection the leaching pit was dry and passes the State code of Title 5, but in this condition I cannot issue a passing Title 5 Inspection Report. Any questions please feel free to call me at any time. W11:?" 7 Owegene 508-280-3356 "wa TOWN OF BREWSTER OFFICE of 219$HEALTHDFPARTMENT 119[A>kv ,S'T'REET _ t i BRE.WSTER, MA 02631 ° — PxoNE: (508) 896-3701 ExT 1124 FAx: (508) 896-4538 a BRHEALTH BREWSTER-WA_.GOV +F1lV W .BRE W s TER -MA. Gfly Received: 41.3 7,2- Paid: _ Application for Board of Health Variances Abutter headline: 4Ito I ri49 ❑ln-House Local Upgrade Approval WPublic Hearing Date: March 23, 2022 SUBJECT PROPERTY ADDRESS: 399 Bakers bond Road Map: 136 Parcel: 7 Book. 34466 page: 98 and 102 LC Certificate: LC Pian: Lot: Name of Applicant: Frank D. Schroth and M. Ann Davis Mailing Address: 399 Bakers Pond Road Brewster, MA 02631 Telephone # 617-470-4834 Email: Annie_Davis@hotmail.com Owner(s) of Record : Same as Applicant Mailing Address: Design Engineer/Sanitarian: Stephanie J. Sequin, P.E, Firm/Company fame: Ryder & Wilcox, Inc. Mailing Address: Box 439 S. Orleans, MA 02662 Telephone #: 548-255-8312 Email address: stephania@ryder-wilcox.com Signature.' LA�-'�`- Applicant or Engifieer New Construction ❑ Voluntary Upgrade ❑ Add ition/Alteration ❑ Failed system ©Real Estate Transfer 10 Design flow of existing system: 440 GPD Design flow of proposed system: 440 GPD Total sewage flow of site: 440 GPD Conservation Commission approval required: yes ❑ Order of Conditions/Det. Of Applicability attached 0 . t► Reason for failure: Hydraulic failure of leaching pit Total lot size (sf): 89,000 t!_ SF Date of ConCom hearing: 1 :.-7. —0 f— 7nA 1 rwni rnAmC i' nrldt chaaf'C if nppdPCll TITLE 5 Sec. #: Description of Variance(s) 15.211 (7) Proposed distribution box to be 6' below finished grade. (3' maximum allowed, 3' variance requested) Proposed soil absorption system to be 6' below finished grade. (3' maximum allowed, 3' variance requested) Brerrrster Re . #: Description of Variance(s) Leaching Facility Proposed soil absorption system to be located 258'+/ -from Bakers Pond. Setback (300' minimum required, 42' variance requested) Approved by: Date: Health Department N:1Health\BOH regsUaHouse Septic Local Upgrade Approval 201%Vari ance app licat ion KNAL NONFILLABLE FORM 12.18.19.doex CERTIFIED MAIL RETURN RECIEPT REQUESTED BREWSTER BOARD OF HEALTH PUBLIC HEARING NOTICE Date: March 23, 2022 R,8. 399 Bakers Pond Road Map: 136 Lot: 7 Subject Address Dear Abutter: A public hearing has been scheduled for the Brewster Board of Health to take action on an application for variances from the regulations of the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Brewster Regulations for Subsurface Disposal of Sewage. The following variances are requested: List of all variances from State and Town Codes - �=_ ] r ?' .- { Ah- v 310 CMR 15.221(7) Proposed distribution box to be 6' below finished grade. (3' maximum allowed, 3' variance requested) Proposed soil absorption system to be 6' below finished grade. (3' maximum allowed, 3' variance requested) - _# - _ • . :_:_ _Descri tion of variances ';: - - _ - _ - -. _ _ - - - � - - - - - _ ---- Leaching Facility Proposed soil absorption system to be located 258'+/- from Bakers Pond. Setback (300' minimum required, 42' variance requested) Note: The meeting will be conducted via remote means. Members of the public may access the meeting via virtual means. Information regarding remote access will provided on the Town of Brewster website prior to the meeting. Said hearing will be held at the Brewster Town Offices, 2198 Main Street, Brewster, on April 6, 2022 at 7:00 p.m. The application and plans are available for review at the Brewster Health Department, Brewster Town Offices, 2198 Main Street, Brewster, MA, Monday through Friday (excluding holidays) from 8:84 a.m. to 4:00 p.m. Sincerely, ApplicarAt/RepresentWtivie u CC: Brewster Health Department N.,\Health\BOH regs\1nHouse Septic Local Upgrade Approval 2019`,Pubiichearingabuttemotification NaNFILLABLE rORM 12.11.19.docx Certified by'.. gR�w�Ts TOWN OF BREWSTER, MA o a dames M. (jailagher, MAA BOARD OF ASSESSORS 2198 Main Street Brewster, MA 02631 Deputy Assessor v RF�1�Fh Abutters list Within 65 feet of Parcel 1361710 1371811/0 0 BAKERS PON 0. ROAD 136Li 6/0 _ 61; BAKERS PO 1361810 I T!O 0 BAKERS POND,$ t AP D. R AD i AW... 400 BA S P®rp s DAD 300 0 300 ft Key Parcel ID Owner Laea[ian MaT1199 3freed _ M.WA Cd ST Zi CdlCaunt 4981 128-6-0-E 0REWSTERTOWN OF 0 BAKERS POND ROAD 2198 MAIN STREET BREWSTER MA 0201 (31-61) CONSERVATION COMMISSION 4992 136-7-0-R SCHROTH PRANK D & DAVIS M ANN 3S9 BAKERS POND ROAD 39 AVALOi 1 ROAD MILTON MA 02186 (31.52) 4969 13641-0-E BREWSTER TOWN OF 4 BAKERS POND ROAD 2198 MAIN STREET BREWSTER MA 026311 (3133) CONSERVATION COMMISSION 4968 136-16-0-R JONES SUZANNE S 361-357 BAKERS POND ROAD BOX 667 ORLEANS ?4d\ 02653 (3132) 4993 136-17-0-R DAVIS RICHARD W & DEBORAH E 431 BAKERS POND ROAD P O BOX 887 ORLEANS MA 02653 (31-63) 14848 136-18-0-E BREWSTER CONS ERVATIONTRUST 400 BAKERS POND ROAD REAR 36 RED TOP ROAD BREWSTER MA 02631 (31-02) TRUSTEES 4963 137-61-0-E BREWSTER TOWN OF 0 BAKERS POND ROAD 2198 MAIN STREET BREWSTER MA 02531 (3130) CONSERVATION COMMISSION 8!912022 Page Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896A538 brhealth abrewster-ma_v W W W.BREW STER-MA.GOV AGENDA ACTION ITEM FORM BOH Variance Agenda Item In -House Local Upgrade Approval ❑ Other: C Health Department Amy L. von Hone, R.S., C.N.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Board of Health Meeting Date: April 6, 2022 Project Location: 399 Bakers Pond Road Map & Parcel: 13617 Owner's Name & Address: Frank D. Schroth and M. Ann Davis 39 Avalon Road Milton, MA 02186 Applicant: same as above Date Requested: March 23, 2022 Title 5 Variance Request: Yes® No Board of Health Variance Request: Yes® No❑300' Wetland Setback Other: Yes❑ No❑ 1. In Zone II, DCPC, and Well Water 2. In ESA— existing building and septic system within 300' of Bakers Pond 3. Existing septic system in hydraulic failure Health Director's Comments and Recommendations: 1. The property consists of a 4 -bedroom dwelling with a 1989 Title 5 septic system consisting of a 1000 -gal septic tank, distribution box, and a leach pit approved for 4 -bedroom capacity. The property borders the westerly side of Bakers Pond and consists of a 5.1 +1- acre parcel of which 3.1 acres are subject to a Conservation Restriction. The existing leach pit is approximately 273'+1- from the closest edge of the pond. The current septic system is in hydraulic failure per a voluntary inspection conducted for a recent property transfer. The applicant is proposing to upgrade the failed system to a maximum feasible compliant Title 5 system. The proposed septic system will consist of the existing 1000 -gal septic tank, an H2O distribution box, and an H2O leaching facility comprised of leach chambers with stone with a maximum capacity of 4 bedrooms. N-.\Health\BOH Meeting Note slBOH Hearing Notes1399 Bakers Pond Rd M136L7 Agen da- Variance Action Item Form 03.28.2022.doex 2. Map References: - Cape Cod Water Resources Classification Map 1, 6/18/2010 (Map referenced in approved BOH Regulation Regarding Variance Requests for On -Site Sewage Disposal System Applications): lot and septic system are located within the Freshwater Recharge Area. - Septic System Buffers and Groundwater Flow Directions near Brewster's Ponds, 1/26/2016 (Map referenced in Draft BOH Regulation of Sewage Disposal Systems to Protect Surface Waters and Pond Water Quality, 2016): the lot and septic system are located within proposed septic system setback delineated boundary. Draft regulation not currently approved by BOH. Septic system pre-existed draft regulation and map. - Water -Table Map of Brewster and Harwich, 1987 (Map referenced in approved BOH Regulation Regarding Variance Requests for On -Site Sewage Disposal System Applications): septic system located upgradient of southwesterly end of Bakers Pond. 3. Proposed Variances: a. Title 5, 15.211 (7): Maximum Feasible Compliance: i. 3' variance request, proposed leach facility to be 6' below grade ii. 3' variance request, proposed distribution box to be 6' below grade b. Town of Brewster, Leaching Facility Setback: i. 42' variance request, proposed leach facility to be 258' from the closest edge of Bakers Pond per Leach Facility Set Back Regulation (5) 4. Recommend Approval for the following reasons: a. Pre-existing, 4 -bedroom dwelling with a hydraulically failed septic system. b. The proposed leach facility is located to the maximum extent possible away from the pond within the unrestricted portion of the property, The existing portions of the property located outside the 300' setback to Bakers Pond are within an existing Conservation Restriction and the land contours are rising sharply creating a significant embankment which is not conducive to the installation of the leach facility without the installation of a pump and extensive regrading of the lot. c. The existing well and its 100' setback circumference is limiting the location of the proposed leach facility to within the 300' pond setback. d. Based on the elevation of the pond and the proposed elevation of the bottom of the leach facility, the leach chambers will be located approximately 70' above the pond. e. The proposed leach facility is a trench configuration (compared to the existing leach pit) which will allow for better distribution of the sewage effluent over a larger area to help diffuse the concentration of nutrients flowing towards the pond. 5. Proposed Approval Conditions: a. Approve the septic variances as requested above with the following conditions: i. There will be no addition of the number of bedrooms in the residential structure without further review by the Board of Health. A copy of the BOH Approval Letter to be recorded at the Barnstable County Registry of Deeds prior to issuance of the Certificate of Compliance upon completion of the septic system. installation. A copy of the recorded letter to be placed on file at the BOH. ii. Variances will expire one (1) year from the date of the BOH Approval. N:1HealthW0H Mecting NoteslBOH Hearing Notes1399 Salters Pond Rd Mt36L7 Agenda.variance Action Item Form 03.28.2022. do ex ,od Water Resources classification Map I ` k . ' Regional Policy Plan (Effective January 16, 2 Amended -- Effective July 3, 2009 Amended -- Effective June 18, 2010 Primary ResourceAreas: 0 Wellhead Protection Areas Identified Wellhead protection Areas: (2arres of Cantrbution). Department of Environmental Protection and EDEA MassGIS 2010, Cape Cod Commiss3an Water Resources SUMP, and Various private consulting Public Supply Wells Ptubkc Water Cjpply Well Small Volume Welk, Non -Transient Small Volume Wells, Tianslent o Proposed Public Vater Supply Well Surface Water Supgy Locations of pub.Y:c rorr=nity surface and groundwater :supply' sources and publ[c rsun community supply sources. Department of Environmental Protect] and EOLA MassGtS 2010, and Cape Cad Commisslot Water Resources Staff. Potential Water Supply Areas Potential Public Water Supply Tracts: From the "Priority Land Acquisition Assessment Project" (FLAAP), June 1999, updated 2008. Lower Cape data from the Lower Cape Water Qualk'y Task Force, 201. Freshwater Recharge Areas Freshwater Recharge Ates: Areas shown are those identified TO DATE by the (see reports 2004-5014 and 2004.5181), the Massachusetts Estuaries Project the Cape Cod Cccnmissbn Water Resources Staff, 2009. Water uali Impaired Ar s: Developed Areas Development such as mad kim and high density residential, multi fatrAy msid txisewered residential lots less than 20,000 square feet, commercial end lndustrW areas determined from digital parcel and assessors' data and MacG bnduse: 1999. Created by UMass-Arnherst Resource MappSng Project in coop With the EOEA MassGIS project and the Cape Cod Cbmmission. Potential Plumes from Waste Sites Potential Plumes from Waste Site Areas: Created frwn private ccosultireg tirm the Air Force Center for Eng inaering and the Envirartrprent and the Cape Cud Commisslon Water Resources Staff. Waste Site Areas Areas that include landfills, septage, and wastewater freatrnectt plant dlschan determined from dlgltal parte{ and assessors' data and dLgftal Kw.Connell Ian 1999. Created by the UMass-Amherst Resource Mapping Project in Cooperation wah the EOFA MassGlS project and the Cape Cod Co rrnissior Wafter ua% improvement Areas_ Water quality Impaired Areas that ere located in Primari Resource Areas. Ttars Map %yes produced by the Cope Cad Cgmm ssion's Ceggra'dc Ir{orEnatlan system Department for the Regional Pokey Plan gpdate, en`edive Iamary 16, 28f9, wyh any amendmerRs listed b&w: Data dmeAdMEl�5 effectMe7uly 3, 2089 indudng DEP 26Vre Sts, Dep Public Supply Wells, and the Cape Lod Cummisslon PIAAP. Data amendments efted9ve]una 18, e010 Indudirg WeUmad Protection Areas and DEP Pubk Supply We%s. The Cape Cod Commmon a a dmsion of Damstable County. Oxm,e tions are welcome at the Cape Cod CCmnussion office or contact gks@)capemdmmmi5s9on.or1j. This Inap Is 111us1ratme ecld a1 depicted boundarfes are appradmate- It IS Intended for pianning purposes only -- not Site spednc purposes. CAPE COD COMMISSION r 2 Regional Policy Plan (Effective January 16, 2 Amended -- Effective July 3, 2009 Amended -- Effective June 18, 2010 Primary ResourceAreas: 0 Wellhead Protection Areas Identified Wellhead protection Areas: (2arres of Cantrbution). Department of Environmental Protection and EDEA MassGIS 2010, Cape Cod Commiss3an Water Resources SUMP, and Various private consulting Public Supply Wells Ptubkc Water Cjpply Well Small Volume Welk, Non -Transient Small Volume Wells, Tianslent o Proposed Public Vater Supply Well Surface Water Supgy Locations of pub.Y:c rorr=nity surface and groundwater :supply' sources and publ[c rsun community supply sources. Department of Environmental Protect] and EOLA MassGtS 2010, and Cape Cad Commisslot Water Resources Staff. Potential Water Supply Areas Potential Public Water Supply Tracts: From the "Priority Land Acquisition Assessment Project" (FLAAP), June 1999, updated 2008. Lower Cape data from the Lower Cape Water Qualk'y Task Force, 201. Freshwater Recharge Areas Freshwater Recharge Ates: Areas shown are those identified TO DATE by the (see reports 2004-5014 and 2004.5181), the Massachusetts Estuaries Project the Cape Cod Cccnmissbn Water Resources Staff, 2009. Water uali Impaired Ar s: Developed Areas Development such as mad kim and high density residential, multi fatrAy msid txisewered residential lots less than 20,000 square feet, commercial end lndustrW areas determined from digital parcel and assessors' data and MacG bnduse: 1999. Created by UMass-Arnherst Resource MappSng Project in coop With the EOEA MassGIS project and the Cape Cod Cbmmission. Potential Plumes from Waste Sites Potential Plumes from Waste Site Areas: Created frwn private ccosultireg tirm the Air Force Center for Eng inaering and the Envirartrprent and the Cape Cud Commisslon Water Resources Staff. Waste Site Areas Areas that include landfills, septage, and wastewater freatrnectt plant dlschan determined from dlgltal parte{ and assessors' data and dLgftal Kw.Connell Ian 1999. Created by the UMass-Amherst Resource Mapping Project in Cooperation wah the EOFA MassGlS project and the Cape Cod Co rrnissior Wafter ua% improvement Areas_ Water quality Impaired Areas that ere located in Primari Resource Areas. Ttars Map %yes produced by the Cope Cad Cgmm ssion's Ceggra'dc Ir{orEnatlan system Department for the Regional Pokey Plan gpdate, en`edive Iamary 16, 28f9, wyh any amendmerRs listed b&w: Data dmeAdMEl�5 effectMe7uly 3, 2089 indudng DEP 26Vre Sts, Dep Public Supply Wells, and the Cape Lod Cummisslon PIAAP. Data amendments efted9ve]una 18, e010 Indudirg WeUmad Protection Areas and DEP Pubk Supply We%s. The Cape Cod Commmon a a dmsion of Damstable County. Oxm,e tions are welcome at the Cape Cod CCmnussion office or contact gks@)capemdmmmi5s9on.or1j. This Inap Is 111us1ratme ecld a1 depicted boundarfes are appradmate- It IS Intended for pianning purposes only -- not Site spednc purposes. CAPE COD COMMISSION �I Wx!).:47 �5, 70°02` 3 0" i ILE i —, XV a mld2- 6 BM3A 3 it 4 Dy a Rads ,* of ��c.�s�v 44. S/ �, 119 7 ............ F Ow IN 77. . � - - ` 6i - ,arc - '� �-�i•'_ . .r� _ zi -— — ——— t 12 13 1 �•°-•7i 275 ACI USAC 16 136 17 lcfoAc - e` fI — J ■ wN f. 111 -- f �` ■+ i saaRc::._ .rm� { 1 ■. 1 0 1 olPi s 1 K E 1. PI La 11 .: �• ' . �I q Fr � n c D 1 6.12;0 1 ii s - z V 3 yU's, CE R1uHI CATE OF AN ALYMS .0 m � Y Barnstable County Health Laboratory [M-MA009) . 9F may, Recipient: Joann Figueras Order No.: 621128334 Joann Figueras Report Dated: 09101/2021 399 Bakers Pond fid. Submitter: Joann Figueras Brewster, MA 02653 Description; rtrn L.aborator IM: 21128334-01 Sample #: Collection Address: 399 Bakers Pond Fid., Brewster Sample Location: Matrix: Water - Drinking Water Sampled: 08I242021 8:15 Received: 08/24/2021 11:50 Turn Around: Standard Routine METHOD # ANALYST TESTED ITEM RESULT UNITS RL Nitrate as Nitrogen 0.42 mglL 0.10 Copper 0.12 mg1L 0A0 Iron 0.11 mglL 0.10 Manganese ND mg)L 0,025 Sodium 11 mgI 2.5 Total Coliform Absent PIA 0 Conductance 150 umahslcm 2.0 pH 7.5 PH AT 25C NA Based on the results of the parameters tested, the wafer is suitable for drinking Attached please find the laboratory certified parameter list. By: J F By: vercnic MCI.- METHOD # ANALYST TESTED TIME 10 EPA 3GD.0 CL 08/24/2021 1 EPA 200.8 CL 08/25/2021 12:32 0.3 EPA 200.3 CL 0812W021 12:32 0.05 EPA 200.8 CL 08/25/2021 12:32 20 EPA 200.8 CL 0W2512021 12;32 0 SM 9223E RG 0812412021 16:06 EPA 120.1 Lx 08/24/2021 14:05 SM 4500 -H -B Lx 08/24/2021 14:05 Approved By: [Lab Manager] R E C E SEP 0 3 2021 BREWSTER HEALTH ❑EPARI-MENT ND = Bone Detected RL = Reporting Limit rocL = Maximum Contaminant Level 3195 Main Street, Po, Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page: 1 of 1 3130122, 4:59 PM i Brewster Conservation pay 2022 1 Brewster Conservation Trust SAVE THE DATE! Saturday -- July 9th, 2022 9:30 am — 2:00 pm at drummer Boy Park! After two year's of virtual and hybrid alternatives, we are excited to annaunce, Brewster Conservation Day {BCD} will be back, in person, at Drummer Bay Park — bigger and better than ever! We kick off a weeklong conservation celebration with Brewster Conservation Day, Saturday, July 9. With over 40 unique presentations, you can learn from interactive exhibits on aquaculture, natural plant gardening, and alternative septic systems. Ude will pick up where we left off and welcome back some of our favorite exhibits and activities. This year mill highlight the importance of water resources. Learn about our ocean resources, coastal erosion, herring migration, whale rescue, and alternative energy. Tour the blacksmith shop and the windmill, see a fishing weir, and enjoy some Brewster oysters. Special presentations and schedule of events coming soon. Sponsored by the Brewster Conservation Trust, the Town of Brewster Conservation, Natural Resources Department and the Brewster Historical Society MORE INFO Exhibitor Information here Watch a video about Brewster Conservation Day Watch Lower Cape TV's video on BCD 2019 Share us on Facebook View our BCD Photo Album Explore BCD Archives here https:flbrewsteroonservatlentrust.orglbrewster-conservation-day-20221 112 3/30122,4:59 PM The Fishing Weir at Brewster Conservation Day JOIN OUR MAILING LIST email JOIN Brewster Conservation Trust 36 Red Top Rd., Brewster MA 02631 508-694-6720 BCT@brewsterconservationtrust.org Brewster Conservation Day 2022 1 Brewster Conservation Trust SEARCH HERE Search this website _i U f ® V Copyright © 2022 • Brewster Conservation Trust Site by RWM LIKE US ON FACEBOOK ismWdw commo," Tom in https:lIbrewsterconservationtrust.org)brewster-conservation-day-2022/ 212 Ami von Hone From: dorria@brewsterconservati0ntrust.org Sent: Wednesday, March 9, 2022 11:24 AM To: dorria marsh Cc: Amy Henderson; Bob Bennett; Hal Minis; Joann Moran; Katherine Garofoli; Michael Andranovich; 'Mitzi & Paul'; Pat Nahigian - BHS; Plank, Phoebe; Rob Williams (Brewster Historical Society); Ryan Burch; Sally Gunning; Vince Tanguilig; Amy Chesnut; Amy Henderson; 'Beth Finch'; 'Bonnie Newman'; Charles Sumner; 'Debra Johnson'; 'Dirkie Van Antwerp'; 'Don Keeran'; dorria@brewsterconservationtrust.org; 'Hal Minis'; 'Joe Biernat'; 'John Lamb'; Jon Bruce; Kam arck, Ti no; 'Mark Robinson'; 'Peter Johnson'; 'Peter Soule'; 'Roger O'Day'; Seamus Woods; 'Steve McKenna` Subject: SAVE THE DATE - You are invited - BCD 20221± {719122} Attachments: BCD2022_BCD Event Regisration Form_Filiable.pdf Greetings! I hope this finds you well and feeling optimistic about a "back to normal" spring and summer 2022. After two years of virtual and hybrid alternatives - we are excited to invite you to join us at the 11th annual Brewster Conservation Da V at Drummer Boy Park in Brewster on Saturday, July 9. if you plan to participate in this year's BCD event: 1) Please RSVP to this email here 2) Please fill out and return the attached exhibitor's form here You can share and promote BCD 2022 with the links below: BCD webpage: https://brewsterconservatio_ntrust.or brewster-conservation-da -2022 BCD Facebook event page: https://www.facebook.com/events/1053498562176724I More details to come... Let the count -down begin) Best, Dorria "Dee" Marsh Outeach & Communications Coordinator Brewster Conservation Day Event Coordinator Brewster Conservation Trust 508-364-5561 (m) 508-694-6720 (o) dorria brewsterconservationtrust.or www. b rewste rcon se rvat i o ntru st.o r PROTECTING BREWSTER'S WOODLAND, PONDS, MARSHLANDS AND MEADOWS Massachusetts Department of Environmental Protection L1-- , 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 FARREN KQP F Transaction ID: 1354706 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1026.96K Status of Transaction: in Process Date and Time Created: 3/1512022:2.33-.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. Important:When filling out forms on the computer, use only the tab key to move your cursor - dv not -use the return key. ra8 ivw Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DAILY LOG SHEET A. Facility Information 951 1. Permit Number 2. Tax identification Number 2022 FEB DAILY _� 3. Sampling Month & Frequency 1, Facility name, address: MAPLEWOOD AT BREWSTER a. Name 820 HARW.ICH_R-OAD b. Street Address BREWSTER IMA 102631 G. City d. State e. Zip Code 2. Contact information: JOSEPH SMITH a. Name of Facility Conta--t Person 7742125005 ljsmith6NSUWater.com h. Telephone Number c. e-mail address 3. Sampling information: 2!112022 INOT APPLICABLE a. Date Sampled {mmldiVyyyy) b. Laboratory Name SEA NSU PERSONNEL.03 c. Analysts Performed By (Name) B. Form Selection 1. Please select Fortin Type and Sampling Month & Frequency Daily Log Sheet - 2022 Feb Daily )- All farms for submittal have been completed. 2,- This is the last selection. 3, F Delete the selected form. gdpdts 2015-09-15.doc • rev. D9115115 Groundwater Permit Gaily Log Sheet • Page 1 of 1 gdpols.doc • rev. 09/15115 Groundwater Permit Daily Lag Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 951 Bureau of Resource Protectbn - Groundwater discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 2022 FEB DAILY 3. Sampling Month & Frequency C. Date - 7 ---5925 2 3 4 5 6 7 s 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Daily Effluent Flow GPD Readings/Analysis Reuse Flow GPD - Information Irrigation Flow GPD Ff -. Turbidity Influent pH Effluent pH 7.1-- - - 7.1 7.1 7.3 �! 7.1 7.2 7.3 7.2 7.3 =7-1 N72 7.2 7.1 7.2 7.3 7.1 Chlorine W Residual Intensify _ - F=1 F�d P: - - - 6.9-- 6.8 3994 4809 7.0 6029 6.9 6029 f� 6.8 F5773 3913 6.9 6820 3922 �J _ 7.0 6.9 5185 7.0 5185 5185 4767 6.8 4578 �� 6.9 7543 6,9 1824 6.9 4533 6.7 4633 4633 5597 5474 6.8 6F1.9 4392 6.9 4645 6.9 5159 6.9 5159 gdpols.doc • rev. 09/15115 Groundwater Permit Daily Lag Sheet • Page 1 of 1 Massachusetts Department of Environmental Protectiong51 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT J• , 2022 FEB MONTHLY _ 3. Sampling Month & Frequency A. Facility Information Important:When filling out forms on 1. Facility name, address: the computer, use IMAPLEWOOD AT BREWSTER only the tab key to a. Name move your cursor - 820 HARWICH ROAD do -riot use the return key. b. Street Address BREWSTER IMA 102631 lei C. City d. State e. zip Code 2. Contact information: retUn JOSEPH SMITH a. Name of Facility Contact Person 7742125005 jsmith@NSUWater.com b. Telephone Number c. e-mail address 3. Sampling information: 2/22/2022 ALPHA ANALYTICAL a. Date Sampled (mrrdd&yyyy) b. Laboratory Name LPHAANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2022 Feb Monthly - All forms for submittal have been completed. 2. This is the last selection. 3.- Delete the selected form. gdp,dIs 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Lag Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 1951 j Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number LL— Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT [?C22 FEB 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. ParameterlContaminant 2. Influent Units EY)D f MG4- TSS �28 TOTAL. SOLIDS �7fl I MGIL AMMONIA -N 15.6 M&L NITRATE -N "31 TOTAL NITROGEN(NO3+ND2+TKN) M&L OiL & GREASE MGL 3. Effluent 15.3 _ J 19 4. Effluent Method Detection limit �_ - -- I 10 4.8 0.1 a I 7L— I F—o- t]- IND l I40 _.... 1 infelfrp-blank.doo • rev. 09/15115 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Important:When tilling out forms on the computer, use only the tab key to move your cursor - - - -do not use the return key. VQ lk Massachusetts Department of Environmental Protection Bureau of Resource Protection _ Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT A. Facility Information 951 1. Permit -Number 2. Tax identification Number 2022 FEB MONTHLY I 3. Sampling Month & Frequency 1. Facility name, address: MAPLEWOOD AT BREWSTER a. Name 820 HARWICH 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 'smith@NSUWater.com b. Teiephone Number c. e-mail address 3, Sampling information: 2/24/2022 INOTAPPLICABLE a. Date Sampled {mm/ddlyyyy} b. Laboratory Name BEA NSU PERSONNEL c. Analysis Performed By (Name) B. Form Selection Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2422 Feb Monthly All forms for submittal have been completed. 2. r- This is the last selection. 3. r- Delete the selected form. gdpdIs 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 PH 6.06 5.74 — fi:22: _ .. 6_44 S.U. STATIC WATER LEVEL 31.54 31.84 31.72 32.00 F SPECIFIC CONDUCTANCE [112 s f 144.4 j 365.0 92.0 1--- 4_ - -.! I__ UWOSIc mwdgwp-blank.doe • 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 .gb1 1. Permit Number Groundwater Permit 2. Taxidentification Number MONITORING WELL DATA REPORT [2022 FEEMONTHLY ONTHLY A 3. Sampling Month & Frequency C. Contaminant Analysis Information ■ For " Q", below detection limit, fess than (<) value, or not detected, enter'ND" � • TNTC = toxo 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 PH 6.06 5.74 — fi:22: _ .. 6_44 S.U. STATIC WATER LEVEL 31.54 31.84 31.72 32.00 F SPECIFIC CONDUCTANCE [112 s f 144.4 j 365.0 92.0 1--- 4_ - -.! I__ UWOSIc mwdgwp-blank.doe • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 11'111 portant: W hen 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 T. Permit Number Groundwater Permit 2. Tax Identification Number Information APLEWOOD AT BREWSTER a. Name 824 HARWICH ROAD b. Street Address IBREWSTER C, City MA 02631 d. State e. Zip Code Certification r 'f certify under penalty of law that this document and all attachments were prepared under my direction o supervision in 1k Af accordarice wlth 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 nwAij 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." 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 SAMANTHA FARRENKOPF a. Signature 3/1512022 b. Date (mmlddlyyyy) to orting Package Comments BEN NETT ENVIRONMENTAL ASSOCIATES, LLC. (BEA) HAS COMPLETED THE FEBRUARY 2022 MONTHLY INFLUENT AND EFFLUENT SAMPLING OF THE BIOCLERE WASTEWATER TREATMENT SYSTEM. MONTHLY WASTEWATER SAMPLING WAS COMPLETED ON 2122122. LABORATORY RESULTS REPORTED ALL PARAMETERS WITHIN DISCHARGE PERMIT LIMITS. EFFLUENT PH WAS REPORTED WITHIN THE 6.5-8.5 RANGE THROUGHOUT 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 1,824 GPD, 7,543 GPD AND 5,083 GPD, RESPECTIVELY. gdpols 2015-09-15.doc • rev. 09195/15 Groundwater Permit • Page 1 of 1 HA A N A L Y 7 t G A L ANALYTICAL REPORT Lab Number: L2209401 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: Samantha Farrenkopf Phone: (508) 896-1706 Project Name: MAPLEI/WOO❑ AT BREWSTER Project Number: K10842DA.S.WW.700 Report Date: 03/04/22 Serial—No: 03042215:17 The original project report/data package is held by Alpha Analytical. This reportldata package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results andfor 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 (257001666), 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 Page 1 of 18 LL w L° E v � X V) .j m m w w ry, � w r {Ny N N 0 O N N N N J O O C� d a a r r r 3 d G E N NCL u ) N tNtii N a o L) o C) LL w L° E v � X V) .j m m 00 a N O7 CD w IL w ry, K w w w co w � o m a Q o U] o d Q � 0 2 W EL 0 U- LU w E P z z a o 0(D G7 C) n 0 0 Q o 0 d O_ Q 0 N N Q co -j �I 00 a N O7 CD w IL Serial No: 03042215:17 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2209401 Project Number: K10842DA.S.WW.700 Report Date: 03/04/22 Case Narrative The samples were received in accordance veith the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted. Sample Receipt, Container Information, and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet NELAP requirements for all NELAP accredited parameters unless otherwise noted in the following narrative. The data presented In this report is organized by parameter (i.e. VOC, SVOC, etc.). Sample specific Quality Control data (i.e. Surrogate Spike Recovery) is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter. Tentatively Identified Compounds (TICS), if requested, are reported for compounds identified to he 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 c re -extraction is designated with an "R" or "RE", respectively. When multiple Batch Quality Control elements are reported (e.g. more than one LCS), the associated samples for each element are noted in the grey shaded header line of each data table. Any Laboratory Batch, Sample Specific % recovery or RPP value that is outside the listed Acceptance Criteria is bolded in the report. In reference to questions H (CAM) or 4 (RCP) when "NC" is checked, the performance criteria for CAM and RCP methods allow for some quality control failures to occur arvd still be within method compllance. In these instances, the specific failure is not narrated but noted in the associated QC Outlier Summary Report, located directly after the Case Narrative. QC information is also incorporated in the Data Usability Assessment table (Format 11) of our Data Merger tool, where it can be reviewed in conjunction with the sample result, associated regulatory criteria and any associated data usability implications. Soillsedlments, 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. HOLO POLICY - For samples submitted on hold, Alpha's policy is to hold samples (with the exception of Air canisters) free of charge for 21 calendar days from the date the project is completed. After 21 calendar days, we will dispose of all samples submitted including those put on hold unless you have contacted your Alpha Project Manager and made arrangements for Alpha to continue to hold the samples. Air canisters %9411 be disposed after 3 business days from the date the project is completed. Please contact Project Management at 800-624-92217 with any questions. I, the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Cristi n Walker Authorized Signature: &��Wjw Title: Technical Director/Representative Page 3 of 18 Date: 03/04/22 INORGANICS MISCELLANEOUS Page 4 of 18 Serial No:03042215:17 11LPHA Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Lab ID: L2209401-01 02/24/22 06:20 121,25406 Client ID: INFLUENT 2 Sample Location: BREWSTER, MA 0.750 -- Sample Depth: 0212812202:44 0212812218:00121,4500NH3-BH AT Matrix: Water 02/22/22 23:15 02/27/22 17:A8 121,5210B Parameter Result Qualifier Units General Chemistry - Westborough Lab Solids, Total 370 mgll Solids, Total Suspended 28. mgll Nitrogen, Ammonia 15.6 mg/l BOD, 5 day 130 mgA Page 5 of 18 SAMPLE RESULTS Serial No:03042215:17 Lab Number: L2209401 Report Date: 03/04/22 Date Collected: 02/22/22 12:00 Date Received: 02/22/22 Field Prep: Not Specified Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 10 NA 1 02/24/22 06:20 121,25406 DW 10 NA 2 - 02128/2215:30 121,2540D MQ 0.750 -- 10 0212812202:44 0212812218:00121,4500NH3-BH AT 30 NA 15 02/22/22 23:15 02/27/22 17:A8 121,5210B JD ,ALPHA Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Lab ID: L2209401-02 Date Prepared Client ID: EFFLUENT Analyst Sample Location: BREWSTER, MA Sample Depth, 121,2540❑ MID Matrix: Water 02/26/22 02:44 Parameter Result Qualifier Units General Chemistry - Westborough Lab - Solids, Total Suspended 19. mgll Nitrogen, Ammonia 0.398 mgll Nitrogen, Nitrite . ND mg/1 Nitrogen, Nitrate 4.8 mg11 Nitrogen, Total Kjeldahl 2.21 mgll BOD, 5 day 5.3 mg8 Oil & Grease, Hem -Gray ND mgll Page 6 of 18 SAMPLE RESULTS Serial No:03042215:17 Lab Number: L2209401 Report Date: 03104/22 Date Collected: 02/22122 12:30 Date Received: 02122/22 Field Prep: Not Specified RL Dilution MDL Factor Date Prepared Date Analyzed Analytical Method Analyst 10 NA 2 0212812215:30 121,2540❑ MID 6.375 5 02/26/22 02:44 02/28122 18:01 121,4500NH3-13H AT 0.050 __ 1 - 02/23122 08:46 44,353.2 MR 0.10 1 02123/22 08:46 44,353.2 MR 0.600 - 2 0212U22 13:43 02/28/22 20:69 121,4500NH3-H AT 2.0 NA 1 0212212223:15 0212712217:48 121,5210E JD 4.0 -- 1 0310312215:00 0310312218:00 140,16648 TL Il�L�F;A f �Yr =•• Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Method Blank Analysis Batch Quality Control Serial No:03042215:17 Lab Number: L2209401 Report Date: 03/04/22 A01114A Page 7 of 18 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab for samples): 01-02 Batch: WG1607986-1 BOD, 5 day NI) rllgll 2.0 NA 1 02/22/22 23:15 D2127/22 17:48 121,521013 J❑ General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1608096-1 Nitrogen, Nitrite ND mgll 0.050 1 - 0212312208:16 44,353.2 MR General Chemistry - Westborough Lab for samples): 02 Batch: WG1608097-1 Nitrogen, Nitrate ND mgli 0.10 -- 1 - 02/23/22 08:14 44,353.2 MR General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1608588-1 Solids, Total ND mgll 10 NA i - 42/24/22 0+320 121,254013 DW General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1609253-1 Nitrogen, Ammonia ND mg11 D.D75 -- 1 02125122 02:44 0212812217:55 121,45NNH3-13H AT General Chemistry _ Westborough Lab for sample(s): 01-02 Batch: WG1609520-1 Solids, Total suspended ND mgA 5.0 NA 1 02/28/22 15:30 121,2540D MD General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1609601-1 Nitrogen, Total Kjeldahl ND rngll 0.300 -- 1 02/28/22 13:43 02128122 19:43 121,4500NH3-1-1 AT General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1611376-1 Oil & Grease, Hem -Gray ND mgli 4.0 -- 1 0' x03122 15:00 03/0312218;00 140,18-413 TL A01114A Page 7 of 18 »_ LO / C) CD � \ \ / / \ f� 2 q ¥ . . . ... \ \ \ \ k k E o Z 0 0 \ CL � E2:1 ■= —0 0g 22 0 U � e J A � Q 0 IL ■ � 13 C) a & _ ƒ \ I \ \ \ \ \ \ \ co \ 0 \ g % 0 \ g . \ 0© 00 g / k . \ e \ .�. 0 © \ _9 & k \ ? \ \ \ 3 \ o/ / 8 /dca g g / \ \ a o ul U k m - \ m @ % § % e « % 6 m § ul r § r w ® ® 2 5 4 \ \\ 4 \ / « \ \ \ 4 7 # \ 4 2 # \ < 2 m n < \ \ \ \ \ m \ cm .g \ to CD .g 2 to m 2 \ � cm p 2 \ � o c E 2 o 2 « / ! # / Cl % 5 \ 7 $ z 2 \ F # / # E / m 2k / e $ / 7 E) 0 k 2 2 / $ \ 0 7 \ } 2 « k # §_ / } j a 0 l \ -C- C) $ ? / f w # f 2 _ ƒ \ I a N co n M r CO U c0 m N O N E r N m 0 N N Q m J L ❑] a 0 N N m N E U n 0)L o 0 o °' c) 0 CD C14 J N � 4 o J J O 0 w G? � E � Z 0 v Q CL p ❑ w 7 wfA N ❑ O .g LLJ N 7+ CO m � Q o r.+ Q 07 0 p L) Z z U) N CY 2' 0 v m Q > U C) n. � U IL J N co n M r CO U c0 m N O N E r N m 0 N N Q m J L ❑] a 0 N N m N E U n 0)L o 0 o °' c) 0 w r J N 0 w � d CD � Q ❑ w ❑ LLJ N d CO Q � Q 4f p Z z a+ v d v m E i a n. cc IL � V' N m N O m O rld n N ❑ +' CL C QJ Cq N _IC E Qy m 1? fE co E COm d li co Cl) CL — ly C a W 7 Locll c � U Q r U o o J L .n m rn o M O N CD a J N. 0- 0> J ❑> E U) @ CL U � [4 U) U d LL 4 O CO CD. 7 d [� Ol •w �n U7 0 co Y U rn 6 ❑ N d C1 r m N N Cf) m to to v 2 0 U- m N N Cl 0- NO a V m m a 0 0 (D Q f] Q M +� E N (o z N J J � L m 0] P v -0 -0 i i N Vl 4 � t 2 L U a U ID 0 � ami E p' ca th a- T 2 fL 1 00 0 C] tU m rl a) N N f1 q) ECL N ca CL E E Uca [/] [I} CO w a � o C til V C � or CD rn b CD 0) a N J Cl N J CSO LO 00 b N J 4l E N Q cam Q U] U7 CY co CI] � a ctrl cc N Q O ❑7 ff] 0 T 0 � U 0 U a U U V � ❑ C7 N C] m N t C] oho N c, N N (D til E E E co co m 0 0 0 [A Q N N Q � ) � tm iI7 0) d D -O ro 77, r11 (D � U7 N a N N Y o z i Q F rn o CD o _ v z m m z [� (D L7 T 2 fL 1 00 0 C] tU m rl r LO N N Q M b 0 Z m r O N O vj q� al 47 N Nco p r � CL � ,n N o ❑7 � o Q E a Q E m m O MM U) camc- C N ComC-, G n E (a N m N Q r C � cQc C a ❑ �n ui cmn a Q � :D u) cn 0.. 0. d ❑ ❑ 0. 0. _❑ za a :D B- - a CD U U U a o U C7 ❑ r Q a r 4 a r Q m m o 1� o 4 vo U 4 Q O ONCD N � 4 C� [� Nco m cc ra D Lo V- O J. .4 O .d . J. .J .O. r1i .r- (v tl7 J J J U � cq N a � m E E c:') E t m E N m ° w m a cu U) rn N d d U U) d d Ud d m N Q0 C} r= cAm OD ro m ( , N v C? r+7 G? N 1 rn 0 `'' N I 0 Q tiN[7 Q (0 r 00 to Z {j z m a c O p 00 lei') aD M cp � co (t9 0) CO Y •= V •M •(D -� -Ur Ur .� . U CD T U J m V U m m M m U U m C)cl omn m m U U m m C\l[� d d CJ o J d N Cr) m N 4 O c',1 N Z 7 > p p d p M 4 O Cr) 4 W N N V7 N N N N N wQ Q LL.1 N d7 N 47 U a7 d] a) � ro m c"Ja m c4 ca ca m OP - U U UUUU U U Q Q Q Q Q Q Q Q °o co ❑ Uj N �S —i CL,00 IT Q U D a D] O 2 O 0 Q r Y -0 Q (D .0 1 1 1 1 , 3 CL r Z L} 0 V (D N a)a) aJ a 0 Q a) :° � F a)ro •O •O � �L7 47 U] � a1 ry m m N a a xs a� o m a� c z a) c z a+ s= a U) c - z c cn a) z a� o L 0. d C7 C7 L7 t7 C7 C7 C7 2 CD / % / S § / / In \ 2 / \ z k.2.. ± a 7 /§ f R. .. ... \ j$ m/ E\} E 7\ . .... \ \ \ \ED . } ( k \ ) k co j \ ( §% �d � 2 § \ 0 f « $ # # # $ # # ) c � /3\ 3 3 22 = � v w w 9 w w / k � / ro ƒCL 2 w» e w w#ƒ \ 2 k 0 3 no in m < < < < < ± 2 R % \ f LLI / \ / ) \ ) k E CL 7 d)\ § k \ \ \ \ / j ( A ) ) q \ \ Q < < § § \ E 2 { 2 2 3 \ 2 { / / ) 2 ( \ \ E § � \{ f k \ \ 3 F) 0. f E<{ \ w [ 2 @ 2 11 ) . ) \\ o k k k k)§}\ o d § \ \ d j \ j a ¢ & / J < I / / CO _ / \ � Project Name: MAPLEWGGD AT BREWSTER Project Number: K10842DA.S,V'AN.700 Serial No:03042215:17 Lab Number: L2209401 Report [late: 03/04/22 GLOSSARY Acronyms DL Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the limit of quantitation (LOQ). The DL includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) EDL Estimated Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The EDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. The use of EDLs is specific to the analysis of PAHs using Solid -Phase Microextraction (SPME). EMPC F'stimated 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 identific-ation criteria except the ion abundance ratio criteria_ An EMPC is a vrorst-case. estimate of the concentration. EPA Environmental Protection Agency. LCS Laboratory Control Sample A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts o 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 corucentrstion. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) MDL - Methad Detection Limit: This value represents the level to which. target analyte coricentrations are reported as estimated valises, when those target analyte concentrations are quantified glow the reporting limit (RL). The MDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. M5 -Matrix Spike Sample: A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target arialyte 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 mare ofthe results utilized in the calculation are non -detect at the parameter's reporting unit. NDPAIDPA N-Nitrosodiphenylamine/Diphmylamine. Ni Not Ignitable. NP Non -Plastic: Term is utilized for the analysis of Atterberg Limits in soil, NR No Results: Tern is utilized when 'No Target Compounds Requested' is reported for the analysis of Volatile or Sern ivolatile Organic TIC only requests. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration. The RL includes any adjustments from dilutions, concentrations or moisture content, where applicable. RPB Relative Percent Difference: The results from matrix ardor matrix spike duplicates are primarily designed to assess the precision ofanalytical results in a given matrix and are expressed as relative percent difference (RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material: A refereme 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 2,3,7,8-TCDD. TEQ Toxic Equivalent: The measure of a sample's toxicity derived by multiplying each dioxin and furan by its correspondingTEF and then summing the resulting values. TIC Tentatively Identified Compound-. A compound that has been identified to be. present and is not part of the target compound list (TCL) for the method andlor program. All TICS are qualitatively identified and reported as estimated concentrations. Report Format: Data Usability Report Page 13 of 18 Serial No:03042215:17 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2209401 Project Number: K10842DA.S.VIIVV.700 Report Date: 03/44/22 Footnotes 1 - The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. terms Analytical Method: Both the document from which the method originates and the analytical reference method. (Example: EPA 8260B is shown as 1,$2608.) The codes for the reference 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 Past -Treatment valise minus the Pre -Treatment value. Final pH: As it pertains to Sample Receipt & Container Information section of the report, Final plrl reflects pH of container determined after adjustment at the laboratory, if applicable. If no adjustment required, value reflects Initial pH._ --_ Frozen Datefrime: With respeetto Volatile Organics in soil, Frozen Datei£ime reflects the date/time at which associated Reagent Water - preserved vials were initially frozen. Note: If frozen date/time is beyond 48 hours from sample collection, value will be reflected in'bold'. Initial pH: As it pertains to Sample Receipt & Container Information section of the report, Initial pH reflects pH of container determined upon receipt, if applicable_ FAH Total: With respect to A]kylated PAH analyses, the TA Hs, Total' result is defined as the summation of results for ail or a subset of the following compounds: Naphthalene, C1-C4 Naphthalenes, 2 -Methylnaphthalene, 1 -Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluarene, Ci -C3 Flrsorertes, Phenanthrene, Ci -C4 Phenanthrenes/Anthracenes, Anthracene, Fluoranthene, Pyrene, C I -C4 Fl uotanthenes/Pyrenes, Benz(a)anthraeem, Chrysene, C1-C4 Chrysenes, Benzo(b)fluorantherse, Benzoo)4{k)fluoranthene, Benze(e)pyrene, Benzo(a)pyrene, Perylene, Indeno( 1,2,3 -eftyrene, D i benz(ah)+(ac)anthracene, Benza(g,h,i)perylerle- If a'Total' result is requested, the results of its individual components will also be reported. PFAS Total: With respect to PFAS analyses, the 'PFAS, Total (5)' result is defined as the summation of results for. PFHpA, MIX S, PFOA, PF'NA and PFAS- In addition, the 'PFAS, Total (6)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA, PFDA and PFOS. For MassDEP DW compliance analysis only, the 'PFAS, Total (6)' result is defined as the summation of results at or above the RL. Note: If a'Total' result is requested, the results of its individual components will also be reported. The target compound Chlordane (CAS No. 57-74-9) is reported for GC ECD analyses- Per EPA,this compound 'refers to a mixture of chlordane isomers, other chlorinated hydrocarbons and numerous other components.' (Reference: USEPA Toxicological Review of Chlordane, In Support of Summary Information on the Integrated Risk Information System (IRIS), December 1997.) Total: With respect to Organic analyses, a'Total' result is defined as the summation of results for individual isomers or Araclors. Ira'Total' result is requested, the results of its individual components will also be reported. This is applicable to 'Total' results for methods 8260, 8081 and 8082 - Data Qualifiers A Spectra identified as "Aldo! Condensates" are byproducts of the extraction/concentration procedures when acetone is introduced in the process. B The analyte was detected above the reporting limit in the associated method biank- Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (lox) the concentration found in the blank. For MCP -related projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (I Ox) the concentration found in the blank. For DOD-reiated projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (30x) the concentration found in the blank AND the analyte was detected above one-half the reporting limit (or above the reporting limit for common lab contaminants) in the associated method blank. For NJ - Air -related projects, flag only applies to associated field samples that have detectable concentrations of the analyte above the reporting limit. For M -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 I imit for common lab contaminants (Phtbaiates, 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 anaiyte- E Concentration of analyle exceeds the range of the calibration curve and/or linear range of the instrument. F The ratio ofquantifier ion response to qualifier ion response falls outside of the laboratory criteria. Results are considered to be an estimated maximum concentration. G -The concentration may be biased high due to matrix interferences (i.e, co -elution) with non -target compound(s). The result should be considered estimated. H The analysis of pH was performed beyond the regulatory -required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. J Estimated value. This represents an estimated concentration for Tentatively Identified Compounds (-I-ICs). M Reporting Limit (RL) exceeds the MCP CAM Reporting Limit for this analyte. ND Not detected at the reporting limit (RL) for the sample. Nd Presumptive evidence of compound. This represents an estimated concentration for Tentatively Identified Compounds (TLCs), where Report Format: Data Usability Report Page 14 of 18 Serial No:03042215:17 Project Name: MAPLEWOO❑ AT BREWSTER Lab Number: L2209401 Project Number: K10842DA.S.VVVV-700 Report Date: 03/04/22 Data Qualifiers the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method -specified criteria. Q The quality control sample exceeds the associated acceptance criteria- For DOD -related projects, LC and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results- Note: This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPD when the sample concentrations are less than 5x the RL. (Metals only.) R Analytical results are f ra sample re -analysis - RR Analytical results are from sample re -extraction. ___S -Analytical results are from modified screening analysis. -.--__--._-.-- V The surrogate associated with this target analyte has a recovery outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) Z The batch matrix spike and/or duplicate associated with this target analyte has a recovery/RPD outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) Report Format: Data Usability Report IdL�HA Page 15 of 18 Serial—No: 03042215:17 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2209401 Project Number: K10842DA.S.WW.700 Report Date: 03/04/22 REFERENCES 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA16001R-931100, August 1993. -121 Standard Methods for the Examination of Water and Wastewater. APHA-AWWA-WEF. Standard Methods Online. 140 Method 1664;Revision B: N -Hexane Extractable Material (HEM; Oil & Grease) and Silica Gel Treated N -Hexane Extractable Material (SGT -HEM; Non -polar Material) by Extraction and Gravimetry, EPA -821-R-10-001, February 2010. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sale and exclusive responsibility of Alpha Analytical shall be to re -perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 16 of 18 Serial No:03042215:17 Alpha Analytical, Inc. ID No.:17873 Facility: Company -wide Revision 19 Department: Quality Assurance Published Date; 4/2/2421 1:14:23 PM Title: CertificatelA royal Pro -gram Summmy Pae 1 of 1 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Westborough Facility EPA 6241624.1: mlp-xylene, o -xylene, Naphthalene EPA 6251625.1: aipha-Terpineol EPA 8260C18260D. NPW: 1,2,45-Tetramethylbenzene; 4-Ethyltoluane, Azobenzene; SCM: lodornethane (methyl iodide), 1,2,4,5-Tetramethylbehzefie ; 4-Ethyltoluene. EPA 8270D/827DE: NPW: Dimethylnaphthalene,1,4-Diphenylhydrazine, alpha -Terpineol; SCM: Dimethylnaphthalene,l,4-Diphenyihydnazlne. SM45OD:.NPW: Amenable Cyanide; SCM: Total Phosphorus, TKN, NO2, NO3. Mansfield Facility SM 254OD: TSS EPA 8082A: NPW: PCB: 1, 5, 31, 87,161, 110, 149, 151, 153, 180r 183, 187. EPA TO -15: Halothane, 2,4,4-Trimethy1-2-pentene, 2,4,4-Trimethyl-11-pentene, Thiophene, 2-Methy1thiophene, 3-M ethyl thiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1 -Methylnaphthalene. Biological Tissue Matrix: EPA 3050E The following analytes are included in our Massachusetts AEP Scope of Accreditation Westborough Facility: Drinking Water EPA 300.0: Chlorlde, Nitrate -N, Fluoride, Sulfate; EPA 353.2: Nitrate -N, Nitrite -N; SM4500NO3-F: Nitrate -N, Nitrite -N; SM4500F-C, SM4500CN-CE, EPA 980.1, SM2130B, SM4500CI-D, SM2320B, SM2540C, SM4500H-B, SM450ONO2-B EPA 332: Perchlorate; EPA 524.2: THMs and VQCs; EPA 504.1: EDB, DBCP. Microbiology: SM921513; SM9223-PIA, SM9223B-Colilert-QT,SM9222D. Non -Potable Water SM4500H,B, EPA 120.1, SM2510B, SM2540C, SM2320B, SM4500CL-E, SM4500F-BC, SM4500NH3-BH: Ammonia -IN and Kjeldahl -N, EPA 350.1: Ammonla-N, LACHAT 10-107-06-1-B: Ammonia -N, EPA 351.1, SM4500NO3-F, EPA 353.2: Nitrate -N, SM4500P-E, SM4500P-B, E, SM450DSO4-E, SM522DD, EPA 410.4, SM5210B, SM5310C, SM4500Cl..-D, EPA 1664, EPA 420.1, SM4500-CN-CE, SM25400, EPA 300: Chloride, Sulfate, Titrate. EPA 624.1: Volatile Halocarbons & Aromatics, EPA 608.3: Chlordane, Toxaphene, Aldrin, alpha -BHC, beta -BHC, gamma -BHC, delta -BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625.1: SVO0 (Acid/ SaselN e utral Extractables), EPA 60014-81.045: PCB -0i1. Microbiology: SM9223B-Colitert-QT; Enterolert-QT, SM9221F, EPA 1600, EPA 9603, SM922213. 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, sa, Be, Cd, Cr, Cu, Pb, Mn, Ni, Se, Ag, TL, Zn. EPA 245.1 Hg. EPA 522, EPA 537.9. Non -Potable Water EPA 200.7: Al, Sb, As, Be, Cd, Ca, Cr, Co, Cu, Fe, Pb, Mg, Mn, Mo, Ni, K, Se, Ag, Na, Sr, TL, Ti, V, Zn. EPA 200.8: Al, Sb, As, Be, Cd, Cr, Cu, Fe, Pb, Mn, Ni, K, Se, Ag, Na, TL, Zn. EPA 245.1 Hg. SM2340B For a complete listing of analytes and methods, please contact your Alpha Project Manager. Document Type: Form Page 17 of 18 Pre-Qualtrax Document ID: 08-113 u ❑ aseaiE) 12 Ito ❑ 4 tE W a1l�ilN ala»!N[1Ofl ❑ S-1 COoa ® ❑ N 1 0 o h�mc��fmu� g N m N N N C) � a o C V O Cl) 4� a o UD V ; O c: LL Z # o 0 .1❑❑ a. ra V J El Ll ElC L -� m ! ❑ E � El(� � � m U] a rn T m y ID 6f E ;V C d Cl - m � n m c P � � o w ¢ ❑ J7 � � v c n 0. a LL o ❑ ❑ u ❑ aseaiE) 12 Ito ❑ 4 tE W a1l�ilN ala»!N[1Ofl ❑ S-1 COoa ® ❑ S$i 1 t � o h�mc��fmu� g N m N o C V d 4� a d a UD V ; LL 0 .1❑❑ a. ra V J El Ll ElC m ` ] "' ❑ ! ❑ E � El(� a :;ti .I .� ❑'❑ E T ID 6f E ;V f'� S (L' - O r 8 3 u Pi b e a L � r „ M e �4❑q❑�C1e� as o [r 7 N) I� rn c [A ¢ m Q to Ln N U d m a NMI ❑ aseaiE) 12 Ito ❑ £HIV tE W a1l�ilN ala»!N[1Ofl ❑ S-1 COoa ® ❑ S$i 1 t � h�mc��fmu� g I❑❑❑ o C V d tL [ I 1❑❑ A ; a �r' � c w � tE W a) p O 1 SL h�mc��fmu� co O co a) a) a h�mc��fmu� I❑❑❑ o 1❑❑ ; .1❑❑ a. ra V J El Ll ElC m ` ] "' ❑ ! ❑ E � El(� a :;ti .I .� ❑'❑ E T ID 6f E ;V C d Cl - m � n m c co O co a) a) a 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: EBELAIR Transaction ID: 1352049 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1023.04K Status of Transaction: submitted Date and Time Created: 311712022:3:38:49 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated agave. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. LAI lmportant:When filling out forms on the computer, use only the tab key to move your cursor - --do not use the return key. Aib 6A 1) rim Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DAILY LOG SHEET A. Facility Information 1. Facility name, address: BREWSTER MANOR a. Name 1873. HARWICH. ROAD b. Street Address BREWSTER IMA G. City d. State 2. Contact information: F§_-9:9Fl 1. Permit Number 2. Tax identification Number 2022 FEB DAILY 3. Sampling Month & Frequency 22631 e. Zip Code DAVID FELDMAN a. Name of Facility Contact Person 78.17076527 dfeldman@wingatehealthcare.com b. Telephone Number c. a -mall address 3. Sampling information: 2/28/2022 JWHITEWATER a. Date Sampled (mmlddlyyyy) b. Laboratory Name DOUG MURPHY c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2022 Feb Daily ' - 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. 08/15115 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection599 i_ Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number - Groundwater Groundwater Permit 2. Tax Wentificativn Number DAILY LOG SHEET 2022 FEB 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 (mg/1) C/6) 1 2214' - - --- 7.3 -- - 1 2 2709 7.4 0.8 3 3120 7.4 {].5 4 6813 7.4 0.8 3258 6 2355 7 3417 7.3 �O7 8 3482 7.3 9 1768 7.4 1.$ 10 2430 17.4 0.6 11 1928. 7.5 �� 1 12 13 2107 14- 1991 _ 15 2284 - i H7.4 0.7 16 1746 1 17 1901 _I 1.1 18 8115 !� 19 1872 0.4 20 3881 21 1809 22 2.160 7.1 0.4 23 3521 7.4 1.6 24 2730 7.2 25 2349 7.2 �J 1.7 26 1842 27 2663 28 2201 7.3 1.5 29 30 31 gdpols.doc • rev. 09115115 Groundwater Permit Daily Log Sheet • 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. rad r�rm Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT A. Facility Information 1. Facility name, address: BREWSTER MANOR 1599 1. Permit Number 2. Tax identification Number 2022 FEB MONTHLY 3. Sampling Month & Frequency a. Name 873 HARWICH ROAD - - b. Street Address BREWSTER IMA 102631 c. City d. State e. Zlp Code 2. Contact information: . DAVID FELDMAN a. Name of Facillty Contact Person 7817079527 dfeldman@wingatehealthcare.com b- Telephone Nurrtw c. e-mail address 3. Sampling information: 2/19/2022 1WHITEWATER a. Date Sampled (mmlddlyyyy) b. Laboratory Name DOUG MURPHY c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency j Monitoring Well Data Report - 2022 Feb Monthly rr 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. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of I Massachusetts Department of Environmental Protection 1599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit I2. Tax identification Number MONITORING WELL DATA REPORT 2x22 FEB MONTH LY 3. Sampling Month & Frequency C. Contaminant Analysis Information • For T", 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 MVW1 MW2 MW3 MW4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 PH �6.32� 16.5 6.4 S.U. STATIC WATER LEVEL58.85 51.55 129.98 FEET SPECIFIC CONDucTANCE 444 Q 402 212 Ul'AHD51C Well #: 5 Well #: 6 mwdgwp-blank.do,c • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection �rgg L Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2, Tax identification Number DISCHARGE MONITORING REPORT 2022 FEB MONTHLY 3. Sampling Month & Frequency D. Contaminant Analysis Information • For "D", below detection limit, less than fel value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) ■ NS =Not Sampled 1. Parameter/Contaminant Units [SOD MGL TSS MGIL TOTAL SOLIDS MGIL AMMONIA -N MGIL NITRATE•N MG1L TOTAL NITROGEN{NO3+NO2+TKN) MGL OIL & GREASE MGIL 2. Influent 3. Effluent 1.12 ----- ND A. Effluent Method Detection limit 3A 17 . ND 2.0 ... 346 i ND s.s 0.050 6.8 ] 0.50 .- - 0.84 infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • 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(l) 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 599 ; Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number Information BREWSTER MANOR a. Name 873 HARWICH ROAD b. Street Address BREWSTER - MA42631 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 res ponsibia for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and compete. I am aware that the are sugnificant penalties fos submitting false Informatuon, including the possiNiity of fine and imprisonment for knowing vi 01atoons." ELIZABETH BELAIR 13/1712022 a. Signature b. Date (mmlddlpyyy) gdpols 2015-09-15.doc • rev. 09/15115 Groundwater Permit • Page 1 of 1 ••� T C2 DATE (MMIODIYYYY) ,�oRn CERTIFICATE OF LIABILITY INSURANCE 03131/22 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or he endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemernt(s). CONTACT PRODUCER NAME; Donna DeCarolis Insurance Agency, In aHJcN o Ext : 978-840-2957 we Nn : 978-534-6198 146 North Main Street E-MAIL ADDREss: dnowlan(&decaroiisinsuranceagency.com Leominster, MA 01453 INSURERS) AFFORDING COVERAGE NAIC,Y INSURED Rodney J Batten dha Batten Electric 95 East Rd Westminster, MA 01473 INSURER A: Arbella Protection Ins Co INSURER B: American Zurich Insurance Company INSURER C: INSURER D : INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUN CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREII EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP TR TYPE OF INSURANCE INS➢ WVD POLICY NUMBER MMIDDIYYYY MdrHeDIYYYY COMMERCIALGEN ERALLIABILITY CLAIMS -MADE [XI OCCUR A L AGGREGATE LIMIT APPLIES PER: ❑ PRO- [JLOC POLY'Y JECT 9520060604 11114121 1 11114122 noMOStLE LIABILITY ANY AUTO AOWNEDe SCHEDULED 1020065396 05124121 05/24/22 AUTOS ONLY AUTOS HIREO NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB � j OCCUR EXCESS LIAR I�--�I ci AuaG AND EMPLOYERS' LIABILITY YI N ANY PROPRIETORJPARTNERIEXECUTIVE B 0 FFIC ERIMEMBER EXCLUDED? NIA WE180325A 12129121 12/29/22 (Klandatory in NH) IF yes, describe txtder DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (AC ORD 101, Additional Remarks Schadule, may die attached IF more space is rE b u I I d i ng@brewster-ma.gov 508.896-3701 x1925 508-696.8089 Fax RTIFICATE HOLDER CA RFVIRICIN NTIMBHR: =D ABOVE FOR THE POLICY PERIOD ENT WITH RESPECT TO WHICH THIS i IS SUBJECT TO ALL THE TERMS, LIMITS EACH OCCURRENCE s 11000,000 DAMAGETED PREMISES Ea occurraice $ 100,00 MED EXP (Any ono arson $ 5,000 PERSONAL R ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMPIOPAGG $ 2,0001000 COMBINED SINGLE LIMIT $ Ea acc#era aool1 Y INJURY (Per persfln) $ 1 P000,OOD BODILY INJURY [Per accident] 3 PROPERTY DAMAGE $ Pet 2xiden[ S EACH OCCURRENCE $ AGGREGATE $ S PER OTH- I STA7U7E ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT s i,t}(10,000 7udred) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Davis Walters, Building Commissioner 2198 Main St - ----- Brewster, MA 02631 AUTHORIZED REPRESENTATIVE ®1988=2015 A RD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD COASTAL engineering c©, TECHNICAL SERVICES 260 Cranberry Highway Orleans, MA 02653 508.255,6511 P 568.255.6700 F Orleans I Sandwich I Nantucket coasta[engineeringcompany.com To: Jacquelyn Linehan, Property Mgr. Date: King's Landing Apartments Via: 1200 South State Street Brewster, MA 02631 Subject: King's Landing Apartments 3 State Street Brewster, MA Permit #934-1 AR w 1 2322 M 2 E3R W TER tIFAL�H 0Et ARYr�1Fl"iT TRANSMITTAL 03/18/2022 Project No. WBRO07.O0 ®1st Class Mail Pick up Certified OFed Ex []Pians DEopy of Letter Specifications ZOther We are sending the following items: Copies Date No. Description 1 0112022 934-1 Daily Log Sheet 1 02/28/2022 934-1 Annual, Quarterly, Er Monthly Discharge Report w/Laboratory Test Results 1 02/04/2022 934-1 Monthly Monitoring Well Report (Field-tested Data) 1 03/18/2022 934-1 eDEP Electronic Receipt These are transmitted as checked below: []for approval ®for your use ®as requested 71for review 6 comment Remarks: Enclosed are the recent reporting forms for the wastewater treatment facility at the above -referenced location, Annual system testing results indicate no detection of Volatile Organic Compounds VOCs). Quarterly system test results indicate good treatment. Monthly system test results indicate high levels of Total Nitrogen that exceed the upper discharge limit due to elevated levels of TKNr Test results also indicated high levels of Total Suspended Sollds. We will adjust the system settings and use of process control chemicals to help improve treatment of the system. The average daily flow was approximately 12,231 gpd. 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 NOTE: if enclosures are not as noted, please contact us at (508) 255.6511 DA DO CN W\W BRN007WRANSMITTALS\TRANSMITTAL (FEBRUARY 2022).00O Orleans I sandwich I Nantucket Massachusetts Department of Environmental Protection 934 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit !Number .. Groundwater Permit a. Tax' identification Number `, DAILY LOG SHEET 2022 FEB 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 (mgn) t°Iaj 1 16499 7.14 7.42 2 10299 7.06 7.34 3 11766 [7:04:: 7.31 4 15,040 7.11 7.3fi 5 1'1849 � u 6 17982 7 11929 7.06 7.35 8 12446 7.10 7.22 9 12188 7.16 7.51 16 11714 � J 7.11 7.13 11 12264 7.04 7.33 12 11482 13 11147 _ 14 13692 7.24 7.45 15 11579 7.12 7.38 16 11517 7.20 17 1016 �� �� 7.17 7.41 18 10026 7.16 7.40 19 10097 21 11274 21 11052 22 10829 7.04 7.38 = I 23 9312 7.31 7.46 24 9713 _� 7.18 7.44 25 11387 7.11 7.36 26 10341 ELA 27 12828 28 10836 7.14 7.41 29 36 31 gdpols.doc • rev. 09115115 Groundwater Permit Daily Log Sheet • Page 1 of 1 - Massachusetts Department of Environmental Protection 934 - Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 1 2. Tax identification Number `EF , DISCHARGE MONITORING REPORT 2022 FEB 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) • N5 = Not Sampled 1, Parameter/Contaminant Units t30p NSG, TSS MCR. TOTAL SOLIDS MOIL AMMONIA -AI MOIL NTRATE•N MOIL TOTAL NITROGEN(NO.3+NO2+TKN) MOIL OIL & GREASE MGL 2. Influent 3. Effluent 65 T 35 T �J. A. Effluent Method Detection limit 12 a3 53 20 F70 26.0 ND x0.10 _. 30.5 �a5a . 3000 1 i n fe ffrp-b I a n k.d oc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 HA A 4[.YTICA L ANALYTICAL REPORT Lab Number: L2210424 Client: Coastal Engineer 260 Cranberry Hi, Route 6A Orleans, MA 02E ATTN: Chad Simmons Phone: (508) 255-6511 Project Name: KINGS LANDING Project Number: WBR007.00 Report Date: 03/14/22 Serial No:03142217:07 The original project reporUdata package is held by Alpha Analytical. This reporudsta 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 (MAOd086), MD (348), NJ (MA935), NY (11148), NC (257001866), PA (68-03671), RI (LA000065), 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 20 Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 SAMPLE RESULTS Lab ID: L2210424-01 Client ID: INFLUENT (COMPOSITE) Sample Location: 3 STATE ROAD, BREWSTER, MA Sample Depth: Matrlx: Water Parameter Result Qualifier Units RL General Chemistry - Westborough Lab t Serial No:03142217:07 Lab Number: L2210424 Report Date: 03/14/22 Date Collected: 02/28/22 09:00 Date Received: 02/28/22 Field Prep: Not Specified Dilution Date Rate Analytical MDL Factor Prepared Analyzed Method Analyst Solids, Total 470 mgll 20 NA 2 - 03/03/22 08:35 121,2540B -...._................ _.._. _......_..... _...... __.._.._ ... DW ............... Sadids, Total Suspended 43. mOVl __.... ................._........ 10 NA 2 - 03/03/22 16:15 121,2540D J1 Nitrogen, Ammonia 26.0 mg/1 1.50 20 0=312213:49 0310412221:45 121,4500NH3•BH AT Nitrogen, Total Kjeldahl 37.7 mg/1 1.50 5 03/02/22 22:33 03/03/22 22:34 4,351.1 AT BOD, 5 day 65. m 11 9 30 NA 15 03/01/22 01:30 03/05/22 20;10 121,5210E SH 'A Page 6 of 20 Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 SAMPLE RESULTS Lab ID: L2210424-02 Client ID: EFFLUENT (COMPOSITE) Sample Location: 3 STATE ROAD, BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units RL General Chemistry - Westborough Lab Serial No:03142217:07 Lab Number: L2210424 Report Date: 03/14/22 Date Collected: 02/28/22 09:00 Date Received: 02/28/22 Field Prep: Not Specified Dilution Date Date Analytical PwIDL Factor Prepared Analyzed Method Analyst Solids, Total Suspended 53. mgll 20 NA 4 03/03/22 16:15 121,2540D Jw Nitrogen, Ammonia 22.5 mg/1 1.50 20 03+0312213:49 0310412221:46 121,4500NH3•BH AT Nitrogen, Nitrite ND mg11 0.050 1 03/02122 08:43 44,353.2 MR Nitrogen, Nitrate ND mgll 0.10 1 - 0310212208:43 44,353.2 MR Nitrogen, Total Kjeldahl 30.5 mgll 3.00 10 03103/22 12:41 03/04/22 21:22 121,4500NH3-H AT ....... SOD, 5 day 35. mg/1 12 NA 6 03,101122 01:30 03/05/22 20:10 121,521013 SH Page 7 of 20 Project Name: KINGS LANDING BREWSTER Project Number: WBR007,04 SAMPLE RESULTS Lab ID: L2210424-03 Client ID: EFFLUENT (GRAS) . Sample Location: 3 STATE ROAD, BREWSTER, MA Sample Depth: Method Analyst Matrix: Water Parameter Result Qualifier Units RL General Chemistry - Westborough Lab Oil & Grease, Hem -Gray ND rno 4.0 Page 8 of 20 SerialNo:03142217:07 1 Lala Number: L2210424 Report Date: 03/14/22 Date Collected: 02/28/22 08:45 Date Received: 021128122 Field Prep: Not Specified Dilution fate Date Analytical MDL Factor Prepared Analyzed Method Analyst 1 03114/2213:30 OX14;221615 140,1664E TL F''A LL 0 Z V E� 4 �� ❑ i N } ❑ ❑ ®❑ ss� CD C [I IEDI N � Z I � � c U 0C]C}U]6 CL0 A IL � N 1 d m Q ❑ ❑ � -� cu cl {p E 4 RN, c e 'y3 Q. D 40 ai R a A C �� Q TO o m LL 0 Z V E� ®❑ �� ❑ i m a } ❑ ❑ ®❑ ss� ® ❑ ❑ C [I IEDI N P p z .� v7 U {] 0C]C}U]6 CL0 A IL � 1 d m I d ❑ rd a CHH ®❑ �� ❑ m a } ❑ ❑ ®❑ ss� ® ❑ ❑ �1'rC4[]8 [I IEDI N I v7 U {] IL � 1 d m r d Li � {p E 4 c e 'y3 D 40 ai R a A m d CL �� Q TO o m rd a CHH ®❑ �� ❑ m a CON 'SDN `SLIt)8 ❑ ❑ ®❑ ss� ® ❑ ❑ �1'rC4[]8 [I IEDI N I v7 U {] IL � 1 d m r w Li L4 U m a � � F �} o 0kil q LL 0 SkS C) ^J Ir! V f ) < 0 O Q w IL � 1 r w ut' L4 U U � � F �} o 0kil q LL 0 ^^ C) ^J Ir! V f ) < 0 O Q w IL E Y[ROlEC JABO11TCRIES9 INC. IW CERT. NO.: M-MA 063 8 Aw Sebastial Drive Sandwich, MA 02563 (508)888-6460 1-800-339-6460 FAX (508)888-6446 Monday, March 14, 2022 Coastal Engineering Co. 260 Cranberry Highway Orleans, MA 02653 k ProjectName: WBR007. 00 Comments: Project Number, Kings Landing Sampled By. Chad .5immons Lab QrelerXitimber. fffrf' 220278 Date Received: 02128722 Sawiple Type Sample Time Sample Date Comments Effluent A 1010 02/26/22 Parameters Units Test Results Reportable Limits DateAaalyzed An¢lyst method Fecal Golffarm grafiI GFU1100 ML I 30W 1�""' Alt samples were ana4v4ed within the establislredgaideflnes of U,S EPA approved merhods with all regairemenls inet unless otherivise noted at fhe end of a given sample's analytieal results. We eerfify that [lie fallowing results are true and accurate w the best of our knowledge. B,RL=below reportable ligAs tee attached By: Ronald J. Saari L(iboratory Director Page 1 of 1 � � \ ❑ § / . _ 7 K m � 6 LL.7 a ± - § z \ §G$ k Q& w E\\ 772 2 co O \ @ n LL o\ Mn eco ® \ ƒ$2 7 < c c tLU 5 0 D //§ o \§ 2 2 LU LL E j //< d / ( /T o C I xgew eldQes $ ƒ •dt.uoJ ) gee9 0 \ � CL r (D a}2 a E ? CO _ \ L)x\ \ \ U) \ ƒ 05 I / O ; E 0. k\/ { \ \\ \ )\\m ) / ® %r,- j Z S § ~ @ / LU q � o 3:1 Ol L \ \ d E co __ �\ � �\ \ . / w m mCL & 2 &/ m c_ �� a)/ o X 22 ���k 71/ 0`$ w \ k \7 //3 2 ff / ® I X75 �❑ CL U) Massachusetts Department of Environmental Protection g3q L Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit! 2. Tax identification Number MONITORING WELL DATA REPORT 2022 FEB MON7HLY 3. Sampling Month & Frequency C. Contaminant Analysis Information • For "'0" below detection limit, less than (<) value, or not detected, enter "Nb" • TNTC = too numerous to count. (Fecal results only) • N5 = Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant HW -11 HW -2 HW -3 HW -4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Weli #: B PH F. 5 J 6.23 5.71 IDRY ~ _. S.U. STATIC WATER LEVEL 23,22 21.15 20.$1 FEET SPECIFIC CONDUCTANCE 480 27Q 444 DRY uIVsfiDS+C rrwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 COASTAL engineering co. TECHNICAL. SERVICES 260 Cranberry Highway Orleans, MA 02653 508.255.6511 P 508.255.6700 F Orleans I Sandwich I Nantucket coastalengineeri ngcorn pany.com RECEIVED/ MAR 112622 BREWS t ETRA DEPARTMENT To: Brewster Town Hall Date: Board of Health Department via: 2198 Main St Brewster, MA 02631 Subject: Cape Cod Sea Camps 3057 Main Street Brewster, MA GWDP 977-0 ❑ Plans ❑ Copy of Letter We are sending the following items: Copies Date No. 1 02/2022 C15845.02 1 02/2022 015845.02 1 03/08/2022 C16845.02 These are transmitted as checked below: ❑ Specifications 03/08/2022 MITTAL Project No. C16845r02 ®ist Class Mail ❑Pick up ❑Certified ❑Fed Ex ® Other Description Daily Log Sheet (Nat field-tested — Camp is Closed) Monthly Discharge Monitor Report [Not sampled — Camp is Close eDEP Electronic Receipt ❑for approval ❑for your use []as 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 since the camp has been closed, No flow or pH was able to be recorded and the distribution box was not sampled. Quarterly testing indicated none of the monitoring wells exceeded the upper discharge limits for any of the quarterly tested parameters. We will continue with our scheduled testing of the monitoring wells. Please do not hesitate to contact us if you have any questions or comments. DJMIacc By: David J. Michniewicz, P.E, Cc: plombardi(Nbrewster-ma.gov NOTE: If enclosures are not as noted, please contact us at (508) 255-6511 Orleans I sandwich I Nantucket D:kD?C1C16800115845.021'rrensmittols12022-03-08 TrUnSMittOl (GWOP 2022).Aor Massachusetts Department of Environmental Protection 977 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit � _ 2. Tax identifcatlon Numher GAILY LOG SHEET 2022 FEB DAILY 3. Sampling Month & Frequenoy C. Dally Readings/Analysis Information Date Effluent Reuse irrigation Turbidity Influent pH Effluent Chlorine W Flow GPD Flow GPD Flow GPD PH Residual Intensity (mgA) ON NS 2NS � NS 3 NS j[ ��I NS 4 N5 ��! NS 5 NS _ �� NS 6 NS NS 7 NS -J NS 8 NS NS 9 NS NS 10 NS NS 11 NS�- 12 NS NS 13 NS _ NS 14 NS �� �� NS 15 NS �J NS 16 NS l� NS 17 NS � NS 18 NS NS 19 NS NS 20 NS NS 21 NS NS { 22 NS �� NS 23 NS —� �� N5 24 NS ��. NS 25 NS �� —�� NS 26 NS �_� NS 27 NS NS 28 NS jN5 29 30 31 gdpdIs.doc . rev. 09115!15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 1Y9i7 -� Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2022 QLJgRiERLY 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) • N5 =Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant . CCSc-1 MW -1 MW -4 MW -5 MW -7 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 PH 6.02 15.67 �� 5.87 .11 5.65 S.U. NITRATE 0.710.26j 1.2 1.7 112.7 MCL TOTAL N[TROGEN(NO3+ND2+TK 1,017 0.735 1.534 2.62 �2.7 MGiY. TOTAL PHOSPHORUS ASP 1.24 1.99 2.11 13.11 7.77 MCS. 4RiFi0 PH05PEiATE 0 021 ND ND ND 10.027 MGIL FOAMING AGENTS (MBAs) NDND ND I IN ND MGIL mwdgwp-blank.doc • rev. 39/15115 Monitoring Well Data for Groundwater Permit • Page 1 of 1 File No.: 016845.02 21'1512022 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 2396 Depth To Water feet 31.72 15.35 2.75 5.60 5.75 GW Elevation feet 20.55 20.47 19.95 15.59 18.20 pH pH units 6.02 5.67 5.87 5.11 5.65 5p. Conductance µ 51cm 540 410 360 480 220 Nitrite -N mg1L X0,050 <0.050 <0.050 X0.050 <0.050 Nitrate -N mglL 0.71 0.26 1.2 1.7 2.7 TKN-N mglL 0.307 0.445 0.334 0.926 X0.300 Total Nitrogen rng1L 1.017 0.705 1.534 2.626 2.70 Total Phosphorus mg1L 1.24 1.99 2.11 3.11 7.77 Ortho -Phosphate mg1L 0.021 X0.005 X0,005 X0.005 0.027 mglL X0.250 <0.250 <0.250 X0.250 <0.250 Surfactants VO C's ug1I ----- ----- ----- ----- ----- 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 annualy during the month of August. D:\DOC\016800116846.02\Discharge Monitorlrngl12021 Monitor Well Reporting Forms.xls102-15-2022 'r .�� A qNR LY`F1 CA L ANALYTICAL REPORT Lab Number: L2208151 Client: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 02653 ATTN: Chad Simmons Phone: (508) 255-6511 Project Name: CAPE COI:] SEA CAMPS Project Number: C-16845,02 Report Date: 02/25/22 Serial_No:02252220:29 , 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 (M A00086), MD (348), NJ (MA935), NY (11148), NC {257001666), 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,atphalab.com t'A Page 1 of 21 Project Name: CAPE COD SLA CAMPS Project Number: C•16845.02 LabiD: L2208151-01 Client ID: MW -1 sample Location: BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units General Chemistry - Westborough Lab SAMPLE RESULTS RL Nitrogen, Nitrite ND mgll 0.050 Nitrogen, Nitrate 0-26 Mgt 010 Nitrogen, Total Kjeldahl 0.445 mg/I 0.300 Phosphorus, Total 1.99 mg,Il 0.050 Phosphorus, Orthophosphate ND mgt[ 0.005 Surfactants, MSA5 ND mg/I 0. 250 Wage 6 of 21 serial No:02252220:29 Lab Number: L2208151 Report Date: 02/25/22 Date Collected: 02/15/22 13:00 Date Received: 02/16/22 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst 1 02/17/22 08:30 44,353.2 MR 1 02/17/22 08:30 44,353.2 MR 1 02/22/22 02:03 02/2122 13:37 12l ,4500NH3-H KP 5 02/24/22 08:30 02/24/22 11;45 121,45OOP-E 5❑ 1 _ 02/16/22 23:42 121,450OP-E AS 5 .................... 02/ 17/22 01:30 .......... 02/17/22 05:08 121,5540C KA Project Name: CAPE CCD SEA CAMPS Project Dumber: C-16845.02 SAMPLE RESULTS Lab ID: L2208161-02 MR _-....... .... ........... _.... 1 02/17/22 08:31 Client ID: CCSC-1 1 02/22122 02:03 02/22/22 13:38 121,4500NH3-H Sample Location: BREWSTER, MA 121 A50OP-E so Sample Depth: 121,4500P -E A .............. 5 02/17/22 01:30 02/17/22 05:08 Matrix: Water Parameter Result Qualifier Units RL General Chemistry - Westborough Lab Nitrogen, Nitrite SVD mgll 0.050 Nitrogen, Nitrate 0.71 mgn 0'10 Nitrogen, Total Kjeldahl 0.307 mgll 0.340 Phosphorus, Total 1.24 mgil 0.050 Phosphorus, Orthophosphate 0.021 mgA 0.005 Surfactants, MBAS ND mgA 0.250 Page 7 of 21 Serial No:02252220:29 Lab Number: L2208151 Report Date: 02/25/22 Date Collected: 02/15/22 13:15 . Date Received: 02/10/22 Field Prep: Not Specified Dilution Date MDL Factor Prepared Date Analytical Analyzed Method Analyst 1 0211712208:31 44,353.2 .......... MR _-....... .... ........... _.... 1 02/17/22 08:31 ............. _...... ... 44,353.2 MR 1 02/22122 02:03 02/22/22 13:38 121,4500NH3-H KP 5 02124/22 08:30 02/24/22 11:48 121 A50OP-E so 1 0211612223:42 121,4500P -E A .............. 5 02/17/22 01:30 02/17/22 05:08 121,55400 KA Serial No:02252220:29 Project fume: CAPE COD SEA CAMPS Lab Number: L2208151 Project Number: C-16845.02 Report Date: 02/25/22 SAMPLE RESULTS ALeHA Page 8 of 21 Date Collected: 02/15/22 13:30 Lab ID: L2208151-03 Client ID: MW -4 Date Received: 02/16/22 Sample Location: BREWSTER, MA 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 Nitrogen, Nitrite ND mgll 0.050 1 0211712208:32 44,353.2 MR Nitrogen, Nitrate 1.2 mgA 0.10 1 02117!22 08:32 44,353.2 MR Nitrogen, Total Kjeldahl 0.334 mgll 0.300 1 02/22/22 02:03 02/22/22 13,39 121,4500NH3•H KP Phosphorus, Total 2.11 mg/1 0.050 5 02124!2208:30 02J24/2211:50 121,4500P -E SD Phosphorus, Orthophosphate ND mgll 0.005 1 02/16/22 23:42 121,4500P -E AS Surfactants, 1V9BAS N❑ mgll 6.250 5 WI 7/22 01:30 02117!22 05:10 121,5540C ALeHA Page 8 of 21 Project Name: GAPE GOD SPA CAMPS Project Number: C-16845.02 SAMPLE RESULTS Lab ID: L2208151-04 Client ID: MW -5 Sample Location: BREWSTER, MA Sample Depth: Matrix: Water Serial No:02252220:29 Lab Dumber: L2208151 Report Date: 02/25/22 Date Collected: 02/15/22 13.45 Date Received: 02/16/22 Field Prep: Not Specified Page 9 of 21 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab Nitrogen, Nitrite ND Nitrogen, Nitrate 1,7 Nitrogen, Total Kjeldahl 0.926 Phosphorus, Total 3,11 Phosphorus, Orthophosphate ND ragll .. _._.................................. mgll m 9A mgli mg/I 0.050 _. 0.10 0.300 0.050 0.005 1 __........... 1 1 5 1 -- - _....................................._.......__.._ 02/2212202:03 0212412208:30 ...-._.... _- ........... - -- 02/1712208:33 ... -........ 02/1712208:33 0212212213:40 0212412211:53 02/16/22 23:43 ...—_...........—._....._- 44,353.2 44,353.2 121,4500NH3 H 121,4500P -E 121,4500P -E ......... .................... .......... ..... ..... MR MR KP SD AS . ... .. Surfactants, MEAS -- ................._.._... ND _ . .. mg/I 0.250 5 02/17/22 01:30 02/17/22 05:10 -121.5540C KA Page 9 of 21 Project Name: CAPE COD SEA CAMPS Project Number: C-16845.02 Lab ID: L2208151-05 Client ID: MW -7 Sample Location: BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units General Chemistry - Westborough Lab SAMPLE RESULTS RL Nitrogen, Nitrite ND mg/1 0.050 Nitrogen, Nitrate 2.7 mgA 0.10 Nitrogen, Total Kjeldahl ND mg/1 0.307 Phosphorus, Total 7.77 mgt! 0.200 Phosphorus, Orthophosphate 0.027 m911 0.005 Surfactants, MBAs ND mg11 0.250 Page 10 of 21 Serial No:02252220:29 Lab Number: L2208151 Report Date: 02/25/22 Date Collected: 02/15/22 14:00 Date Received: 02/18/22 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst _ 1 02/17122 08:35 44,353.2 MR 1 02/17/22 08:35 44,353.2 MR 1 02122/22 02:03 02J2?J22 13:41 121,4500NH3-H KP 20 0212412208:30 0212412211:54 121,4500P -E SD i 02/16/22 23:43 121,4507P -E AS 5 02/17/22 01:30 02/17/22 05:11 121,55400 KA Q LL 0 Fri R Q ti q tct��7RJC3Ali a. 5. �mw d a � o ❑ ❑ � [J! ❑ ❑ 1110 k x 1� i ❑p ❑ ❑ ❑❑❑ ❑ ❑ ❑ C i 17 11 -D El 1010 El a U EJ El 1171 D 1:113 El � � r y T ❑ LTJ ❑ [❑ `�❑ ® El y iL a ❑0 a " 11 El f _ L ❑ ❑❑❑❑❑❑ slU l e�'�aIM ZO00❑❑❑❑® a e ' ❑ a jz�omp❑ ❑ ❑ ❑ E �Q,! _ • . w ❑ 0 +' G7� � p � f1 � m � �f � tON 'Z0N ®F© ®® ❑ ❑ j� �.I �j keJ. _ ti y U U U a d < C LAS 4 R`' m V V [7 V V -- 4 + 19 C3 G5 u i m iy Ji— �i �, #a cy °-1 0. L d wCL O C C q�j En w W '�rry� N 6 .� �� � bC ria �� IL' r on v t L y'7 g� A�.1 w w d T a u v CL - M �7 O Q , w l� C rn ' ___ cy CL d w N [] p ca � O ry � d �; t' s a i� Massachusetts Department of Environmental Protection 977 -- - - Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT �p22 FEBMO�TLY 3. Sampling Mont & 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 LAUNDRY EFFL Units Well #: 1 TSS NS F _ MGR. OIL & GREASE NS MGl� FOAMING AGENTS (MBAS) NS MGL Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 mwdgwp-blank.doc • rev. 09/15115 Monitoring Well Data for Groundwater Permit • Page 1 of 1 318,+22, 11:09 AM eDEP - MassDEP's OnlineFiling System MassDEP Home i Contact I Privacy Policy �.JMassDEP's Online Filing System Username:CASDMR Nickname: COASTAL260 l LReceipt Farms Signature Recelelpt 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: 1352493 Date and Time Submitted: 318!2022 11:06:19 AM Other Email : DEP Transaction ID: 1352493 Date and Time Submitted: 3!812022 11:06:19 AM Other Email : DEP Transaction ID: 1352493 Date and Time Submitted: 318!2022 11:06:19 AM Other Email : DEP Transaction ID: 1352493 Date and Time Submitted: 3/8/2022 11:06:19 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(2022 FEB 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(1 - 2022 Feb Monthly) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number. 043070847 https:lledep.dep.mass.govIeDEPIPages/PrintReceipt.aspx 112 318122, 11:09 AM eDEP - MassDEP's anlineFiling System location: 3057 MAIN STREET Address: BREWSTER Z1P:02631 Monitoring Well Data Report(I - 2022 Quarterly 1) Form Name: Comments My eDEP MassDEP Home I Contact I Privacy Policy MassDEP's Online Filing System ver.15.21.6.00 2022 MassDEP https:/Iedep.dep.mass.gDv/eDEPIPages/PrintReceipt.aspx 212 J.M. O'Reilly & Associates, Engineering & Land Surveying Services 1573 Main Street, 2nd Floor, P.O. Box 1.77 Brewster, MA 02631 (508) 896-6601 Fax (548) 896-6602 TO: Department of Environmental Protection DATE, Attn: Title 5 Program 1 One Winter Street, 5th Floor Routine Inspection Form Boston, MA 02108 Shipping Method: Regular Mail 0 Federal Express ❑ Certified Mail ❑ uPs ❑ Priority Mail ❑ Pick Up ❑ Express Mail ❑ Nand Deliver ❑ Inc. tZEG E IV ET MAR 2 8 2022 87EW6-FEFR HL=ALTH DEPARTMENT LETTER OF SMITTAL DATE: JOB NUMBER: 03/18/2022 F91o9w EU 7-9 Thousand Oaks Drive Brewster, MA 02631 COPIES DATE, DESCRIPTION 1 02/23/22 Routine Inspection Form DEP Approved Inspection Form Lab Results For review and comment: ❑ For approval: ❑ As Requested: ❑ For your use: PIPMAPKA- 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 ArranTex® Field Maintenance Report Propeny Owm 7rrmoidng I inspect Cpararar Christian Diaz Sp:pca Box . r .................. 1GJB - J.M. O'Reilly Stte AGdnss 0 Contac! Prwne 7-9 Thousand Oaks Drive Pump....................... 774-216:-9280 AX gHa D i County 10 tt Pod I HIu I/uL M Dab of Lut Impaction Reclrcufating SplllterValve ....... ❑X 0ji 11-30-2021 Retrieve O&M Info Oally flow RWro ratio_ Tf mer setll ngst Perform Field Samplingl0hservatlons "W"I tiro+] PH {601 00 Ea•� 19.1 6.0 4.0 Odor of Sample T+ Ploai EUety aarthy []Moldy Non-typleal ❑Sulfide E30abbage [-]Deeay Oily film In PVU ❑'fes ❑X Nc Foam in lank ❑Yes a. Check Control Panel ROOM 05 Disaarga Amps 12.11 NIA Audible and Asuat alarms ❑X OK Mal tone (leismen only) ❑ Yes ONo Inspect/Glean Pump System Comments Signature Clean Measure SludgelSoum 9dudus Scum fadcomparinunt inspect R1asrlUd .. .................. ❑X Sp:pca Box . r .................. O float Cc role .�.... 4 ............ 0 Floats ....................... ❑X Pump....................... Q BWube0 Fitter.. - - - . ........... 0 emuba Pump Vault ............ 0 Reclrcufating SplllterValve ....... ❑X Comments Signature Clean Measure SludgelSoum 9dudus Scum fadcomparinunt Co and Piavkus Current Prwkus Float cards 0 3 2 .25 a' 9rcl Comparie»M+I Current PraAW3 Cumnt 1 pffivl vs El 3„ 3 0ji Or Inspect/Clean AdvartTex Filter AlserlLld X❑ Floats Q ❑ splice Box 0 Pump 0 ❑ Float cards 0 Inspect Clean Odor. ❑X Normal Dungen[ LateraislorERoes ❑X ❑ Bimat: NNormal nxcesstya Pod Bottom N El Bsldginglponcmng: Mmonofm1nor ❑Exce3910 lnfakevent ❑ Inspeot/Clean Discharge Pump System inspaet Inspect Clean AlserlLld X❑ Floats Q ❑ splice Box 0 Pump 0 ❑ Float cards 0 Inspect/Service Other System Components Inspoct Glean Ins act Clean ❑ 0isintecllon Egtrlpment ❑ E]Dispersal f-aWaWOMI,00s Olsperaallypa ' Additional Services Rendered leaned textile sheeW aspiaced UV items? ❑Rspiacednlsed olher Items? Parts Used: W aWarranty, B. Billable (vl appropriate sets 0tic n) w a Item Number Dasoriptlim r1EJ1 Fins[/Safety Inspection wristalled ❑I -Ids bolted on �ZR�''SY U aallfaid reconnected; flLrsh valvas Closed MI -antral pens reactivated Summary/Recommendations QSystem performing; nv further action needed ❑Tank needs pumping Owl ror sera}ce ❑(merl Effluent Quality passed field tests. Date 02/2312022 Fax completed form to 1-886-384-7404 Important: "hen filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. ra# "f_ ' tl 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 Christian Diaz Owner 7-9 Thousand Oaks Drive Facility Street Address Brewster 02631 Mailing address of owner, if different: Street Addres slP0 Box: City State 774) 216 -'1280 ext. Telephone Number B. Authorized Service Provider Zip J. M. O'Reilly & Associates, Inc. O&M Firm 1573 Main Street Street Address Brewster MA 02631 City State Zip (508) 896 - 6601 ext. Telephone Number Greg Brehm 16149 Certified Operator Name Certification Number C. Facility/System Information Advantex AX20 DEP ID Manufacturer ID Madel Number unknown Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence -- used less than 6 mo./year: ❑ Yes ® No D. Operating Information 02/23/2022 11130/2021 Inspection Date Previous Inspection Date Sludge Depth (to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 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 re �rted i.tr%e, accurate, and complete as of the time of the inspection. I am a Massachusett -c pftifie /{aerator in accordance with 257 CMR 2.00. 03/l/8/2022 ------------- operator Sib a ure 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 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, 5th Floor Boston, MA 02108 t5aiom.doc • rev. 04-11-13 Page 3 of 3 CERT IRCAT E OF ANALYSIS Barnstable county Healthy aboratorM-MA009 5: Recipient: Greg Brehm Order No.: 022230505 JM O'Reilly Assoc. Report Dated: 43107/2022 1543 Main Street, P D Box 1773 Submitter: JM O'Reilly Assoc. Brewster, MA 02631 Description: 9109W LaboratoU 191 22230505-01 Matrix: Water- Waste Water Sampled: 0212312022 9:40 By: GJB Sample #: Collection Address: Dlaz-7-9 Thousand Oaks Dr., Brewster Received: 0212312022 15:90 By: Turn Around: Standard Sample Locatlon: Test Parameters RESULT UNITS RL- MCL lVEETHOT] # ANALYST TESTED TIME ITEM �� mglL 0,10 EPA 300.0 CL 0212512022 Nitrate as Nitrogen mglL 0,25 EPA 350.1 AB 03/0112022 14:03 Ammonia as Nitrogen 1•9 2.0 SM 5210 B CL 02/2412022 8CO3 Carbonaceous 16 mglL 0.050 EPA 306.0 CL 0219412022 Nitrite as Nitrogen 0.10 mgt- 0.25 EPA MU AB 03104/2022 13:45 TKN 7.7 mgdL Total Suspended Solids 58 tnglL 2.6 5M 25101) 5L 02124/2622 Attached please find the laboratory certified parameter list. Approved BW (Lab Manager) ND = None Detected RL = ReP❑rting Limit MCL = MaXImUm Contaminant Level 3195 Main Street, PO. Boat 427, Barnstable, MA 02630 Ph: 508-375.6505 Page: 1 of 1 J.M. O'ReiIly & Associates, Inc. LETTER OF Engineering & Land Surveying Services " �. NSMITTAL 1573 Main Street, 2nd Floor, P.O. Box 1773 r[3R[3_-V'\j5TVzR E C. E Brewster, MA 02531 (508) 896-6601 MAR 2 8 2022 Fax (508) 846-6642 H#=ACTH D r'ARTi1 F AT Department of Environmental Protection Attn: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 Shipping Method: Regular Mail Q Federal Express ❑ Certified Mail ❑ UPS ❑ Priority Mail ❑ Pick Up ❑ Express Mail ❑ Hand Deliver ❑ COPIES i DATE I DESCRIPTION 1 03/09/22 1 Routine Inspection Form DEP Approved Inspection Form Lab Results DATE: 03/24/2022 39 McGuerty Road Brewster, MA 02631 JOB NUMBER: 8248BW For review and comment: ❑ For approval: ❑ As Requested: ❑ For your use: 71 or -nn A DLZQ- 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 FIELD INSPECT[ON & SERVICE REPORT FAST®R wastewater treatment systems INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address 39 McGuerty Road Namd.M. O'Reilly & Associates, Inc. Owner Name I-owe[i & susan outslay Street 1573 Main Street, Brswster, MA Mail Address 39 MCGuerty Road city Brewster State MA zip 02631 Mail Address P.O. Bax 1773 city Brewster State MA zip 02531 Phone 5OB-237-21 D5 Fax e-mail susanbaker715@gmail.com Phone 508-896-6601 Fax 508-896-6602 e-mail gbrehm@jmoreiWyassoe.coln INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last umpout MicroFast a.5 Unknown unknown unknown EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panels System is operating =redly mechani:ally. Visual Alarm Operating x Audio Alarm Operating x if resent (s) -Blower Air Inlet Filter Clean x Blower Hood Vents Clear x Excessive Noise x Excessive Vibration x Treatment Unit(s) Unusual Odor x Effluent samp[as collected for lab analysis. Pum out Required: Primary Settling Zone x taken &10-21 Aerobic Treatment lone x EFFLUENT(o tions) LIMIT RESULT Effluent quality passed field testing. Estimated Daily Flow H (Standard Units) 6-9 S.U. 7.0 Color Clear Clear Temperature 46.32 r Odor Slightly Musty odor Musty (not septic) Alkalinity = 180, NO3 = 5.0, NO2 = 0.0, DO= 4.0 mg/L Turbidity= 28.7 NT OWNER SIGNATURE TEC I NATURE SERVICE DATE 03/09/2022 E. Important. When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. rah 6X Massachusetts Department of Environmental Protection Bureau of Resource Protections - Title 5 DEP Approved Inspection and O&M Form for Title 5 l!A Treatment and Disposal Systems A. Installation Lowell & Susan Outslay Owner 39 McGuerty Road Facility Street Address Brewster 02631 r:ity Zip Mailing address of owner, if different: ress/PO Box: City State (508) 237 - 2106 ext. Telephone Number B. Authorized Service Provider J. M. O'Reilly & Associates, Inc. O&M Firm 1573 Main Street — Street Address BrewsterMA 02631 City State Zip (508) 896 - 6601 ext. Telephone Number Greg Brehm 16149 Certified Operator Name Certification Number C. Facility/System Information BREW-McGG39-FAS Bio-microbics Microfast 0.5 DEP I D Manufacturer ID Model Number unknown unknown Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence -- used less than 5 mo./year: ❑ Yes ® No D. Operating Information 03/09/2022 Inspection Date taken 6-10-21 Sludge Depth (to be checked yearly) 11/30/2021 Previous Inspection Date Pumping Recommended ❑ Yes ® No t5aiom.doc • rev, 64-11-13 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau€ of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Calor: ❑ gray ❑ brown ® clear ❑ turbid ® Other (specify); FOG Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.0 SU DO 4.0 mg/L Turbidity 28.7 NTU B tog 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ® TN ❑ Other (list below) see lab results Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: System is operating correctly mechanically. Notes and Comments: t5aiorn.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 -e ified erja or in accordance with 257 CMR 2.00. e,%L— 03/2412022 operatot`5ign95 re- Date t-" System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use – by January 31 s1 of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use – by March 311h of each year for the previous 12 months General Use – by September 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 Rage 3 of 3 GERTWMATE OF MALY= m' Barnstable County Health Laboratory (M-MA009) Y Recipient-, Greg Brehm Order No.: G22230630 ,!M O`Reilly Assoc. Report Dated: 03/22/2022 PO Box 1743 Submitter: JM O'Reilly Assoc. Brewster, MA 02631 Description: 824813W Water. Waste Water 0310912022 13:30 By: GJB 0310912022 14:12 By: Standard Laborata 11-#: 22230630-01 RL Sample # 0.10 Collection Address: Oulslay - 39 MCGuerty Rd, Brewster Sample Location: mg1L Test Parameters rnog1L ITEM RESULT Nitrate as Nitrogen 6.3 SOD (5 DAY) TEST ND Nitrite as Nitrogen 0,24 TKN 45 Total Suspended Solids1 Attached please find the laboratory certified parameter list Matrix: Sampled: Received: Turn Around: UNITS RL mglL 0.10 mg& 2.0 mg1L 0.050 rnog1L 0.25 mg1L 2.0 MCLLVIETHOD # ANALYST TESTED TIME 10 EPA 300.0 CL 03/11/2022 SM 5210 B CL OV09/2022 1.0 EPA 300.0 CL 03/1112022 EPA 351.2 AS 0311&2022 9:53 - SM 2540❑ SL 03/15/2022 Approved By: (Lab Manager) ND = None Detected RL = Reporting Limit MCL = Maximum Contaminant Level 3'195 Main Streot, PO. Bon 427, Barnstable, MA 02630 PIS: U08-375.6606 Page: 1 of 1 J.M. O`Reilly & Associates, Inc. Engineering & Land Surveying Services 1573 Main Street, 2nd Floor, P.O. Box 1773 R E -- Brewster, MA 02531 (508) 896-6601 JAR+ Fax (508) 896-6602 BpeWSTER 1-1LALTH DEPARLWEN'r- 1� Department of Environmental Protection Attn: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 Shippinn Method: Regular Mail 0 Federal Express ❑ Certified Mail ❑ UPS ❑ Priority Mail ❑ Pick Up ❑ Express Mail ❑ Hand Deliver ❑ COPIES i DATE i DESCRIPTION 02/23/22 1 DEP Approved Inspection Farm SeptiTech Form Lab Results DATE: 03/2212022 ETTER OF SMITTAL JOS HUMBER: 8082U11 == White flock Commons Subdivision, White Rock Road, Brewster For review and comment: ❑ For approval: ❑ As Requested: ❑ For your use: IZI drnnnoVe. 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: White Rock Commons Subdivision White Rock Road Brevister, MA 02631 Date: 02-23-2022 `11me: 8;25 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: 9 s Hours Runtime: 13 13 Seconds Runtime: 3222-3 904.7 6. Record controller program. version: Commercial GJB (Initial) 7. Record controller firmware version: V121 GJB (Initial) 8. List parts and supplies used: 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:LLfnrre��NppQ.+1�1f-oreiHrsinosvRLWindn��slTemporory IHcmcl FilesLCart.nLoiriausii.Q2TFDgYLseplilch.dnc Lll�Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 IJA Treatment and Disposal Systems B. Authorized Service Provider J. M. O'Reilly & Associates, Inc. O&M Firm 1573 Main Street - P.O. Sox 1773 5t re et Address Brewster MA City State (508) 896 - 6601 ext. Telephone Number Greg Brehm Certified Operator Name C. Facility/System Information 0263'1 16149 Certification Number 06525 Zip 02631 Zip BREW-Sou157-Sep Septitech M300ON DEP Ip Manufacturer ID Model Number Unknown January 2016 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence — used less than 6 mc./year: ❑ Yes ® No D. Operating Information 02/23/2022 Inspection Date Sludge Depth [to be checked yearly] 11/29/2021 Previous Inspection Date Pumping Recommended ❑ Yes ® No t5aiom.doc • rev. 04-11-13 Page 1 of 3 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 use the return City key. Mailing address of owner, if different: P.O. Box 3843 Street Address/P0 Bax: New Haven CT city State (203) 312 - 3484 ext. Telephone Number B. Authorized Service Provider J. M. O'Reilly & Associates, Inc. O&M Firm 1573 Main Street - P.O. Sox 1773 5t re et Address Brewster MA City State (508) 896 - 6601 ext. Telephone Number Greg Brehm Certified Operator Name C. Facility/System Information 0263'1 16149 Certification Number 06525 Zip 02631 Zip BREW-Sou157-Sep Septitech M300ON DEP Ip Manufacturer ID Model Number Unknown January 2016 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence — used less than 6 mc./year: ❑ Yes ® No D. Operating Information 02/23/2022 Inspection Date Sludge Depth [to be checked yearly] 11/29/2021 Previous Inspection Date 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 M earthy Effluent Solids: ® no ❑ some ❑ moldy ❑ offensive ❑ turbid pH 6.5 SU DO 3.0 mg/L. Turbidity 2.66 NTU 6 to 9 2 or greater 40 ar 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 2006 gpd and greater, and General Use nitrogen reducing systems: gid Parameters sampled: ❑ pH ® BOD ❑ CBO© ® TSS M 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 correctly mechanically. t5aiam.doc • rev. 04-11-93 Page 2 of 3 Massachusetts Department of Environmental Protection kEiBureau of Resource Protection - Titje 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 colle❑tion 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 jMassachusetts er' led ❑ or in accordance with 257 CMR 2.00. 03/2212022 ator Sign u Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use — by January 31st of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use — by March 31th of each year for the previous 12 months General Use — by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.dac rev. 04-11-13 Page 3 of 3 CERTIFICATE E OF ANALYSIS Barnstable county Health Laboratory (M-MA009) Recipient: Greg Brehm Order No.: 622230504 JM O'Reilly Assoc. Report Dated: 03/0712022 1543 Main Street, P Q Box 1773 Submitter: JM O'Reilly Assoc. Brewster, MA 02631 Description: 8082W Laboratory I©#: 22230504-01 Matrix: Water -Waste Water Sample #: Sampled: 02V23/2022 8:50 By: GJB Collection Address: White Rock Rd HOA, Brewster Received: 0212312022 15:10 By: Sample Location. Turn Around: Standard Test Parameter ITEM RESULT UNITS RL MGL�JIETHOp # TESiED TIME Nitrate as Nitrogen 14 mWL a10 EPA 300.0 02/2512022 Ammonia as Nitrogen 0.52 mg1L 4.25 EPA 350.1 03107!2022 14:03 30D (6 DAY) TEST N13 mg1L 2,0 SM 5210 B 0212412022 Nitrite as Nitrogen 0.28 mg1L (1•050 EPA 300.0 02/24/2022 TKN 2.3 mg/- 0.25 EPA 351.2 03104/2022 13:45 Total Suspended Solids 3.6 mg1L 2.0 SM 2540D 0212412022 Attached please find the laboratory certified parameter list. Approved By• (Lab Director) ND = None Detected RL = Reporting Limit MCL = Maximum Contaminant Level 3195 Main Street, PO. 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N N 0 7i OOit¢o LU J N N N N ..0 U a N 00 U L N C 0 U t� C rI 1 0 0 u 3: ai Z L- 0 4--+ C 0 V o.i N 3/21-3/26 3/13.3120 2/27-3/5 2/13.2119 1/30-2/5 1/16.1/22 1/2.1/8 12/19-12/25 12/5.12111 11/21-11127 .11/7.1.1113 10/24/10130 19/10-10/16 9/26-10/2 9112-s11s 8129-9J4 s/1s•slzl aJ1-s/7 7118-7/24 7/4.7/10 6120-6126 6/6-6112 SJ23-SJ29 5/9-5/15 4125.5/1 4/11-4117 3/28.4/3 3/14.3/20 2/28-3/6 2/14.2120 1/31-2/6 1/17-1/23 1/3.1/9 12/20-12/26 12/6-12112 11/22-11128 11/8-11114 1 012 5-1 013 1 10/11-10117 9/27-10/3 9/13-9119 9130-9/5 8/16-8/22 2/2.8/8 7/19-7/25 715-7/11 6121-6127 6/7.6/13 5124.5130 5110-5/16 4126-5/2 4/12-4118 3/29.414 3/15-3121 dN O 00 CD [dA � d d c I -1 -1 N v1 � D rl O N n � � m 00 r -I H rI n d' N C) M N 01 Ln Ln Ln Lr1-- 00 rn rn rn n rn Ln M N O Q O 0 d M M n LO NN N Lf] o a �N N� N N N to m H 4 M N N 0 N a 0 0 61 N N 0 a C) O N Q H O 4 m a r -i M 3/21-3/26 3/13.3120 2/27-3/5 2/13.2119 1/30-2/5 1/16.1/22 1/2.1/8 12/19-12/25 12/5.12111 11/21-11127 .11/7.1.1113 10/24/10130 19/10-10/16 9/26-10/2 9112-s11s 8129-9J4 s/1s•slzl aJ1-s/7 7118-7/24 7/4.7/10 6120-6126 6/6-6112 SJ23-SJ29 5/9-5/15 4125.5/1 4/11-4117 3/28.4/3 3/14.3/20 2/28-3/6 2/14.2120 1/31-2/6 1/17-1/23 1/3.1/9 12/20-12/26 12/6-12112 11/22-11128 11/8-11114 1 012 5-1 013 1 10/11-10117 9/27-10/3 9/13-9119 9130-9/5 8/16-8/22 2/2.8/8 7/19-7/25 715-7/11 6121-6127 6/7.6/13 5124.5130 5110-5/16 4126-5/2 4/12-4118 3/29.414 3/15-3121 dN O 00 CD [dA � d d c I -1 -1 r� L 0 V C.3 v Tr i r� �V ]1 re Q) V) co 4-- 0 tLoW r Q 0 0 Q � Q L N R aft a 4 7 p N n � Lry O U 4 LnN Q CII LO v p � vt yr N N N L L m N m [i6 rL0 F6 i i6 A A A 7- 7• 7• T � � ry m w aj C3 n Q' O D D a O O aj C3 v rN 4a Ln cD n o0 + 0 a- m NI -----00 � -- --- •- •- -- -- o - -- - 0 m cuU ❑ � 4 j ;e a u a o o o Q L L L i i . L N p7 �] D7 QJ 6J Q!L rmv m m al a) n } q p a a a o N N rn It un t.0 n oa r Q 0 F,Q 4 n � U a o LO p � vt yr N N N L L m N m [i6 rL0 F6 i i6 A A A 7- 7• 7• T � � ry m w T n Q' O D D a O O + fl Q v rN m Ln cD n o0 N N 0 N u L RE ■► Ln CL ( a' M m N Q c � 0 a o a o T rn m Q � � rl N r -I 0 i2 L L i 4-J L'6 D3 Ql al Qv fu w L N OJ OJ V7 r�Y7 l�l1 T U3 q O m 0 0 - W U 0 00 ® r ■ ■ 4--+ ■ ■ C— ai .N - n W V) W L - cc 4- 0 V) Q) �+YrI Ln CL ( a' M m N Q c � 0 a o a o T rn m Q � � rl N i2 L L i N 61 Ql al Qv fu w L N OJ rel r�Y7 l�l1 T n + q O m q w O 00 ® r ■ ■ ■ ■ ■ N ry❑ V N m 0 LL Q F Q 0 a 0 z a z U V a F Z W 0 w w W m LOCAL UPGRADE APPROVAL IS REQUIRED TO ALLOW 1. PROPOSED SOIL ABSORPTION SYSTEM AND DISTRIBUTION BOX TO BE 6'± BELOW GRADE (3' VARIANCE FROM 310 CMR 15.221(7)). 2. PROPOSED SOIL ABSORPTION SYSTEM TO BE APPROXIMATELY 258' FROM A POND (42' VARIANCE FROM BREWSTER BOARD OF HEALTH LEACHING FACILITY SETBACK REGULATION). , O Ai k9 ''. •�Op L� BENCHMARK '., TOP OF FOUNDATION EL. =97.11 PCL #7 6. ft Am (Total) Aft Aa (Unrestricted) (NAVD 88) EX�S�B G .F CIAO SOED 8 * .'' I III III; III I:: NNIN IN eel • I I. � I'A fto t: _ 16.It'Ns. 00 NsIa_ NNN -IIIV - �IIN`I INN INI sNN INN,_ 100'�eoM o.� WpL s%%s��\ PROPOSED RETAINING WALL TOP OF WALL EL:'=99.5 s%%s� BOTTOM OF WALL - EL.=96.5 g, so God rp !%�4 .\\ \ \8 60 \\q t., o v: 0 0 SIT7' PLAN 1" = 30 ' TEST HOLE' DATA ' DATE OF TEST HOLES: 11/4/2021 NO WATER ENCOUNTERED INSP. BY. D. QUINN (R&W), SHERRIE MCCULLOUGH (HEALTH DEPT.) TOP OF PERC AT 26' (C -LAYER) <2MIN./IN. ♦0 :R f '• A EXISTING 1,000 -GAL. SEPTIC TANK TO REMAIN �O EXISTING LEACHING PIT Qp AND DISTRIBUTION BOX 11 TO BE PUMPED DRY AND REMOVED X, h� ti 12.91.± -VENT GENERAL NOTES: 1. SYSTEM IS DESIGNED IN ACCORDANCE WITH 'COMMONWEALTH OF MASS., DEPT. OF ENVIRONMENTAL PROTECTION, 310 CMR 15.00; THE STATE ENVIRONMENTAL CODE, TITLE 5: STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE AND EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS' AND THE TOWN OF BREWSTER REGULATIONS, EXCEPT AS NOTED. 2. NO WELLS OR WATER SUPPLIES ARE KNOWN TO EXIST WITHIN 100 FEET OF THE PROPOSED SOIL ABSORPTION SYSTEM. ALL WELLS KNOWN TO EXIST WITHIN 150 FT. OF THE SYSTEM ARE SHOWN. 3. PRIOR TO BACKFILLING COMPLETED SYSTEM, NOTIFY THE ENGINEER AND THE HEALTH DEPARTMENT FOR INSPECTION. PROVIDE 24 HOURS (MIN.) NOTICE 4. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO EXCAVATION. 5. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH. ALL COVERS AND INSPECTION PORTS SHALL BE MARKED WITH MAGNETIC MARKING TAPE OR A COMPARABLE MEANS IN ORDER TO LOCATE THEM ONCE BURIED. TOP OF FOUNDATION ELEV.= 97. 11 10� ' M/N.IIII I `- EXISTING TIMBER Koo RETAINING WALLS AND /0000 STEPS TO BE REMOVED10*40 PROPOSED RETAINING WALL TOP OF WALL EL.=102.5 BOTTOM OF WALL FL.=99.5 NOTE: ENGINEER SHALL VERIFY SOIL CONDITIONS AT TIME OF INSTALLATION. PROVIDE ENGINEER 24 HOURS (MIN.) NOTICE. 1��'SIGN IATA LDC14TID.N ffz4P Not to Scale LOCUS'' RTE 6A �o Re rence Assr's Map 136, Pei 7 Pl. Bk. ,281, Pgg. 96 Pl. Bk. 6'4,2, Pg. 50 Pl Bk 413 P TYPICAL SYS'TB.�LI PROI'IL�' ogo z VENT: 4' PVC WITH SCREEN; NOT TO SCALE BACKFILL TIGHTLY TO PREVENT SEEPAGE OF SURFACE WATER. TANK & D -BOX TO BE INSTALLED MAINTAIN A MAXIMUM OF 6' OF COVER OVER ALL SYSTEM ON A LEVEL, STABLE BASE (MIN. 6' STONE BASE) COMPONENTS (LOCAL UPGRADE APPROVAL REQUIRED). ALL COMPONENTS SHALL CO EXISTING FLOW UNE NFORM TO SPECIFICATIONS CONTAINED IN 310 CMR 15.00. COVER TO WITHIN 6' OF GRADE _ Z INV.EL. g 6 I oo 16 (MAX RUN) I 92.50 p?FFOR DO0& PIPE TO BE LEVEL �. 2' ss 1,000 /NV. EL. % am GALLON CAPACITY INV. �- 92.70 a ° an ®®®®� SEPTIC TANK 93.Ot • (WATER TIGHT REINF. CONC.) _ - INV. EL. a - - .. .. Ias . 92.87 NO GARBAGE GRINDER *MATCH EXISTING. CONTRACTOR SHALL VERIFY ALLOWED WITH THIS DESIGN. LOCATION AND ELEVATION OF ALL EXISTING WASTE PIPES PRIOR TO SETTING ANY COMPONENTS, CONTACT ENGINEER WITH ANY DISCREPANCIES. H-20 RATED NUMBER OF BEDROOMS: 4 ESTIMATED DAILY EFFLUENT 440 G.P.D. TOTAL LEACHING AREA AS PROPOSED: SIDEWALL. 2(L+W) x D = 200 S.F. BOTTOM: L x W = 400 S.F. LEACHING CAPACITY AS PROPOSED: (EFFLUENT LOADING RATE = 0.74 GPD/SF) SIDEWALLI 200 S.F. X 0.74 = 148 G.P.D. BOTTOM: 400 S F. X 0.74 = 296 G.P.D. LBGL'Nl� TEST HOLE LOCATION "-' ' c ; ' - IX/STING CONTOUR �;; L; I ° �" PROPOSED CONTOUR ;� EX/S77NG SEPTIC TANK ` } t' ° DISTRIBUTION BOX (H 20) q, ��s.372193 j , :---------� 40' X 10' X 2' I ABSORPTION CHAMBER LLL- J SYSTEM (H-20) 3 rZZ J ZZ ■ Co B0 CONCRETE BOUND ` O IX/S7ING WELL ABS''ORPTION ChHAAIBZR I>BTAIIIIINE L (500 -GAL. ACME PRECAST" UNITS, H-20 RATED, OR EQUAL) NOT TO SCALE sak M 'CA DOUBLE MAX. FINAL GRADE STONE WAASHSH ED M/NIMUM OF (1) 2' M/N, 1/8"-1/2' ELEV.= 99.5 (NP) DOUBLE WAS INSPECT/ON COVER HED REQUIRED PER UNIT STONE (TVP.) OR (1 TO WITHIN 6' APPROVED FILTER OF FIN/SHED GRADE FABR/C E ) C COVERR (EXCLUD. TDP SOIL) 1m11�11�11�1 1A I�1 ISI ISI A l�ll�lI'IA I�II�II�I IRI F I IMI • °' an a • ' a°ia so a ••a a • 2• EFFECTIVE 00 a gas ° ' DEPTH a ��" °" " BOTTOM EL.= 90.5 34 (2.6 SIDES) (4 UNITS W/ NO STONE IN BETWEEN) (2.6' SIDES) EFFEC77VE LENGTH = 40'. EFFECTIVE WIDTH = 10' PROPOSE ON -S 177T ,S1'IFAGL' TR�'AT�L1�'IV77 AN1> 1�15PD,SYAL ,S'Y,S'TL'AI Prepared for.• Annie Davis �c .Frank ,S'ctiroth Location. 399 Bakers Pond Road, Brewster, AIA Ryder �Pc' IFilcox, Inc., P. F'. dPc P. L. S. 3 Giddiah Hill Rd. P. O. Box 439 Scale: 1" = 30 ' So. Orleans, MA., 0,26'6'2 Drawn by - NMA Tel. �508� .255-831,2 Bate - March ZZ ,20,2,2 Fax. (508) ,240-,2306 FE:: 14EAR2 222 BREVVI r; _!= H mob No. 36'>0 No.1 DEPTHSOIL (IN.) SOIL HORIZON TEXTURE ELEVATION (FT.) 0 - 12 - FILL 95.5 - 94.5 12 - 132 c MEDIUM TO COARSE SAND 94.5 - 84.5 TOP OF PERC AT 26' (C -LAYER) <2MIN./IN. ♦0 :R f '• A EXISTING 1,000 -GAL. SEPTIC TANK TO REMAIN �O EXISTING LEACHING PIT Qp AND DISTRIBUTION BOX 11 TO BE PUMPED DRY AND REMOVED X, h� ti 12.91.± -VENT GENERAL NOTES: 1. SYSTEM IS DESIGNED IN ACCORDANCE WITH 'COMMONWEALTH OF MASS., DEPT. OF ENVIRONMENTAL PROTECTION, 310 CMR 15.00; THE STATE ENVIRONMENTAL CODE, TITLE 5: STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE AND EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS' AND THE TOWN OF BREWSTER REGULATIONS, EXCEPT AS NOTED. 2. NO WELLS OR WATER SUPPLIES ARE KNOWN TO EXIST WITHIN 100 FEET OF THE PROPOSED SOIL ABSORPTION SYSTEM. ALL WELLS KNOWN TO EXIST WITHIN 150 FT. OF THE SYSTEM ARE SHOWN. 3. PRIOR TO BACKFILLING COMPLETED SYSTEM, NOTIFY THE ENGINEER AND THE HEALTH DEPARTMENT FOR INSPECTION. PROVIDE 24 HOURS (MIN.) NOTICE 4. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO EXCAVATION. 5. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH. ALL COVERS AND INSPECTION PORTS SHALL BE MARKED WITH MAGNETIC MARKING TAPE OR A COMPARABLE MEANS IN ORDER TO LOCATE THEM ONCE BURIED. TOP OF FOUNDATION ELEV.= 97. 11 10� ' M/N.IIII I `- EXISTING TIMBER Koo RETAINING WALLS AND /0000 STEPS TO BE REMOVED10*40 PROPOSED RETAINING WALL TOP OF WALL EL.=102.5 BOTTOM OF WALL FL.=99.5 NOTE: ENGINEER SHALL VERIFY SOIL CONDITIONS AT TIME OF INSTALLATION. PROVIDE ENGINEER 24 HOURS (MIN.) NOTICE. 1��'SIGN IATA LDC14TID.N ffz4P Not to Scale LOCUS'' RTE 6A �o Re rence Assr's Map 136, Pei 7 Pl. Bk. ,281, Pgg. 96 Pl. Bk. 6'4,2, Pg. 50 Pl Bk 413 P TYPICAL SYS'TB.�LI PROI'IL�' ogo z VENT: 4' PVC WITH SCREEN; NOT TO SCALE BACKFILL TIGHTLY TO PREVENT SEEPAGE OF SURFACE WATER. TANK & D -BOX TO BE INSTALLED MAINTAIN A MAXIMUM OF 6' OF COVER OVER ALL SYSTEM ON A LEVEL, STABLE BASE (MIN. 6' STONE BASE) COMPONENTS (LOCAL UPGRADE APPROVAL REQUIRED). ALL COMPONENTS SHALL CO EXISTING FLOW UNE NFORM TO SPECIFICATIONS CONTAINED IN 310 CMR 15.00. COVER TO WITHIN 6' OF GRADE _ Z INV.EL. g 6 I oo 16 (MAX RUN) I 92.50 p?FFOR DO0& PIPE TO BE LEVEL �. 2' ss 1,000 /NV. EL. % am GALLON CAPACITY INV. �- 92.70 a ° an ®®®®� SEPTIC TANK 93.Ot • (WATER TIGHT REINF. CONC.) _ - INV. EL. a - - .. .. Ias . 92.87 NO GARBAGE GRINDER *MATCH EXISTING. CONTRACTOR SHALL VERIFY ALLOWED WITH THIS DESIGN. LOCATION AND ELEVATION OF ALL EXISTING WASTE PIPES PRIOR TO SETTING ANY COMPONENTS, CONTACT ENGINEER WITH ANY DISCREPANCIES. H-20 RATED NUMBER OF BEDROOMS: 4 ESTIMATED DAILY EFFLUENT 440 G.P.D. TOTAL LEACHING AREA AS PROPOSED: SIDEWALL. 2(L+W) x D = 200 S.F. BOTTOM: L x W = 400 S.F. LEACHING CAPACITY AS PROPOSED: (EFFLUENT LOADING RATE = 0.74 GPD/SF) SIDEWALLI 200 S.F. X 0.74 = 148 G.P.D. BOTTOM: 400 S F. X 0.74 = 296 G.P.D. LBGL'Nl� TEST HOLE LOCATION "-' ' c ; ' - IX/STING CONTOUR �;; L; I ° �" PROPOSED CONTOUR ;� EX/S77NG SEPTIC TANK ` } t' ° DISTRIBUTION BOX (H 20) q, ��s.372193 j , :---------� 40' X 10' X 2' I ABSORPTION CHAMBER LLL- J SYSTEM (H-20) 3 rZZ J ZZ ■ Co B0 CONCRETE BOUND ` O IX/S7ING WELL ABS''ORPTION ChHAAIBZR I>BTAIIIIINE L (500 -GAL. ACME PRECAST" UNITS, H-20 RATED, OR EQUAL) NOT TO SCALE sak M 'CA DOUBLE MAX. FINAL GRADE STONE WAASHSH ED M/NIMUM OF (1) 2' M/N, 1/8"-1/2' ELEV.= 99.5 (NP) DOUBLE WAS INSPECT/ON COVER HED REQUIRED PER UNIT STONE (TVP.) OR (1 TO WITHIN 6' APPROVED FILTER OF FIN/SHED GRADE FABR/C E ) C COVERR (EXCLUD. TDP SOIL) 1m11�11�11�1 1A I�1 ISI ISI A l�ll�lI'IA I�II�II�I IRI F I IMI • °' an a • ' a°ia so a ••a a • 2• EFFECTIVE 00 a gas ° ' DEPTH a ��" °" " BOTTOM EL.= 90.5 34 (2.6 SIDES) (4 UNITS W/ NO STONE IN BETWEEN) (2.6' SIDES) EFFEC77VE LENGTH = 40'. EFFECTIVE WIDTH = 10' PROPOSE ON -S 177T ,S1'IFAGL' TR�'AT�L1�'IV77 AN1> 1�15PD,SYAL ,S'Y,S'TL'AI Prepared for.• Annie Davis �c .Frank ,S'ctiroth Location. 399 Bakers Pond Road, Brewster, AIA Ryder �Pc' IFilcox, Inc., P. F'. dPc P. L. S. 3 Giddiah Hill Rd. P. O. Box 439 Scale: 1" = 30 ' So. Orleans, MA., 0,26'6'2 Drawn by - NMA Tel. �508� .255-831,2 Bate - March ZZ ,20,2,2 Fax. (508) ,240-,2306 FE:: 14EAR2 222 BREVVI r; _!= H mob No. 36'>0