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Home My Public Portal AboutBOH 4.5.23 packet."`0,,•0�` W g74$`rrrrrri a4 ,Rg`°ER e9$� Town of Brewster Board of Health a 2198 Main St., Brewster, MA 02631 V. _ — brhealth®brewster-ma.gov (508) 896-3701 Board of Health Penn Holeman Penny Annette Graczewski Kimberley Crocker Pearson David Bennett Casey Chatelain BOARD OF HEALTH MEETING AGENDA 2198 Main Street April 5, 2023 at 6:301PM This meeting will be conducted in person at the date, time and location identified above. This means that at least a quorum of the members of the public body will attend the meeting in person and members of t h a public are welcome to attend in person as well. As a courtesy only, access to the meeting is also being provided via remote means in accordance with applicaba. law. Please note that while an option for remote attendance arrdlor participation is being provided as a courtesy to the public, the meeting/hearing will not be suspended or terminated if technological problems interrupt the virtual broadcast or affect remote attendance or participation, unless otherwise required by law. Members of the public with particular interest in any specific item on this agenda, which includes an applicant ared its representatives, should make plans for in-person vs. virtual attendance accordingly. Members of the public who wish to access the meeting may do so in the following manner: Phone: Call {309}715-8582 or (312)626-6799. Webinar 1D: 820 4394 4509 Passcode: 979974 To request to speak: Press '9 and wait to be recognized. Zoom Webinar: htts)s:llusG2Web.zoom.us/9/82043944509?owd=MldpM2kvUExKbU I RS0hmM01Zb3dZz 9 Passcode; 979174 To request to speak: Tap Zoom "Raise Hand", then wait to be recognized. When required by law or allowed by the Chair, persons wishing to provide public comment 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 broadcast (Brewster Government TV Channel 18), Livesfream (livestream.brewster-ma.gov) or Video recording (tv.brewster- ma.onv] Health Director Amy von Hone 1, Call to Order 2. Declaration of a Quorum Assistant Health 3. Recording Statement Director 4. Chairman's announcements Sherrie McCullough 6, Citizen's forum: Members of the public may address the Board of Health on matters not on the meeting agenda for a maximum 3-5 minutes at the Chair's discretion. Linder Open Meeting Law, the Board of Senlor Department Health is unable to reply but may add items presented to a future agenda Assistant 6. Annual Small Wastewater Treatment Facilities reports: Tammi Mason • Chris Wigneau-Weston/Sampson -Ocean Edge 7. Art ;Judy Arnold -2149 Main Street- request to allow new operator to open restaurant prior to replacement of a failed septic system 8. Jamie Norcross - Representing new owners of "Gu apo's"-request to allow owners to open restaurant prior to replacement of a failed septic system 9. Ocean Edge Resort, 2907 Main Street- Request approval for continued use of existing outdoor food service establishment venue associated with the Front Lawn Operation 10. Nomination of Animal Inspectors (Sherrie McCullough & Lynda Brogden Burns) 11. Liaison Reports 12. Matters not reasonably anticipated by the Chair 13. Items for next agenda 14. Next meeting: April 19, 2023 15. Informational items: a, February Public Health Dispatch newsletter b. March Public Health Dispatch newsletter C. Monthly+ report for Town of Brewster (formerly CCSC) d. Monthly report for Serenity I lid e. Monthly report for Pleasant Bay Health Center f. Monthly report for Maplewood at Brewster 16. Adjournment Date Posted: Date Revised: Received by Town Clerk: f '' N:1HealthlBOH Agendas and Minutes and Remote SchedulelBOH AgendaAApri1523a.docx OCEAN EDGE WWTF ANNUAL PERFORMANCE REPORT Calendar year 2022 Ocean Edge Resort Submitted by: Weston & Sampson Services March 10, 2022 Tammi Mason Senior Department Assistant Brewster Health Department 2198 Main Street Brewster, MA 02531-1898 Re: 2022 Annual Operations and Maintenance Report Ocean Edge Wastewater Treatment Facility Dear Ms. Mason: Weston & Sampson Services, Inc. Is pleased to present you with our Annual Operations and Maintenance (0&M) Report for the Ocean Edge Wastewater Treatment Facility (WWTF), Included you will find a synopsis of our O&M activities, effluent flows, and effluent quality and parameters for the January 2022 through December 2022 reporting period. Regards, WESTON & SAMPSON SERVICES, INC. L� James R. Tringale Compliance Coordinator weston andsa m ps on. co m Offices h: MA, CT, NH, VF, NY, PA, Md, NC, SC & FL Weston@Sampson z TABLE OF CONTENTS Corner Letter 1 Table of Contents Z Introduction 3 WWTF Performance and Compliance 3 Repairs and Maintenance 4 Pumping and Effluent Flow Graph 4 Summary, Conclusion, and Recommendations 5 westonandsa m pson.com Offices in: MA, CT, NH, VT, NY, PA, M0, NC, SC & FL Weston @ Sampson Introduction This annual report highlights Weston & Sampson Services, Inc.'s (WSS) contract Operations and Maintenance (O&M) involvement with the Ocean Edge Wastewater Treatment Facility (WWTF) during the 2022 calendar year. Specific information regarding O&M is included in each section, as outlined in the Table of Contents. W5S has been the operator of record for the Ocean Edge WWTr since October 2005 (formerly through CHA Tech Services, LLC prior to December 2015). Calendar year 2022 was another successful year of operations for the WWTF. Pollution reduction performance was effective with few maintenance issues experienced throughout the year. The remainder of this report will present the data and provide comments on various aspects of the facility's O&M. WWTF Performance and Compliance The table below summarizes the pollution reduction results for the 2022 monitoring period: Overall, the WWTF's effluent quality was very goad throughout the calendar year. There was only one effluent result that exceeded the allowable parameter as established in the facility's groundwater discharge permit (GWDP# 633). Specifically, on January 18, 2022, effluent biological oxygen demand (SOD) was repotted to be 100 mg/L, which was above the maximum permissible limit of 30 mg/L. The elevated result was likely due to extra cleaning during the offseason that entered the influent. Repairs and Maintenance weston a nds am pson. co m o feces in: MA, CT, NH, VT, NY, PA, MD, NC, SC & FL Weston �Sampsoh BOD TSS Oil & Grease Nitrate Total N influent Effluent % m , L mg/L removal Influent Effluent mg/L mg/L °% removal Effluent mg/L Effluent mg/L Effluent mg/L January 90 100 -11 96 14 85 <0.50 <0.050 1.78 February 38 X10 100 84 9.5 89 r0.50 0.16 2.46 March 93 21 77 140 11 92 X0.50 0.91 3.52 April 140 29 79 140 13 91 0.54 <0.050 3.99 May 130 6.D 95 130 8.0 94 0.50 <0.050 2.83 June 170 X10 100 200 2.8 99 3.5 0.29 2.79 July 300 12 96 500 12 98 X0.50 X0.050 5.40 August 300 X10 100 340 4.7 99 5.7 0.42 3.07 September 240 X10 100 320 &0 98 3.2 1.3 4.60 October 150 <10 100 140 6.4 95 0.6 ¢O.0S0 2.70 November 250 X10 100 190 9.0 95 0.9 X0.050 2.22 December 34 X10 100 60 9.0 85 <0.50 0.31 1.81 Minimum 34 X10 -11 60 8.8 85 <0.5 X0,05 1.78 Maximum 300 100 100 500 32 99 2.2 1.3 5.40 Average 161 14 86 195 1 9 93 2.1 0.6 3.1 Overall, the WWTF's effluent quality was very goad throughout the calendar year. There was only one effluent result that exceeded the allowable parameter as established in the facility's groundwater discharge permit (GWDP# 633). Specifically, on January 18, 2022, effluent biological oxygen demand (SOD) was repotted to be 100 mg/L, which was above the maximum permissible limit of 30 mg/L. The elevated result was likely due to extra cleaning during the offseason that entered the influent. Repairs and Maintenance weston a nds am pson. co m o feces in: MA, CT, NH, VT, NY, PA, MD, NC, SC & FL Weston �Sampsoh 4 Listed below is a summary of repairs and maintenance items that were completed in the 2022 calendar year: March 2022 • Restaurant — pumped 3,500 gallons from the grease trap three time per year (total 10,500 gallons), ■ Lift Station — pumped 2,000 gallons from the Tennis Court/Pool Lift Station. • Anoxic Tanks - pumped 34,955 gallons at Mansion/Circle. ■ Carriage House — pumped 10,000 gallons. • Beach Bar — pumped 1,200 gallons from the grease trap. Pumping History Below is a table summarizing the pumping history for 2022: Effluent Flows The following graph depicts the total flaw discharged in each month of 2022: OCEAN EDGE EFFLUENT DISCHARGED 2022 547,401 512,128 500,000 400,000 360,592 N 300,000 240,471 192,891 200,000 378,618 267,214 231,441 138,759 139,429 129,301 134,777 100,000 0 F yQQ �o a� Month westonands amps,on.com offices h! MA, CT, NH, VT, NY, PA, MO, NC, SC & FL Weston @ Sampson Grease Trap Anoxic Tanks / Lift Stations Volume (gallons) Volume (gallons) March 10,500 2,000 March - 34,955 March - 10,000 March 1,200 Totals 11,700 46,955 Effluent Flows The following graph depicts the total flaw discharged in each month of 2022: OCEAN EDGE EFFLUENT DISCHARGED 2022 547,401 512,128 500,000 400,000 360,592 N 300,000 240,471 192,891 200,000 378,618 267,214 231,441 138,759 139,429 129,301 134,777 100,000 0 F yQQ �o a� Month westonands amps,on.com offices h! MA, CT, NH, VT, NY, PA, MO, NC, SC & FL Weston @ Sampson s Summary, Conclusion, and Recommendations The Ocean Edge WWTF continues to maintain a very strong record of successful treatment performance, as it has throughout the years. It is our recommendation that the anoxic tanks be pumped out in their entirety at the beginning and end of each season. Additionally, by law, the grease trap is to be pumped every three (3) months, or when the tank reaches one quarter (%) of its capacity, whichever comes sooner. Once again, we pledge to continue working diligently and applying our extensive Amphidrome experience to ensure that the system continues operating optimally, according to its designed capabilities. Should you require any further information, please do not hesitate to contact us. weston an dsampso n.com affioea in: MR CT, fJFi, VT, NY, PA, MD, NC, SC & FL Weston U Sampson RECEIVED 21 2U? 3 BREWSTER HEALTH nFPARTMENT March 20, 2023 Amy L. von Hone, R.S., C.H.D. Brewster Health Director RE: 2149 Main St.- Failed Title 5 Please accept this Letter of Request to present this matter before the Board of Health at the meeting scheduled for April 5, 2023. As we've discussed the septic system for the restaurant currently known as APT Cape Cod failed the Title 5 inspection in January. CSN Engineering was retained in February to begin the design phase for system replacement. We are in the process of selling the property, anal as the season rapidly approaches the buyer wishes to begin the opening process as soon as possible. Given that neve have no control over the replacement timeline the ability to open prior to the system replacement becomes critical to both parties. Further corn plicating the matter, the existing and new leach field is located under the parking lot making an in -season replacement project very intrusive to the operation of the restaurant. We request that the new operator be allowed to reopen the restaurant for the summer with plans to replace the system in the fall. The mitigation plan during the season would include regular inspections and pumping when required. We appreciate your consideration and look forward to your decision. Judy and Art Arnold (508) 245-1018 W gp 0 'Ilk M 0 February 8, 2023 Arthur & Judy Arnold Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508,896,3701 EXT. 1120 FAX: 509,896.4538 brhealth @brewster-ma,go WWW.BREWSTER-MA.GOV Certified Mail RR Health Department Amy L. von Hone, R -S., C.H.O. Director Sherrie McCullough, R.S, Assistant Director Tammi Mason Scnior Departmcnt Assistant <��etf 27, �/z 3 Re: 2149 Main Street, Brewster, MA 02631 Subsurface Sewage Disposal System Inspection Report Dear Mr. & Mrs. Arnold. The Brewster Health Department is in receipt of a Subsurface Sewage Disposal System Inspection report for 2149 Main Street, dated January 19, 2023. The report indicates the septic system failed Items to be addressed as noted by the inspector: 9 Title 5 system must be installed In accordancewith the authority stated in 310 CMR 15 Section 303 (2), you are hereby ordered to make a good faith effort to bring the septic system at 2149 Main Street Brewster, MA 0263 1, into compliance with Title 5 and The Brewster Real Estate Transfer Inspections within 60 days of receipt of this order. The repairs to the Subsurface Sewage Disposal System must be performed by a licensed septic installer. You have the right to a hearing and may request a hearing with the Brewster Board of Health, by filing a written petition within seven (7) days upon receipt of this correspondence. P lease contact the H ealth Department at 508-896-3701 X 1120 with any q uestio ns. Since I 5LL4) 1-1--c- &I&L4, Sherrie McCullough, R.S. Assistant Health Director Certified: 7021 0350 0000 0857 7102 CC: File Town of Brewster eD Health Department 21 98 Main Street Brewster, Massachusetts 02631.1898 (sob) 695-3701 l^xt. 120 FAX (508) 896-4538 RECEIVED JAN 3 0 2023 BFB O PTF -k H Tl TH FEEm.$25'000 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM APPENDIX )3-REWSTER REGULATION Man_jp.g____--Lot 12-1 property Address, o Ce lfrS Owner Address; 11.. 1 r —C 4 dpIr Name of Inspector, r ! u► r ot i Company Name, Addressyy& phone Numbrov, a e _ a1 A e.._a.. ka sacp-7 P":P�- 6?.T?- bate ofInspectioil: / 19 Real Fstate Transfer () Additiollfalteratiola `i1i8 inSpeotion ropi,esents (check ane) A) System Passes B) System Conditionally passes ,,_,_Septic tank covors are more than 12 incites below the finished grade C} Further evaluation is required'by the Board of Health ii,QOrd5 show CxcCsslve pumping three or more times wf4hin any eighteen (18) rxso1sth period for residential or Commereial property, except for required grease trap maintenance for commet ciai property 1�0 The leaching facility or facilities are located within 300 foci of a pond or lake 417) System Fails (Brewster Real Estate Transfer regWrement -- �The system is n a s a e o tsaepa1r such that It cannot unction as it was originally In The lack of a 4 foot protective zone between the botioni of the system and the groundwater; �A 0 V' �k Any other problem as defined by the Board of Health or its Direetor; The sewage disposal system consists of a single cesspool, W. cesspools, The Brewster Health Department has reviewed and accepted this report based on the information contained therein. 'phis inspection reflects the present condition of the Sanitary Systena and is not any guarantee as to the life or future condition of said system, Ntrncy Ellis Ice, Health Director Approving Authority Date Please be advised of ADDIT 4NAL I3Q�LI;� C} HEAT,7i1 RT?CrL].LA ' 0 S: 1. A11 private Wds action form, sio be(anal60) yd p pox ca transfer of Oproper f the ystjrface Sewage Disposal System ]nsp Commonwealth of Massachusetts F Title 5 Official Inspection Form �a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Main St. Restaurant Property Address Arthur K & Judy K Arnold Owner owner's Name Information is required for every Brewster Ma. 02631 1-19-23 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return keys �f r� A. Inspector Information Michael Sears Name of Inspector Robert B Our Co INC. Company Name 363 Whites Path. Company Address South Yarmouth Cityfrown 508-477-8877 Telephone Number B. Certification Ma. State S114430 License Number 02664 Zip Code I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (3 10 CMR 75.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority Fails 1-19-23 Inspector's S6gnatu Date ,,,��111 l I I J t III►��7jlf OF All *``��o 41 ��l r MICHAELf w SEARS ': No. 5114430 .+. Jr'�ERT S F tiq . �a i�ryfrl 1 +51 INS? The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DI=P) within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.dn • re'w'. 712612018 Title 5 Official }'lspectiori Form: Subswface FPwar]e Uspossl System • Pegs 7 of 15 Commonwealth of Massachusetts r p Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Main St. (Restaurant) Property Address Arthur K & Judy K Arnold Owner Owner's Name information is required for eery Brewster Ma. 02631 1-19-23 page, City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicates{ below. Comments: SAS is full up into riser, D Box walls are gone and needs to be replaced System fails 2) System Conditionally Passes: ❑ one or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for "yes" "no" or "not determined" (Y, N, ND) for the following statements. If "not determined," please explain. The septic tank is metal and over 20 years old" or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exf1Itraticn or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. * A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc • rev. ME121718 Title 5 Dfficial Inspection Frxm, Subsurface Sewage RasposaI System • Page 2 of 18 Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Main St. Property Address Arthur K & Jud Owner's Name Brewster City/Town estauran K Arnold C. Inspection Summary (cont.) RAP 02631 1-19-23 _ Zip Code Date of inspection 2) System Conditionally Passes (cant.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ Y ❑ N ❑ ND (Explain below): ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health, safety and the environment: 15osp.doc • rev. 712612M 1 8 Title 5 official Inspecian Form: Stib5uffaGo SEwa ga Dispoaal System • Page of 16 Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspecthon Ir(o)P a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Main St. (Restaurant) Property Address Arthur K & ,ludy K Arnold Owner's Marne Brewster Ma. 02631 CitylTown State Zip Code Co Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water 1-19-23 Date of Inspection ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (arid Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety arra} environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well"*, Method used to determine distance: " This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4y System Failure Criteria Applicable to All Systems: You must indicate "Yes" or "No" to each of the following for all inspections: Yes No El clogged of sewage into facility or system component due to overloaded or clogged SAS or cesspool © Discharge or ponding of eff u—enffo fie surface of ty ground or surface waters due to an overloaded or clogged SAS or cesspool l5insp.doc - re e. 712 612 01 0 Title 5 OM mal ]-ispection Fonn: Subsurface swage Mposal System • Page 4 of 1B c,,, Commonwealth of Massachusetts I Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Main St. (Restaurant) Property Address Arthur K & Judy K Arnold Owner Owner's Name information is Brewster Ma. 02631 1-19-23 required for every page. Cityi-TominState Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: jcont.] Yes No ❑ © Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available voiume is less than Y2 day flow ❑ 0 Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 90,000 gpd to 15,000 gpd. For large systems, you must indicate either "yes" or "now to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area — IVVPA) or a mapped Zone II of a public water supply well l5insp.dot • rev. 71202018 Title 5 Official 1,ispe?Oinn Form- Subsuface S13i4age ❑isposM System • Page 5 of 18 Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Main St. (Restaurant) Property Address Arthur K & Judy K Arnold Owner's Name Brewster Ma. 02631 1-19-23 Citylrown State Zip Code Date of Inspection G. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes" to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or "no" for each of the following for all inspections: Yes No ❑ © Pumping information was provided by the owner, occupant, or Board of Health ❑ ® WWere any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two ween period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as NIA) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site Inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner (and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SASj on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined In the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 16.302(5)] t5hspAoc: - rev. 7/261201 6 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 6 of 18 ISAIk-N Commonwealth of Massachusetts p Title 5 Official Inspection Form PSubsurface Sewage Disposal System Form - Not for Voluntary Assessments P 2149 Main St. (Restaurant) Property Address Arthur K & Judy K Arnold Owner Owner's Name information is Brewster required for every page. City/Town D. System Information 1. Residential Flow Conditions: Ma. _92631 1-19-23 State zip Code Date of Inspection Number of bedrooms (design): Number of bedrooms (actual): DESIGN flow based on 319 CIVIR 15.293 (for example: 119 gpd x # of bedrooms): Description: Number of current residents: Does residence have a garbage grinder? Does residence have a water treatment unit? If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) Laundry system inspected? Seasonal use? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)j: Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Date 15nsp,doo - rev. 7/2612016 Title 5 Officiai Inspection Form: Subsurface Sewage Disposal System • Page 7 of 1a c� Commonwealth of Massachusetts Title 5 Official Inspection Form A Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2145 Main St. (Restaurant) property Address Arthur K & Judy K Arnold _ Owner Owner's Name information is Brewster Ma. required for every page. Cityfrown State D. System Information (coat.) 2. Commercial/industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.243): Basis of design flow (seatslpersonslsq.ft., etc.): Grease trap present? Water treatment unit present? If yes, discharges to: Industrial waste holding tank present? Non -sanitary waste discharged to the Title 5 system? Water meter readings, if available: Last date of occupancy/use: Other --(describe below): 1500 Grease Trap 3. Pumping Records: Source of information: Was system pumped as part of the inspection? If yes, volume pumped: How was quantity pumped determined? Reason for pumping: 02631 1-19-23 Zip Code mate of Inspection Restaurant 1260 gpd ilvns`pe� day {gpd} 36 seats G� 35 gal per seat © Yes ❑ No ❑ Yes © No ❑ Yes ® No ❑ Yes ® No NA NA Date NA ❑ Yes ® No gallons t5insp.dcc - rev. 112 612 0 7 8 Title 5 Official lnspactbn Farm: Subsurface Sewage ❑lspusal Syslem - Page a of 18 c� Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Main St. (Restaurant) Property Address Arthur K & Judy K Arnold Owner owner's Name information is Brewster Ma. 02531 1-19-23 required for every Zip Code Date of Inspection page. Cityffown State D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the IJA system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other (describe): Approximate age of all components, date installed (if known) and source of information: 1985 Were sewage odors detected when arriving at the site? ❑ Yes ❑X No 5. Building Sewer (locate on site plan): Depth below grade: 20"10 Material of construction: ❑ cast iron ® 40 PVC ❑ other (explain): Distance from private water supply well or suction line: Comments (on condition of joints, venting, evidence of leakage, etc.): 15i isp.doo • rev. 7/2612018 Ti lie 5 Oficial 3nspec6on Form: Subsurface Sewage Disposal System • Page 9 or 18 Commonwealth of Massachusetts �r Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Main St. (Restaurant) D. System Information (cont.) 6. Septic Tank (locate on site plan): Depth below grade: Material of construction: ® concrete ❑ metal 3000 gal Ma. 02631 1-19-23 State Zip Code Dake of Inspection 1 UP feet ❑ fiberglass ❑ polyethylene ❑ other (explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) 3000 Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle ❑ Yes ❑ No How were dimensions determined? Sludge judge, tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.):.._ 3000 gal tank with in tees and out tees in place, both covers are at grade C - -- — t5insp.doo - rev. 712612018 Title 5 Off1daI "srection Form: Subsurface Sewage Nwosal System • Page 10 of 18 Property Address Arthur K & Judy K Arnold Owner Owner's Name information ss Brewster required for every page. City/Town D. System Information (cont.) 6. Septic Tank (locate on site plan): Depth below grade: Material of construction: ® concrete ❑ metal 3000 gal Ma. 02631 1-19-23 State Zip Code Dake of Inspection 1 UP feet ❑ fiberglass ❑ polyethylene ❑ other (explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) 3000 Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle ❑ Yes ❑ No How were dimensions determined? Sludge judge, tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.):.._ 3000 gal tank with in tees and out tees in place, both covers are at grade C - -- — t5insp.doo - rev. 712612018 Title 5 Off1daI "srection Form: Subsurface Sewage Nwosal System • Page 10 of 18 Owner information is required for every page. Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Main St. (Restaurant) Property Address Arthur K & Judy K Arnold Owner's Name Brewster Ma, 02631 1-19-23 Cityrrown State Zip Code Date of Inspection Db System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: Material of construction: ® concrete ❑ metal 1500 Dimensions: Scum thickness 12" ❑ fiberglass ❑ polyethylene ❑ other {explain}: 1500 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle NA Date of last pumping: date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap -is too solid -to measure, outlet tee in place and inlet tee needs to be reset, both covor are at grade j 8. Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass Dimensions: Capacity: Design Flow: gallons ❑ polyethylene ❑ other (explain): gallons per day I5in5p.doe • rev- 712512098 Title 5 Otfrial in-Tectico Form? Subsurface Sewage Disposal System • PF9e 99 of 16 c Commonwealth of Massachusetts Title 5 Official Inspection Form 'o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Main St. T (Restaurant) Property Address Arthur K & Judy K Arnold Owner owner's Name information is required for every Brewster Ma. 02631 1-19-23 page. CityFrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): * Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box (if present must he opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of_leakage.0 . _ _ of box, etc.}: `fox is 16x21 with 2 outlet fines; cower is 10" below grad bax walls are gone and needs to be replaced l5insp. doc - rev. 712U201 Title 5 Official inspection Farm: SubsLvface Sewage Disposal System • Page 12 of 18 c Commonwealth of Massachusetts �r �I Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Main St. (Restaurant) Property Address Arthur K & Judy K Arnold Owner Owner's Name information is Brewster Ma. 02531 1-19-23 required for every page. City/Town State Zip Cade Date of Inspection D. System Information (cont.) 10. Pump Chamber (locate on site pian): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Type/name of technology: t5insp.doc • raw. MW2018 TgJe 5 ❑Facial gnspection Form: Sty qs ace Sewage Disposat System • Page 13 of 18 * If pumps or alarms are not In working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number:' ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc • raw. MW2018 TgJe 5 ❑Facial gnspection Form: Sty qs ace Sewage Disposat System • Page 13 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form PT Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Pain St. (Restaurant) Property Address Arthur K & Judy K Arnold Owner Owner's Name information is Brewster Ma. 02631 1-19-23 required for every page. city/Town State Zip Code Date of inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): SAS IS Z� System fails pits are full up into inlet Gne 12. Cesspools (cesspool must be pumped as park of inspection) (locate on site plan): Number and configuration Depth — top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): tF. rnsp.dcr- • rev. 712612018 Title 5 Official Irnspecrun Fun Subsurface Sewage Disposal System • Page 14 d is Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Main 5t. (Restaurant) Property Address Arthur K & Judy K Arnold Owner's Name Brewster Cityrrown D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Ma. O2631 1-19-23 State Zip Code Date of Inspection Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doo- rev. 7126/2015 Title 5 Of rclal Ytspectlan Form: SLkEurfaee Fewaga Disposal System • Page 15 of 18 Commonwealth of Massachusetts r Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Main 5t. (Restaurant)_ - Property Address Arthur K & Judy K Arnold Owner Owner's Name information is Brewster Ma. 02631 1-19-23 required for every State Zip Code Date of Inspection page. City/Town D. System Information (cont.) 14. Sketch of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference I�L(dmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters I1 he building. Check one of the boxes below: ® hand -sketch in the area below ❑ drawing attached separately _z: ,, our ,u' • #� „ '..I. ,. �3 `. 3600 a0a t aL Sr l qmv-,eav,I' '4W n t5in5p.doc • mV, 7rzWO1B TWO 5 offi-,14 Inspectico Form: Subsurface Sawaga D403al System . Page 16 of 18 Owner information is required for every page. Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Main St. (Restaurant) Property Address Arthur K & Jud K Arnold _ Owner's Name Brewster Ma. 02531 1-19-23 CityrFown State Zip Cade Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar © Shallow wells 2. Estimated depth g g r�eeth to high round water: Please indicate all methods used to determine the high ground water elevation: 1`E Obtained from system design plans on record If checked, date of design plan reviewed: 1-23-85 Date Observed site (abutting propertylobservaticn hole within 150 feet of SAS) Checked with local Board of Health - explain: ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database - explain: You must describe how you established the high ground water elevation: No groundwater per plan Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp,doc • rey. 7/2612018 7kYa 5 official kesp=ction Farm: Subsurface Sewage Disposal System • Page 17 of 18 Owner information is required for every page. Commonwealth of Massachusetts Title 5 official inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2149 Main St. (Restaurant) Property Address Arthur K & Judy K Arnold Owner's !Name Brewster Ma. 02631 1-19-23 City/Town State Zip Code Date of Inspection E. Report Completeness Checklist co�plete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. R B. Certification: Signed & Dated and 1, 2, 3, or 4 checked R C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank — Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc - rev. 712612018 Title 5 official Inspection Fcrm: Subsurface Sewage Oispnsal System • Page 13 U 18 P� TOWN OF BREWSTER ADDENDUM TO DEP SEPTIC INSPECTION REPORT Inspection Location j � �' �� ► � Map &Parcel 5. IR --here a 4' separation (1978 code) or a Y separation (1995 code) Yes No -A- 'Between the bottom Of the Soil Absorption system (SAS) and adjusted groundwater? U- rouN.:: 71JON Tv3 of S.A.S. —s Bottom of S.A,S. Se axation Amt. of Stone = Adjusted Groundwater Observed Groundwater 6. • fcwn'G'6later (P) or Private Well (_. ) Distance from nearest septic system component; 7. }J+ etIanLIs or surface water withia 100' of septic system? Yes No Distance 'from neaxest septic system component: g, ,;ronclwater flow direction: 91 -ype of pipe used in system; PVC—)L Orangeberg .___'__ Cthorx 10.azitary tees or baffles in place ( Yes - No- NIA? ) V. 01% 0 tank inlet �tf Septic tank outlet 'ump chamber inlet 41—A .".Box inlet es :31ease trap inlet aease trap outlet risers ---19'78 code within 12 inches of grade on septic tank � .� Misers --� 1995 code within 6 z ctle 0 de o�� ali components :_jI,e iiaspcction port on SAS ( 2 TOWN OF BRE ESTER 2198IWItj[N'' STREET Bgrms,mi, NIA 02631 PI�Ot�E, (5 08) 996-3701 EXT 1120 `'Ax:(508)896.4538 [3Ri•S1-11C[ BRfW3'CER-MA,(jOV OFFICE OF ITCAXrH a LwARri ENT n a ADDENDUM TO SEPTIC INSPECTION REPORT Map & Parcel:- CommercialElmLe-rty�y airoams Employees Toile[s Bodrooms Rooms with bath i airily Roams Square Feet _ Living Roams S�9d-5 3 � Bathrooms Billing Rooms Kitchens Jther: Total! j is -i"he septic system, as hispected, i31 full cOlr[pliailce with CithO[' th 1978(�ar 1995 () TRIG 5 Code? Yes No if riot, list deficiencies: N rile system in the Gane 11 (Wellhead Protection Area) 1'ot size: Yes..._._. No _(1_Q WW W.TOWN•]3REWSTER MA,US S EDOO r— r 2 a a m A N nm ak 0 y z a� _G a IJUI Y x m v m = � � n 41 O � � _G a IJUI Y � Ix E I� Ck cry M: cn m a �n to M C I w m rm W W I m 4 0 - X C, zl g Nv'49� x❑� z . 2 n D ❑ a -t m S H th O- J � p x ° I K m �O = I' ' � OT wits I a i b •+ rt`i m;, ❑ �} � � a zi In u - � —4 a n UI • I° !} o � a -1 —{ Um] (A 3 VI oil ,o n r maI 0 w fv�W G1 W a ❑ W'I'C ul y � Jfl Ei o r M N N b � � kyr In m 'U N ❑ ¢ n -i n h �ms .m m �An Damm r r o ln p ., w z !C N i°I { x � m m �n A ❑pp c U) m 0 mo - N N -o mm �eul "o f r� G7 G'1 v Da ❑ P x i :9 GJpsly 1� N Ni A A Hl I {" 7O G '� 9 i4 r sl :T m rnj-• "yl N � G V � Ix E I� Ck cry M: cn m a �n to M C I w m rm W W I m 4 0 - X C, zl g Nv'49� x❑� z . 2 n D ❑ a -t m S H th O- J � p x ° I K m �O = I' ' � OT wits I a i b •+ rt`i m;, ❑ �} � � a zi In u - � —4 a n UI • I° !} o � a -1 —{ Um] (A 3 VI oil ,o n r maI 0 w fv�W G1 W a ❑ W'I'C ul y � Jfl Ei o r M N N b � � LAW OFFICES RILEY & N ORCROSS, LLC IS6 CROWELL NOA0 - POST OFFICE 6011 707 CHATHAM, MASSACHUSETTS 08633 508-945-8400 508.94.6-4110 PAN WILLIAM P. R11.EY Infa+srllayandnorcrosz.aom PLEASE REFER TO JAMES M. NORCROSS PILE 140. Via Electronic Mail Only February 22, 2023 Amy L. von Hone, R,S., C,H.O. Brewster Health Director 2198 Main Street Brewster, MA 02631 RE: 239 UNDERPASS ROAD, BREWSTER, MA Dear Ms, von (lone, I represent Thomas and Patricia Kennedy who are under agreement to purchase the property at 239 Underpass Road, which is currently occupied by the restaurant formerly known as "Guapos". My clients are working with Bernard Macedo who will be opening a new restaurant at this location. In conjunction with the conveyance of the real estate, the Title V system servicing the premises was inspected and failed that inspection. The current owner of the property has agreed to replace the system and has engaged with a local company, Dig It Construction, to design the new system. Given its current backlog, it will probably take several months for a new plan to be finalazed at which point it will have to be approved by the Town and then scheduled for installation. Attempting to install the system in late Spring may have a negative impact on the new business as a result of what is likely to be a multi -day construction project and therefore my clients are respectfully requesting that the installation of the new system can occur in November of 2023. The Title V Inspection was completed by Darrell Stone of Cape Cod Septic Inspection and Discount Septic Pumping. Mr. Stone's recommendation is to have another inspection of the system in May prior to the start of the Summer rush and then monthly inspections in June, July, and August, Based on the results of these periodic inspections, Mr. Stone will determine if a system pumping is or is not required at that time. With regard to the intended use of the Restaurant space it will be similar to "Guapos" with a largely taco -based menu and a majority of the business being tale -out, An example of the menu is attached hereto. The intent would be to operate the Restaurant through October. Finally, per your request I have also enclosed a copy of the current floor pian for the building, I understand that this proposal needs to be reviewed by the Board of Health and therefore I appreciate if this matter can be placed on the Board's next available agenda. Thank ygu fsr'you asistaribe and please don't hesitate to contact me with any questions. F "3arxdrr moss GUAPOS SERVED DAILY FROM 11AM-BPM SALADS MEXICAN CHOPPED SALAD chopped romaine lettuce suy $ greenl�eans, chopped antari, black tlivts, gr-Utcd:corn,:tomato, roaste<l red peppers..cotija $ cl;eese, spicy haney .vinaigrette ftes5ing ROMAINE SALAD $ Chapped romaine L ettuce , gjaterl free cauliflower sticks, corija obeose, cllipotte cilantro dressing $ Choice of has sof TACOS r„ free or gLuti!n sheLl 'RIB EYE STEAK TACO $ Guacamote, picc rte galla, 5aldked potaw bull chimichurri airoli MEXICAN 'STYLE HOTDOG GRAB CAKE TACO $ Grxl Lecl CGrn, cLiCumher Sal sa , peppers, pi .0 :!-)cans, 'reel anion, guajillo chili aiali tomato, house mane chipotLe SALMON SUSHI TACO $ Spi—i mayo, scalLions,-black MEX.ICAN CHICHARRONES -FRIED RICE sesame seeds Chicilarrones pock ;be;Ll,.y, litack AHI TUNA TACO beans,-mixeri vwggi.e;s, 'fried egg Honey peace, salsa, crispy Leeks GROUND BEEF TACO $ Shaved lettuce, Mico .do gal,Lq, gw4carnoI e .-VEGGIE 'TACO Slack. beans, g-r-lUed cern, regi hf--Ll peppers, pickled rest onions, guacamole, cotija cheese SIDES 71ruffle Fries -:s- -Chicken Wings i.. rion Rings �rChicken Tenders s Mexican Street Corns Gvi.11ed Veggie BOWLS Mexican Rice s NACHO'S SEARED TUNA.'NACHOS $ House tortitla chips. Sliced jaLapepo pepper-,, chopped cilantro, dicer, avocado, seared sliced -tuna , sweet chi L i sauce , Slid wn5abi creme STEAK NACHOS $ Cowboy butter steals. pickled jaLcperos, 'roasted diced red peppers,.hlack olives, grilteri coni. Pico iii: cj,ll t o , guacawal e , tliel.ced chaese VEGGIE NACHOS $ PiclUed jat c.peM)S . ftaa '$ted diced red peppers, black :6live5, gritted corn, pito de galLo, guacamioLe. melted cileese LARGE PLATES *GUAPOS BURRITO (Choice .o f QLit t ed $ chicken, aseak, Qr ground beef) B1 ask beans, Mexican rice, pica de gaLto 7ERK CHICKS IJRRIT6 $ Chive .rice, navy -beam. Pico de gaLL(;, guacamole �( CAPE COD FISH & CHIP BURRITO $ tape Cad Potato Chip crusted cosi, rench fties, pickled ciibbage, .capes aiaLi GUAPOS BURGER $ Wagyu beef, pepper jack cheese, :sLi.ced'avocado. tomato, Lettuce, house ivade chi.potLe sauce, on potaw bull MEXICAN 'STYLE HOTDOG $ Avocado, gl0fitra, jalapellb peppers, pi .0 :!-)cans, 'reel anion, tomato, house mane chipotLe worse MEX.ICAN CHICHARRONES -FRIED RICE !� Chicilarrones pock ;be;Ll,.y, litack beans,-mixeri vwggi.e;s, 'fried egg ''�" iiiClales lll'nls lll:]! E1L1Y Cl�lllilh Elti€Ci1, f',luleli Fine r)lilirinsars•. availalil�. Please alert ,votir a rev II ivnl have any fns[cl allktrgli,%;, nai alt i11".1,NllOil s a1'(•+ Ilslerl, (; )wi[I filliig rate nr (1ncleluxli,ecl 01eati, lxnlln V, ;rai(led , skll[NI lir ill,1V illcivaie Y17i11 rlsl Of ti)(AiI)OP-11F IItwle 6, C (?e[;ialIy if .y nu hays+cerlahi medlci} conclieirnis. Town of Brewster BREWSTER, MASSACHUSETTS 02631-1898 PG! CK��f RE C E 11f Dk-91C OF: BOAR U HEALTH r n N 23 2MV 89 -371 EXT.#20 BREWSTER HEALTH DEPARTMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM APPENDIX BREWSTER REGULATION Map . -1 Lot Property Address: 239 Underpass Rd Other Address: Name of Inspector: Darrell Stone Company Name, Address, and Phone Number: Cape Cod Septic Ins ection (5081-240-2500 PO Box 1466, East Harwich MA 02645 Date of Inspection: 1112123 This inspection represents (Check One) X Real Estate Transfer L1 Alteration/Addition A) System Passes B) System Conditionally Passes Septic tank covers are more than 12 inches below the finished grade. C) Further Evaluation is required by the Board of Health The leaching facility or facilities are located within 300 feet of a pond or lake - Records show excessive pumping three or more times within any eighteen (18) month period for residential or commercial property; except for required grease trap maintenance for commercial property. X system Fails (Brewster Real Estate Transfer Regulation requirements) The system is in a state of disrepair -such that it cannot function as it was originally intended:' The lack of a 4 food protective zone between the bottom of the system and the groundwater; Any other problem as defined by the Board of Health or its Director; The sewage disposal system consists of a single cesspool, or cesspools. The Brewster Health Department has reviewed and accepted this report based on the information contained therein. This inspection reflects the present condition of the Sanitary System and is not any guarantee as to the life or future condition of said system. Date Approving Authority Please be advised of ADDITIONAL BOARD OF HEALTH REGULATIONS: 1. All private wells are required to be analyzed prior to approval of the Subsurface Sewage Disposal System Inspection Form, and sixty (60) days prior to transfer of property. 2. All underground tanks must be registered with Board of Health and are subject to testing requirements. O _ Town of Brewster BREWSTER, MASSACHUSETTS 02631-1898 PG! CK��f RE C E 11f Dk-91C OF: BOAR U HEALTH r n N 23 2MV 89 -371 EXT.#20 BREWSTER HEALTH DEPARTMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM APPENDIX BREWSTER REGULATION Map . -1 Lot Property Address: 239 Underpass Rd Other Address: Name of Inspector: Darrell Stone Company Name, Address, and Phone Number: Cape Cod Septic Ins ection (5081-240-2500 PO Box 1466, East Harwich MA 02645 Date of Inspection: 1112123 This inspection represents (Check One) X Real Estate Transfer L1 Alteration/Addition A) System Passes B) System Conditionally Passes Septic tank covers are more than 12 inches below the finished grade. C) Further Evaluation is required by the Board of Health The leaching facility or facilities are located within 300 feet of a pond or lake - Records show excessive pumping three or more times within any eighteen (18) month period for residential or commercial property; except for required grease trap maintenance for commercial property. X system Fails (Brewster Real Estate Transfer Regulation requirements) The system is in a state of disrepair -such that it cannot function as it was originally intended:' The lack of a 4 food protective zone between the bottom of the system and the groundwater; Any other problem as defined by the Board of Health or its Director; The sewage disposal system consists of a single cesspool, or cesspools. The Brewster Health Department has reviewed and accepted this report based on the information contained therein. This inspection reflects the present condition of the Sanitary System and is not any guarantee as to the life or future condition of said system. Date Approving Authority Please be advised of ADDITIONAL BOARD OF HEALTH REGULATIONS: 1. All private wells are required to be analyzed prior to approval of the Subsurface Sewage Disposal System Inspection Form, and sixty (60) days prior to transfer of property. 2. All underground tanks must be registered with Board of Health and are subject to testing requirements. Owner information is required for every page. Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key, l r � resin �. Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 239 Underpass Rd. Property Address Kyle Parker _ Owner's Name Brewster MA 02631 1112123 City/Town state Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. Inspector Information Darrell Stone Name of Inspector _Cape Cod Septic Inspection Company Name P.O. Box 1466 Company Address Harwich City/Town (508) 240-2500 Telephone Number B. Certification Ma 02645 State Zip Code S14995 License Number I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Fdrrt.r Evaluation the Local Appr Ong -Authority ® Fails 1194123 In p s Sign; j Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board f o Health or DEP) within 30 days of completing this Inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.6oc - rev, 712612018 Tiba 5 Official inspsrtion Form: Sub w -face Sewn gv ❑isposaI System • Pape 1 of 18 Commonwealth of Massachu: Title 5 official In Subsurface Sewage Disposal Systel 239 Underpass Rd. Property Address Kyle Parker owner owner's Name information is Brewster required for every Chyli in page. C. Inspection Summary pection Form Form - Not for Voluntary Assessments MA 02631 1112123 §tate Zip Code Date of Inspection Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 95.304 exist. Any failure criteria not evaluated are indicated below. Comments: j I. 2) System Conditionally Passes: F61 ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for "yes", "no" or "not determined" (Y, N, ND) for the following statements. If "not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. * A metal septic tank will pass insp6ction if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ Nb (Explain below): t5irrsp,doc • rev. 7126WIS I Title 6 Official lrspectlon Form; &jbV-1rfars Sewage 01990sal System • Page 2 cd 18 cCommonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 7 _ 239 Underpass Rd. Property Address Kyle Parker Owner Owner's Name information is Brewster MA 02631 1112123 required for every paw CitylTown State Zip Code pate of inspection G. Inspection Summary {cont.} 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipes). The system will pass inspection if (with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health, safety and the environment: t5lnsp,dxC- rov. 7AM2018 Title 5 Official Inspeclicm Foran: SwtsOacs Srnvage Doosal 8ys4em • Pane 3 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage disposal System Form - Not for Voluntary Assessments 239 Underpass Rd. Property Address Kyle Parker owner Owner's Name information is Brewster MA 62631 1112123 required for every city/Town page state Zip Code Date of Inspectlon G. Inspection Summary (cant.) ❑ Cesspool or privy is within 56 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well", Method used to determine distance: *" This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or "No" to each of the following for all inspections: Yes No - ® El i,Backup of sewage into facility or system component due to overloaded o� -logged SAS or cesspool - ❑ ® Dis�►arge or ponding of-effluerif to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp,doc • rnW. 71261201a Title 5 Offdal lnspectlen Form: Subsurface Sewage deposal System • ?age 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments o- 239 Underpass Rd. Property Address Kyle Parker Owner owner's Mame informatbri is Brewster required for every T MA 02531 1112123 page. Cityfrown State Zip Code Date of inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than'/2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either "yes" or "no" to each of the following, in addition to the questions in Section C.4 - Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area - IWPA) or a mapped Zone II of a public water supply well t5nsp.doc • rev. 712 612 01 8 Title 5 Offi"I Inspeclun Furn Suhsurfacc Sewage t)isposu' System • Pn�e 5 of 1S t71 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments _ 239 Underpass Rd. Property Address Kyle Parker Owner Owner's Name Wormation is Brewster MA 02631 1112123 required for every page City/Town State Zip Code pate of InspWbF1 C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes" to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section C.4 shah upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. S. You must indicate "yes" or "no" for each of the following for all inspections: Yes No ❑ ® Pumping information was provided by the owner, occupant, or -Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as NIA) ® ❑ Was the facility. or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® 1:1 the facility owner (and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? information The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the. Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] 15'n8P•d00 • rev, 712e2018 Tille 5 Officlsi lmped;an Form: Subsurface Sewage disposal System • Pap 6 or 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 239 Underpass Rd. Property Address Kyle Parker Owner Owner's Name information is Brewster MA 02631 1112123 required for every - page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x # of bedrooms): Description: Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal rase? ❑ Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: Date t5nsp-&c • rev. 71AIM018 I tSa 5 Official lnspeclion Form: Subsurface Sewage Qtsposal System • Page 7 of 16 Owner Information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 239 Underpass Rd. Property Address Kyle Parker owner's Larne Brewster MA 02631 1/12/23 CitylTown State Zip Code Cate of Inspection D. System Information (cont.) 2. Cornmerciallindustrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Basis of design flow (seats/personslsq.ft., etc.): Grease trap present? Water treatment unit present? If yes, discharges to: Industriai waste holding tank present? Non -sanitary waste discharged to the Title 5 system? Water meter readings, if available: Last date of occupancy/use: Other (describe below): 3. Pumping Records: Source of information: Was system pumped as part of the inspection? If yes, volume pumped: How was quantity pumped determined? Reason for pumping: Unknown gallons Resturant 17t1 Gallons. ,er day (gpd) 35 Seats unknown ,® Yes ❑ No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No Mnsp_d- • —. 712a1ib9 S Title 5 Offi. d Inspection Form: Subsurface Sewage Disposal System • Page 8 or 18 Commonwealth of Massachusetts Title a Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 239 Underpass Rd. Property Address Kyle Parker Owner owner's Nam Information is required for every Brewster MA 02631 1112123 page. Cityrrown State Zip Code Cate of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: Material of construction: ® concrete ❑ metal ❑ fiberglass Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 14" feet ❑ polyethylene ❑ other (explain): 1-000 gallon 112" Date of last pumping: unknown mate Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grade to inlet cover 3" Outlet 14" Concrete outlet tee OK The grease tank was nearly empty and seemed to have been pumped after the last usage Recommended pumping 1-10 times per year depending on usage 8. Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal Dimensions: Capacity: Design Flow: ❑ fiberglass ❑ polyethylene ❑ other (explain): gallons gallons per day t5hap.doc - rev. 712612018 T2 5 OHicW Inspacibn Form: Subsurface Sewage Disposal System - Page 11 of 7S Owner information is required for every page - 71 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 239 Underpass Rd. Property Address K 1e Parker owner's Name Brewster MA 02631 1112123 CitylTown State Zip Code Date of Inspection D. System Information (cont.) S. Tight or Holding Tank (cant.) Alarm present: Alarm level: ❑ Yes ❑ No Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments. (condition of alarm and float switches, etc.): * Attach copy of current pumping contract (required). Is copy attached? 9. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert a ❑ Yes ❑ No Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Grade to box -32"- - --- - - — - - The D -box was not exposed due to the failure of the system ISinsp-doc - rem, M&2018 Title 5 Official Inspecbon Form: Subsurface Sewage oisposaI System - Page 12 of 16 Commonwealth of Massachuseft Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 7 239 Underpass Rd. Property Address Kyle Parker Owner Owner's Name information is Brewster MA 02631 1112/23 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic -tank, distribution box, soil absorption system I. ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the IIA system by system operator under contract ❑ Tight tank. Attach a copy of the DBP approval. ❑ Other (describe): Approximate age of all components, date installed (if known) and source of information: 1983 per BOH Were sewage odors detected when arriving at the site? 5. Building Sewer (locate on site plan): Depth below grade: Material of construction: ❑ cast iron ® 40 PVC ❑ other (explain): Distance from private water supply well or suction line: 27"+/ - feet feet Comments (on condition of joints, venting, evidence of leakage, etc.): Apparent good condition El Yes ® N o t5insp.doc • rev. 712612 0 1 8 Tit;a 5 Official hspecliGn Farm: Subsulace Sewaga Disposal System • PaGe 9 01 B Commonwealth of Massachusetts Title 5 Official Inspection Form '= i Subsurface Sewage Disposal System Form - Not for Voluntary Assessments z 239 Underpass Rd. Property Address iC le Parker Owner Owner's Name information is Brewster MA 62631 1112123 required for every State Zip Code Date of Inspection page C1tyrrown D. System Information (cant.) 6. Septic Tank (locate on site plan): Depth below grade: Material of construction: ® concrete ❑ metal 19" feet ❑ fiberglass ❑ polyethylene ❑ other (explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1250 gallon Sludge depth: 5 11 Distance from top of sludge to bottom of outlet tee or baffle 27" -- Scum thickness 3 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Now were dimensions determined? Slud a Judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grade.to -in let cover 9" tI H 40 outlet tee the tank ig-ieaO g the ponding level was around 2' low Recommend resealing or replacement of the septic tank Recommended next maintenance pumping within 1.5 years .e mended maintenance pumping every 2-3 years 15inap-d- • rev, 711312oI S TiAe 5 Offi-cid Impednn Form: Sub3urfaw Sewage Disposal system - Page 10 cff 18 Commonwealth of Massachusetts UrTitle 5 Official inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments i 239 Underpass Rd. ' Property Address Kyle Parker Owner Owner's Name informtiis Brewster MA 02631 1112/23 required for eery page. CltyfTown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber (locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type ® leaching pits number: 1 ❑ leaching chambers number: --- ❑ leaching galleries number: - ❑ leaching trenches number, length: --- ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5irmp.doc - rev. 712WO18 Title 5 Official Inspection Form' Subsuiace Sewage Disposal System • Page 13 of 18 owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 239 Underpass Rd. Property Address IC le Parker owner's Name Brewster IVIA CityrFown D. System Information (;cont.) 11. Soil Absorption System (SAS) {cont.} State 02631 9112123 Zip Code Date of Inspec5on Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, .etc.): - - - - -- - - - -- 1;" M') pit wit h -stone Grade to SAS 48" Cover 12" Bottom 120" Dry _. Sidewall staining into the block riser The leaching facility is in hydraulic failure 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth — top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 15insp.doc - rev. 7M2 2018 Title 5 MW irnspeclbri Forth! Subsurface Sawap Disposal Sys[em • page 14 of 16 Owner Information is required for every page. Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 239 Underpass Rd. Property Address Kyle Parker Owner's Name Brewster CItyrrown D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids MA 32831 1112123 state Zip Code Date of Inspection Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5lnsp.doo • rev. 712&2018 Title 5 Official bspaction Fortin Subsu7ace Sauvage Disposal SyaNm • Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 239 Underpass Rd. Property Address Kyle Parker owner Owner's Name information is Brewster MA 02631 1112123 required for every page. City/Town State Zip Code hate of Inspection D. System Information (cont.) 14,Sketch of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand -sketch in the area below ❑ drawing attached separately A B C /4 2 3 4 5 6 15'nsp.doc • rev, 71;1612016 TiNe 5 Offolal lrupscbon Form: Subnrface Sewage Disposal System! - Page 16 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form y�. la Subsurface Sewage Disposal System Form - Not for Voluntary Assessments _ 239 Underpass Rd. Property Address kyle Parker Owner Owner's Name information is required for every Brewster MA 02631 1112/23 page_ Cityffown state Zip Code Date of Inspectaan D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells !�4 Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: I:/ In Obtained from system design plans on record If checked, date of design plan reviewed:1983 -ate Observed site (abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health - explain: Plan on file ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database - explain: You must describe how you established the high ground water elevation Elevations from the design plan Bottom of SAS ELV. 52.7 Bottom of Test Hole ELV. 48.7 NWE Separation >4' Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.6oc • rev. 712 612 01 8 Title 5 Oficial lnspec5on Form: Subsurface Sewage Disposal System • Page 17 d 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments l 239 Underpass Rd, Property Address Kyrle Parker Owner Owner's Name information is required for every Brewster MA 02631 1112123 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank — Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included Mhop.doc - rev. 712C,12018 Title 5 Offriot Inspection Form: eubsWa^;u Sewage Disposal system • Page 18 0 18 TOWN OF BREWSTER ADDENDUM TO DEP SEPTIC INSPECTION REPORT Inspection Location 239 Underpass Rd Map & Parcel 1. Residential Property Commercial Propedy Bedrooms (inc[. den, sewing room, office) Employees n/a Family Rooms Toilets 1 Living Rooms Rooms with Bath Bathrooms Square Feet 500+/ - Dining Rooms Kitchens Other: Total: Floor Plan: Show all Boors including basement: G 3. Is the stic system, as inspected, in full compliance with either Yes No X the 197 or 1995 (_) Title 5 code? If not, lis deficiencies 4. Is the system in the Zone II (Water Resource Protection Yes No X District)? Lot size: I TOWN OF BREWSTER ADDENDUM TO DEP SEPTIC INSPECTION REPORT Inspection Location 239 Underpass Rd Map & Parcel 5. Is there a 4' separation (1978 code) or a 5' separation (1995 code) Yes No between the bottom of the S.A.S. and adjusted groundwater? TOP OF FOUNDATION 6. Town[Water X or Private Well { } Distance from nearest septic system component: 10'+ 7. Wetlands or surface water within 100' of septic system? Yes No X Distance from nearest septic system component: 100'+ 8. Groundwater flow direction N- 9. Type of pipe used in system PVC X Orangeberg Other 10 Sanitary tees or baffles in place (Yes – No -- NIA?) Septic tank inlet Yes Septic tank outlet Yes Pump chamber inlet nla D -box inlet if pumped system nla Grease trap inlet nla Grease trap outlet nls Risers ---1978 code within 12 inches of grade on septic tank No Risers --1995 code within 6 inches of grade on all components nla One inspection port on S.A.S. (1995 code) Yes 2 7 E 0 �y;.wN N m m �� O2 „zm?��za � ❑ � nA❑AZy�i `� r m { Z m?l' C '�P � z�zornP� � rw r N QpI tlO yYL C yyo Hu �•L i � � y„ 111 rVnJ 7w rCTAPb up d: ❑o,vnAo ` I� m J 3 S' � 'p liMIS � T�17 n I 0 1111n 6. rX% N� m ` n�.N •� z 10 JI• rt M f y m M1 n M1 -r AIN r7 so a na c P Yfi i110 y a rJDx ?li x o e M � m �r•n f , n' ❑ - a n j+ a � M Y ■ �r b Vi Pm W y D m m N Z }` P P on m m^ ^f Z o x m J Yq� p � •- m f x N o y2 1 + Ln] i1 _o y q I Y fl S 1 - rI '9l I Fu h O p `I GO N b m p n '� r• _ i' � a q r ' • n 81 Y1Ti n ❑ ' ❑ I� .. �� a � � z `. •,,. a m� q \ 1 ❑ c To C r �p rJ [N- r �_w0 tl O O m 'V �_•1C. Ty L7 l� z g Z,Trl . 19 ma n n y y Nt- _ a 5 G � ""' a y m -moi y � 1 ■�■- � % � +• f 8 �ItirS,t.,, 4 � +r ' � _ � � �� ► � � �Ss u 1 d 13 �1 G I 1 � 1 i OCEAN EDGE cRP� coo. e��.ssRcri�scTrs Thursday, March 30, 2023 To: Amy Von Hone, R.S., C.H.O., Health Director Sherrie McCullough, R.S., Assistant Health Director From: Philip Flath, Executive Chef RE: Request for Board of Health Meeting Agenda, 415, for Front Lawn Amy and Sherrie, RE0'EIV ❑ MAR 3 0 2023 raF,,Fw� r�i� N�i�EALTH n �=Pia-f� I would like to request to appear before the Board of Health on Wednesday, April 5`h to discuss our proposal for the covering of the area between the Kitchen Shed and Pizza Ovens at our Front Lawn operation. With this letter, I have included sketches of the proposed awning, an operations plan forthe Front Lawn, and a site plan demonstrating where the operation is. ❑CEA�I EDGE 04*04, The Front Lawn Ocean Edge FOOD. DRINKS. MUSIC 5 GAMES OPERATIONS PLAN As a result of the COVID-19 regulations instituted in 2020 for outdoor dining, the Front Lawn at Ocean Edge was developed. Working with all departments within the town, we came up with a plan to operate an outdoor extension of our two existing operations from the Mansion, licensed as Bayzo`s and Banquet Ballroom Kitchen, while maintaining and following safe food handling practices. I am outlining the operation in an effort to continue this seasonal dining option. BEVERAGE/ORDER SHED This shed, located adjacent to the rack of the Pizza ovens, serves dual purposes, taking all food and beverage orders and storing all canned/bottled beverages. Two walk-up windows for guests to place orders - All beverages are served to guests at this point with directions as to howlwhen to pick up food KITCHEN SHED Within this area, all finish food prep and production take place for nightly service to the Front Lawn dining area. Current Equipment: - Refrigerated Pizza Prep unit. o 3 -door with under prep refrigerated storage a Oversized cutting board for pizza dough prep o Refrigerated raised rail to hold toppings for pizza - Stainless Steel Prep Table - Self -Contained Hand Sink with On -Demand Hot minimum of 100°F) and Cold Water and Grey Water Tank - Stainless Steel Diamond Plate Flooring - Screen Doors on opening to shed from Pizza ovens Cooking Equipment: 2 Propane/Wood Fired Pizza Ovens, in excess of 600°F - As seen in image, the opening is very small and the unit is enclosed on 3 sides Second image is inside the kitchen prep shed OCEAN EDGE STORAGE AND FOOD PREP/PRODucriON All food forth e Front Lawn operation is received and stored within the Mansion (Bayzo's and Banquet Ballroom Kitchen) as with food for other outlets and banquets. Bulk Preparation items are prepared within the Banquet kitchen or Bayzo's kitchen depending on business levels within each area. They are then portioned into smaller containers to be taken to the Front Lawn Kitchen Shed for meal service. The refrigeration in the Shed is meant to hold enough product to get us through one evening's business. Any back-up supplies are stored appropriately within the refrigeration in the Banquet Kitchen or Bayzo's Kitchen, again, depending on business levels. SERVICE The entire operation at the Front Lawn is treated like a "take-out" operation in the sense that all service pieces are disposable. - All Pizzas are placed in Pizza Boxes for Pick-up - All other food is placed in paper "clam -shell" containers - Paper Napkins and Plastic Cups - Plastic Utensils Once orders are place at the Beverage shed and cooked in the kitchen shed, we have a team that assembles the orders and alerts guests to come to the kitchen shed to pick up their food. We have a stainless steel table that the food is placed for guests to retrieve. While trey can observe the cooks preparing the pizzas and such within the ovens, they cannot get within 6 feet of them preparing any sort of food. MENU The menu for the 2022 season is below. It hasn't varied much from the initial season, and there is no intention to drastically change it moving forward. A couple of notes: - Primary food being served is Pizza - Wings and Ribs are examples of items prepared within the Mansion and then re -heated in the pizza ovens when ordered. They are fully cooked prior to coming to the Front Lawn, following proper food handling practices with time and temperature and handling. - Anything that is served hot is cooked within the pizza ovens It c�PL Vlle6have stayed away from preparing any potentially hazardous food "to order" within this operation CLEAN- U P/SAN ITATI ON As stated, it is a completely disposable operation for food and beverages to our guests. We still have to use tools and equipment to successfully and safely prepare, cook, and serve food, These are the practices that we follow: - Sanitation buckets, with Quaternary Sanitizer, are placed in the shed prior to service. Appropriate test strips are used at the outset to monitor appropriate concentration. They are changed out as needed throughout the evening from stations within the Banquet kitchen - Gloves are used consistently, changed when needed, hand sink in the shed allows for proper usage of gloves and hand washing. - The grey water tank is emptied in the Bayzo's kitchen Mop Sink at the end of each shift and rinsed o ut. - Fresh water is re -filled as necessary, at a minimum at the beginning of each shift All tools, equipment, and cutting boards are taken to the banquet kitchen to be washed through the dish machine. Once Glean and dried, they are returned to the shed on the front lawn as to be ready for the next day. - All equipment and work surfaces are washed and sanitized at the end of each shift. Food is wrapped tightly and stored appropriately. Minimal food is left remaining in the refrigerator for overnight storage. - Floor is swept and mopped at the end of the shift Pizza ovens are swept out throughout the evening and then one last at the end of the shift. There are stainless steel plates that cover the opening of each oven that are in place whenever the ovens are not in use to prevent any foreign objects from getting in there. 04000 The Front Lawn s{de's Qrtiescldiva J.,, Ocean Edge 'Raastu{ SWWt-POtAtb wsdge6 ffowsr7ortilfn, Chilwf6itia ChG6te, FOOD, ORINK5, MUSIC 6 GAMLS vegetAft K40t?s $P, Pica de Gallo, Lime Crcma Add Vakxd CWKkcsl 47 %ilstbrcj Si -root Cary 4G Addknasixd Ve4�era::fes -$4 Wood ire �i� a Lem- Aiof�, Chilli Powder', ratV Cllec5e 'firaI&ASted e�4i 6m V4"s i I & l0' }{nlld l-a;54[ITir.4La CG�GN iafAlo WGDIgr.S ¢fp Nae, C4scc$e Pip W1arglherita 41� L6ster" Rall 5041's $24 "P.oa$ted Clancc Spread, C4tecse >31ard, T*eesh WDLL„ pe5ser t mizu, ilvpak 414 V ne Ripe Tasnata, 6,irden 15a$i1 5'Wlores Nacy�a 48 JAM176 sDf+TrafTA $7 'Pepperoni rm%ato 5Alsce, cheese 8lelld,-Pepparanl 41� S-trAW19&Tj NWFalla -Pi &14 41c VAAple Wastewd'Pippin 5r«uc Yips end Crisps 4t3 < c 2 Loaded Sundae emp 34 1' gmnow,,, "gpUsrh TossuFto Snnra, riloLcareiin Cheese 131cs1d Stravvkrl� 54wr'trake Oiocoleftfrow ile Voml , Tanvit6e5, L'AarlHAred Offva$, P[LLn CYi$p5 5+6401 Clime; CrI1141 LO{- vw Wraps $12 T°Innto 5anre, Chce$c 8fend, Shaved $reek. CAYag14111 (4 0411011$ nlldIZWeoted Peppers •frerr rr Top Pnpsir C* 43 Tal}1nrc,Y.ed olliasl, Fkre'Ranstcd'Pcppers. ,�,'1 m-Lnanto, Peppeilbai A. fres6l 01eeL, fig &TrosE mtto $l i Lemon Oreip;10 Vol, fits Jaen, fre54s Met E_Tioscintto, An4)1 fA, PAI"IWV C11ace 5p1"A* & ftsVirow X15 � i"a ,+Cd ftaYl1i, L4}ee$e 8lelld, }'tFGi`tA„ Truffle Oil Vr1LEtc Lobs�ar X20 DhVe oil, Chez 5x fiend, A$parnga5. Lobster Wear CLEAN- U P/SAN ITATI ON As stated, it is a completely disposable operation for food and beverages to our guests. We still have to use tools and equipment to successfully and safely prepare, cook, and serve food, These are the practices that we follow: - Sanitation buckets, with Quaternary Sanitizer, are placed in the shed prior to service. Appropriate test strips are used at the outset to monitor appropriate concentration. They are changed out as needed throughout the evening from stations within the Banquet kitchen - Gloves are used consistently, changed when needed, hand sink in the shed allows for proper usage of gloves and hand washing. - The grey water tank is emptied in the Bayzo's kitchen Mop Sink at the end of each shift and rinsed o ut. - Fresh water is re -filled as necessary, at a minimum at the beginning of each shift All tools, equipment, and cutting boards are taken to the banquet kitchen to be washed through the dish machine. Once Glean and dried, they are returned to the shed on the front lawn as to be ready for the next day. - All equipment and work surfaces are washed and sanitized at the end of each shift. Food is wrapped tightly and stored appropriately. Minimal food is left remaining in the refrigerator for overnight storage. - Floor is swept and mopped at the end of the shift Pizza ovens are swept out throughout the evening and then one last at the end of the shift. There are stainless steel plates that cover the opening of each oven that are in place whenever the ovens are not in use to prevent any foreign objects from getting in there. ❑CERN EDGE - Trash receptacles are emptied throughout the evening and then at the end of the shift/service. All trash is taken to the carriage house dumpster, same location as all other Food and Beverage waste for the existing operations. During operations, Trash Cans are located near each of the 10 shade sails. At the end of the night, they are all placed nextto the kitchen and beverage sheds. AI Trash Containers also have lids that are securely placed for overnight storage as to prevent any infiltration of pest or rodent. - Our Pest Control Company, Eurest, monitors this area weekly looking for signs of anything out of the ordinary PROPOSED AWNING COVER in attached document, there are detailed plans for an awning to cover the space between the Kitchen shed and the pizza ovens. This is being proposed to meet the intent of the Food Code requirements for cooking food. As noted earlier, the Pizza ovens are enclosed on 3 sides with a limited access to the cooking area. This is the space that would be covered by the proposed awning. A few notes regarding this area: - Kitchen shed is to the left, doors are closed in this image, however, are open during service with swinging screen doors Stone surface between shed and ovens to prevent dust, grass, other debris from being kicked up by walking on this area - Stainless Steel Tables are the designated pick-up area for food. The closest table in this image is where the cooks place all packaged food. There is an Ocean Edge Team Member in the middle of those tables facilitating orders to accurately give to guests. Guests walk-up to the outside of the furthest table seen in this image CD (D 0 E 2 H co ƒ L p £ M � o � k \2 ± ® m 0 / � .7 d kik >k \gym $ � Rw o / .g j " LL LL CD (D 0 E 2 H co ƒ L K ) S q Niz U, March 30, 2023 To. Board of Health Members Town of Brewster 2198 MAIN STREET BREWSTER, MASSACI11)SMTS 0263 1-1 898 PHONE: 508.896.3701 EXT. 1I20 FAX; 508.896.4538 brhealth@brewster-ma.gov W W W.BREWSTER-MA.GOV Memo From: Amy van Hone, R.S., C.H.D., Health Director - Re: Annual Animal Inspector Appointments Hcalth Department Amy L. von 1 [one, R.S., C.1-1,0, Director Sherrie McCulIough, R.S. Assistant Director Tammi Mason Senior Department Assistant ■ a a a a a a a a a a a a a a a a a a a a a 1 a a a a a 1 a a 1 1 1 a 1 1 1 1 a 1 1 1 1 1 1 1 1 1 1 1 1 1 1 a 1 1 1 1 1 1 1 1 a a a a a a a a a a a a a a a a a f a a a a a f a a t i The following individuals are being nominated for the Town of Brewster Animal Inspector positions, in accordance with Massachusetts General Laws Chapter 129, sections 15 & 16. These appointments will be valid for a one (1) year term from May 1, 2023 through April 30, 2024. 1. Sherrie McCullough Animal Inspector 2. Lynda Brogden -Burns Animal Inspector The Animal Inspector position is responsible for the inspections and enforcements of barn, poultry and stable establishments, in addition to the issuance of domestic pet quarantines related to bites and wildlife exposures. N:\HealthVrom Shari\MSWORK FQLDERS\FORMS\Animaf inspector memo.doc THE COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY AND ENVIRONMENTAL AFFAIRS Department of Agricultural Resources 251 Causeway Street, Suite 500, Boston, MA 02114 DA 617-625-1700 fax: 6I7-626-1850 www.rnass.govlagr 44R MASSACHUSE17SDEPARTMENT u,p OFAGRICULTURALRE5UURCES Maura T. Healey GOVERNOR March 3, 2023 Kimberley Driscoll LIEUTENANT GOVERNOR RE: NOMINATION OF INSPECTOR OF ANIMALS Nominating Authority. Rebecca L. Tepper John-L'b= SECRETARY R E a[ M*i�,AI(1b MAR1. a 2�?. BREWSTER HEAET!-1 17 E PART MEN T Enclosed is the nomination form for the Inspector of Animals for your city or town. This form is due back to the Division of Animal Health by April 1, 2023. The appointment will run from May 1, 2023 until April 34, 2024. If more than one inspector was appointed for your city or town, there is a separate farm for each. If you are nominating the same inspector(s) this year, be sure that all of the contact information is complete and still correct. Any corrections should be made in the space provided on the right. If you will be nominating a new inspector, that person's information should be entered in the space provided on the right. Submit a separate form for each inspector nominated. Also, be sure that all of your (nominating authority) information is complete and correct. Any changes to your information should be made in the space provided to the right. Once all of the contact information is confirmed to be correct, all that is needed is to have the nominee sign the form, accepting the nomination and swearing to faithfully perform the duties of that office. The nominee's signature must be notarized. In many cases the city or town clerk is a notary. Your municipality can have as many animal inspectors appointed as you feel are needed to fulfill the duties. Please note, a duty of the municipal animal inspector is the annual "barn inspection". An inspector is not able to perform an inspection on their own property. If your inspector keeps animals in your town, then the municipality will require an additional inspector to perform that inspection. After the nominee's signature has been notarized, simply return the form to the Division of Animal Health at the address listed at the top of the form. The Division of Animal Health will send back confirmation of the inspector's appointment. Please note that regardless of when the most recent appointment was made, it is only valid through April 30, 2023. This nomination will cover the year starting May 1, 2023 and run until April 30, 2024. If you have any questions, please call Ashley Kraft at (617) 626-1810 or email Ashley.Kraft@mass.gov. Thank you, Michael Cahill, Director Division of Animal Health Q ISPATCH Q_ Resources and Information abort Local Public Health NACCHO NIWS Exeftanp NACCHO Exchange, Fall 2022: Model and Innovative Practices -��■ The Fail 2022 issue of lvACCHOExchange highlights some award- , _ ..___. �: :=- -- winning practices from NACCHO's Model Practices Program. The N`odel Practice Award Prag ram was first established in 2003 to commemorate the outstanding work of local W: health departments (LHDs) that have demonstrated creative and dynamic action in addressing identified public health needs.This nationally recognized award has been bestowed upon hundreds of health departments since its inception and provides local health departments with a shared database of more than 850 best practices that are immediately replicable in their communities. In this issue, eight Model and Innovative Practices are highlighted to show what LH Ds around the country were able to achieve within their communities. To download, visit the NACCHO Bookstore at https://�vww.naccho.org/resources/resources/publications. 2023 NACCH0360 Conference - Denver, CO E f The 2023 NACCH0360 Conference (naccho360.org) U9dill he held at the Sheraton Denver Downtown Hotel from WN % " ` r 1 Monday, July 10 through Thursday, July 13, 2023. This conference will be held in-person with an improved 1 virtual component. Early -bird registration is open through March 3. Please visit the NACC HO360 website y at naccho360.org far the latest updates on conference registration and to sign up for automatic email alerts on conference updates. NACCHO Announces More Than $3.4 Million in Awards to Local Medical Reserve Corps Units and State Coordinators NACCHO is pleased to announce awardees of a second round of funding in the Medical Reserve Corps (MRC) COVID-19 Respond, Innovate, Sustain, and Equip (RISE) Awards. These awards, made possible through a cooperative agreement with the Administration for Strategic Preparedness and Response's Medical Reserve Corps Program Office, will provide resources to the MRC network to support COVID-19 response efforts, Awards totaling $3,425,000 will support 73 local units and state MRC coordinators to build the capacity for the MRC to respond, innovate to evolving requirements, sustain staffing, and equip units with resources needed to support their missions, This is in addition to the $9.5 million awarded through the first round of RISE Awards earlier in 2022. Learn more and see a list of awardees at https:llww�v.naccho.org/blog/articles/naccho-announces-more-than-3-4- mil lion -in -awards -to -local -medical -reserve -corps -u nits -and -state -coordinators. lu Public Hcaith P rry -t. Prem -u- True. In the Spotlight... New omicron Subvariant is Dominant in the U.S. According to data from the Centers for Disease Control and Prevention {CDC}, a new omicron subvariant, X131315, is now dominant in the U,S., accounting for over 49 percent of new infections in the country, Although COViD-19 hospitalizations have accelerated recently, the CDC said there is no suggestion at this point that the variant is more severe. The COC continues to recommend that people take precautions including receiving the Updated booster shot, testing before gathering, and masking in areas of high COVID transmission. For more info, visit https://covid.cdc.gov/covid- d ata -t racicer/kva riant-proportions. Each year, flu season in the United States of hospitalizations and deaths. In recent years, protective measures such as masking have contributed to dwindling flu case counts, but recent CDC data indicate that the flu is back in full force. As the country braces for the peak of the 2023 flu season, states are passing legislation diversifying the vaccine administrator workforce and expanding workplace regulations that support patient safety. Learn more about how states are working to prevent the flu at https:ll www.astho.org/communications/blog/evidence- based-pol ides -red u ce-fl u -related -i I I ness-death. `� Boston Farms: Creating Community Wealth Through Shared Land Land is critical to food security and is a core source of wealth and power in our society. To reduce barriers to ownership, create community wealth, and fosterfood enterprises led by people of color, Boston Farms Community Land Trust converts vacant land into urban farms. Find out how their work fits into a ]arger movement to build social equity and promote healthy neighborhoods. Read the feature story at https://kresge.org/news-views/boston-farms-creates- community-wealth-fosters-food-enterprises-through-shared-la nd. NRC -RIM Guide to Successful Communication For many refugee, immigrant, and migrant (RIM) community members, navigating the complex U.S. healthcare system is challenging, even in normal times. During the COVID-19 pandemic, existing inequities in health and access to healthcare have been compounded by inadequate or insufficient COVID-19 information in languages other than English. To keep RIM communities safe, it is vitally important to convey information about COVID-19 and COVID-19 vaccines that is not only timely, accurate and accessible, but also culturally and linguistically relevant. NRC -RIM has created a guide to successful communication with RIM communities. Vierra the guide at https:ll n rcri m.o rglwo rld ng-towa rd-equ ita ble-lang uag e -access. Racial and Ethnic Differences in COVID-19 Vaccination Coverage Among Children and Adolescents Aged 5-17 Years and Parental Intent to Vaccinate Their Children — National immunization Survey -Child COVID Module, United States, December 2020 -September 2022 Some racial and ethnic groups are at increased risk for COVID- 19-assoc€aced morbidity and mortality because of systemic and structural inequities. Vaccination is effective in preventing severe COVI D-1 9 -re lated outcomes. Parental intent to vaccinate their child varied by the child's age, race, and ethnicity. To view the survey, visit https://www.cdc.gov/mmwr/volumes/72/wr/mm7201 a1.htm. Public Health Dispatch , February 2023 NACC H0 Quarterly Member Webinar Please join new and current NACCHO members for the quarterly member webinars. Health directors and staff are encouraged to join and learn more about navigating your membership, your member benefits, and new opportunities. NACCHO looks forward to helping you make the most of your membership. A recording will be sent out to all registrants following the webinar,You can choose to attend one or more of the following webinars on April 18, 2023; July 18, 2023; October 17, 2023; January 16, 2024; April 16, 2024; July 16, 2024; October 15, 2024 at 2:00 PM ET. Register for the upcoming webinars by visiting https:H iiaccho.zoom.us/webinar/register/ WN_-.ABpOmYUCQy2THvYcgh IW3Q. CDC National Center for HIV, Viral Hepatitis, STD and TB Prevention Equity Initiative The National Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) developed an Equity Initiative to optimize synergies between the Center's existing equity activities, and to support the identification of additional strategic Join us in Atlanta or virtually April 24-27. Don't miss your chance to reenergize while gaining the knowledge, resources, and relationships necessary to prepare for and respond to public health emergencies, Register Today! Public Health Dispatch • February 2023 0; ' opportunities to embed equity into the fabric of NCHHSTP's workplace operations and public health programs. The Equity Initiative includes an Implementation Plan that outlines the first steps of a long -tern strategic process to place equity squarely at the forefront of ail internal and external Center activities. The Plan is organized into three focus areas with goals, objectives, and activities to support achieving specific goals. Visit https.// www.cdc.gov/nc1-ihstp/about/equity- initiative/index,htnil to learn more. ■ r .. 0 e YA J wigs Apply to NACCHO's 2023 Local Vector Control Mentarship Program Managed by NACCHO, with the support of the CDC's mentorship program, many local vector control programs have been matched with demonstrated expertise in the ten capabilities with vector control programs currently looking for guidance, tools and resources, and recommendations to build program capability. This year, newly selected programs to the VCC will be awarded up to $10,000 in grant funding. Learn more about the VCC's benefits and details behind the application process at naccho.orglvector-control, Please submit completed applications via email to vectorcontrol@ naccho.org by 11:59 PM PT, Monday, February 27. For questions on the Vector Control Collaborative or the program application, please contact Angana Roy (aroy@ naccho.org) or Christine Phan (cphan@naccho.org). food protection services to their communities. Since 2001, the award has highlighted innovative programs and methods that reduce or eliminate the occurrence of foodborne illnesses, recognize the importance of food protection at the local level, and stimulate public interest in foodservice sanitation. To see if you rjurisdiction is eligible, please visit cru mbineaward.com.The deadline to submit entries for the 2023 award is March 15. Learn more through NACCHO's press release at https://www.naccho. orglbloglarticles12023-Samuel j-crumbine-consumer- protection-award-for-excel lence-in-food-protection. Drought Planning in the Southeast United States Despite being a humid region, droughts pose a serious threat to the southeastern United States. Recent events, including flash droughts, have caused substantial impacts to agriculture, forestry, water resources, and other sectors and stakeholders.Th1s project documented, compared, and assessed drought A d I h th t X15 `- 2023 Samuel I Crumbine response an prepare ness p anning in t e sou eas , Consumer Protection with the overall goal of helping to clarify multiple items for � Award for Excellence draught coordinators and other drought decision makers in Food Protection across the region. Furthermore, this project is intended Named for one of America's to provide a baseline understanding of the drought most renowned health planning landscape in the southeastern U,S, and inform — officers, Samuel J. Crumbine, planning -related activities of the NIDiS Southeast Drought MD (1862-1954), the Crumbine Award is given annually to Early Warning System (DEWS) network and partnering local environmental health jurisdictions that demonstrate organizations. To learn more, visit https://www.drought. r unsurpassed achievement in providing outstanding gov/documents/drought-planning-southeast-united-states.OW f Public Health Dispatch • February 2023 4 +►� Joy In Work National Webinar — Winter 2023 Are staff in your local health department experiencing high rates of burnout? Is their mental health declining in the - prolonged stressful environment of working through the COVID pandemic and beyond? Join NACCHO for the Having Conversations That Matter in Local Public Health webinar on February 28, at 2:00-3:30 PM EST to learn about how to address these growing concerns and apply practical strategies to increase joy in the workplace. In this webinar, NACCHO will present the Joy in Worlr Toolkit, an adapted version of the Institute for Healthcare Improvement (I HI) Framework for improving staff wellbeing, modified to meet the needs of local governmental public health workforce organizations. The webinar will be an opportunity to learn about the framework, build the skills needed to engage staff in the process, and consider how to implement the toolkit. NACCHD will help you to explore a conversation framework that opens dialogue to identify barriers and subsequently promote joy in work. Conversations That Matter have the power to change the way that we work with each other and provide real strategies for increasing staff wellbeing. Register at https:/fnacclio.zoom.us/ webinar/register/WN_2 Vz p -M E D R9 m.__UJ ATQm bgVQ. Three New MAPP Assessments Now Available The three new assessments for Mobilizing for Action through Planning and Partnerships (MAPP) 2.0 are available for download from NACCHO's MAPP Network Virtual Community. These tools help communities assess their community partnerships, health status, and strengths Public Health Dispatch • February 2023 using mixed methods. Follow the linked instructions to join The MAPP Network, download the assessments, and view the recorded webinar series at https://www.naccho. o rglu p loa d sld own I nada bl e-resou rtes/ P rog ra ms/Pu b l i c - Health -I nfrastructu relMAPP-networlt-instructions,pdf. Mental Tel ehealth Use Surged as In- person Care Dropped Amid COVID The expansion of mental health telemedicine more than offset the drop in in-person mental health services among more than 5.1 million U.S. adults for some diagnoses during the first year of the pandemic, finds a study published by JAMA Health Forum. To learn more, visit https://cidrap.umn.edu/covid-I 91mental-telehealth- use-surged-person-care-dropped-amid-covid. NACCHO Launches RURAL & Rural and Frontier FRONTIER public Health Section . ro# P(WIC HEALTH NACCHO is excited to announce the launch of the Rural and Frontier Health webpage on NACCHO's main website. The Rural and Frontier Health webpage will target rural and frontier local health departments and be used to share information on rural -relevant projects, resources and tools, funding opportunities, and future rural -specific webinars and workshops. NACCHO will also be launching a rural and frontier -specific newsletter in the future. If you have any tools or resources that you would like to see featured on the NACCHO webpage, please send an email to Victoria Freire, at vfreire@naccho.org.To view the webpage, visit https://www.naccho.org/programs/ public-health-infrastructure/rural-and-frontier-health. N Register Today: 2023 PREP REDNESS Preparedness Summit S LI M M I T Registration for the 2023 Preparedness Summit, to be held April 24-27, in Atlanta, is officially open! The 2023 Preparedness Summit, Recover, Renew: Reprioritizing All - Hazards Preparedness, will provide an opportunity to revisit pressing issues in preparedness and share resources, shape policies, and build skills to mitigate a variety of threats, Register today at https://www.preparednesssummit.org. Effective Pandemic Response: Lessons from Kauai The latest "Fro m the Field" column in the November/ December 2022 issue of Health Security highlights COVID-19 response lessons learned from the Kauai District Health Office of the Hawai'i Department of Health. Authors provide examples of local response efforts in the areas of policy and regulations; health -directed isolation and quarantine; case investigation and contact tracing; testing availability; vaccine rollout and availability; and public information, as well as the factors that have contributed to Kauai's successes. The authors also illustrate how, "with a strong foundation, local public health emergency response can be timely, effective, and collaborative --and most important, lifesaving" Access the article and learn more about submitting a "From the Field" column at https://www,naccho.org/blog/articles/ effective -pa ndemic-response-lessons-from-ka ua1. MRC of Puerto Rico Responds to Hurricane Fiona In mid-September, Hurricane Fiona made landfall in Puerto Rico as a Category 1 storm. The MRC of Puerto Rico, with its 403 volunteers distributed across seven public health regions, was ready to respond. See how this MRC unit served 3,148 people across 19 municipalities at https://www.naccho.org/blog/articies/ m rc-of-pu erto-rico-responds-to-hurricane-fi o n a. Newly Published: ASPR Strategic Plan for 2022-2026 in December, the Administration for Strategic Preparedness and Response ASPR released the 2022 - 2026 ASPR Strategic PIan.The pian sets the direction of the organization, prioritizes agency actions, and facilitates coordination and collaboration with partners. See the plan at https://aspr.hhs.gov/StratPlan/€'ages/default.aspx. FEMA Releases the 2022 National Preparedness Report FEMA released the 2022 National Preparedness Report, revealing the impacts that climate change and associated natural disasters continue to have on emergency management capabilities and communities across the country. The report identifies the challenges that emergency managers and public health professionals face in addressing a changing risk environment and how they can meet those challenges to help achieve a more prepared country. Learn more at https://www.naccho.org/blog/articles/ fema-re leases-the-2022-national-prepa redness -report. -"M 2022 National Household Survey �I on Disaster Preparedness FEMA has released the results from - the 2022 National Household Survey on Disaster Preparedness. Through the survey, FEMA measures the nation's progress with preparedness; improves strategies to motivate individual preparedness actions; and promotes and sustains a prepared country. Learn more at https://www.naccho.org/blog/articles/2022- national-household-survey-on-disaster-prepa redness. Cybersecurity Notification: Updates on Cuba Ransomware Health departments rely increasingly on technology and data to carry out their missions, and threats to cybersecurity present a growing and serious challenge for public health and safety, Learn about an advisory from the FBI and the Department of Homeland Security's Cybersecurity and Infrastructure Security Agency on Cuba Ransomware and how to protect your agency at https://www.n a cch o.org/bl og/articles/cybe rsecu rity- notifrcation-updates-on-tuba-ransomware. ■ Pahllc Health Dispatch • February 2023 FROM RIAS H I N GTS , NACCHO's 2023 Federal Legislative and Policy Agendai By Kerry Allen, Director of government Affairs, and Lauren Mastrobe rardino, Government Affoir5 Senior Specialist NACCHO Government Affairs serves as the voice of local health departments on the federal level— advocating for the resources and support our members need to keep their communities safe and healthy. Each year, NACCHO Government Affairs develops a Federal Legislative and Policy Agenda, which is informed by our members and approved by our Board of Directors, to guide NACCHO's interactions with Congress and federal agencies. In 2023, NACCHO's advocacy will be focused on the following priorities. Strengthen and Support the Public Health Workforce The public health workforce ---the backbone of our public health system—is facing a crisis that predates COVI❑-19, but worsened during the pandemic response. After significant advocacy by NACCHO, in December 2022, President Biden signed legislation which reauthorized the Public Health Workforce loan Repayment Program to provide loan repayment to public health professionals who agree to serve three years in a local, state, or tribal health department. This year, NACCHD mill build on this success to push for adequate and sustainable funding, and prompt implementation of the program Additionally, NACCHO recognizes that challenges facing the public health workforce are multifaceted, and will continue to advocate for needed resources, tools, and protections including but not limited to mental health resources, public health authorities, and protections from threats and harassment. Bolster Public Health Funding Federal public health funding is critical to the work of local health departments. In 2023, NACCHO will continue to advocate for strong investments in federal public health programs like the Centers for Disease Control and Prevention (CDC), so the agency can effectively support programs to address federal, state, and local public health priorities. NACCHO will Public Health Dispatch e February 2023 continue to emphasize the need for sustainable and disease -agnostic funding to support foundational local public health infrastructure, including data modernization and workforce development. Ensure Federal Funding Flows to the Local Level Unfortunately, federal funding intended by Congress in support of the governmental public health enterprise continues to have variable reach (e.g., in amount, timeliness, and requirements) to local public health agencies. NACCHO will continue to advocate with both Congress and federal agencies to ensure funding makes it to the focal level quickly and equitably. NACCHO supports funding specifically designated for local health departments, requirements to suballocate funding to the local level, and public tracking of disbursement of federal public health funds down to the local health department level. Address Public Health Concerns with National Partners Reflecting the breadth of local health departments' work, NACCHO will continue working in coalition with partners to address the many public health issues facing communities nationwide, including behavioral and mental health services, chronic disease prevention, informatics, emergency preparedness, environmental health, HIV, STI, and viral hepatitis prevention, infectious disease prevention, injury and violence prevention, maternal and child health promotion, reproductive health, substance use disorder, and tobacco control and prevention. Visit the Policy & Advocacy page of NACCHO's website to read the full 2023 Federal Legislative and Policy Agenda. NACCHO Government Affairs looks forward to working toward success on these priorities in 2023 alongside our members and coalition partners! Q J m ISPATCH a- Resources and Information a#aaut Local Public Health UPCOMING EVENTS Agents of Change Summit March 6-7, 2023 San Diego, CA https://www,agentsofchangeSLimrnit.com/register 2023 Preparedness Summit April 24-27, 2023 Atlanta, GA https://�.vww.preparednesssumrn'it.org/hotne NACCH0360 Conference July 10 -July 13, 2023 Denver, CO https://wvA,v.naccho360.org/home Diabetes Education and Cage Management (DECM) in Denton County, TX Diabetes is a complex chronic illness— according to the CDC, about 34,2 million adults in the US and about 2.6 million adults In Texas have diabetes. Diabetes is associated with severe medical complications due to poorly managed blood glucose levels, including diabetic retinopathy that may lead to complete vision loss. other serious life- threating complications include heart disease, stroke, endstage kidney disease, and amputations. While Denton County's diabetes rates are lower than the state and national average, diabetes remains the 7th leading cause of death. For this practice, the target population was uninsured residents of Denton County between the ages of 18-75, low income ---below the 200% federal poverty line, with a diagnosis of type 1 or type 2 diabetes. With ongoing healthcare through primary care, diabetes health educators, community health workers, diabetes case managers, and community partners, DECM focuses on providing support to patients' behavior change efforts, By providing culturally and linguistically appropriate diabetes education ---as well as supplying the basic tools needed for glucose management, blood glucometer, testing strips and lancets— patients are ready to continue diabetes self-management at home and showed improvement in self-management and improved glucose -level outcomes. To learn more about this model practice, visit https://nacchoapplication.secure- platform.comlalga I leryirou nds1231detai is12158. www.naccho.org J Q LU ISPATCH LJ M� a� a Resources and Information about Local Public Health NACCHO NEWS ■ 2023 NACCH0360 Conference — Denver, CO = The 2023 NACCH0360 Conference r (naccho36a.org) will be held at the Sheraton Denver Downtown Hotel from Monday, July 10 through Thursday, July 13, 2023.This conference wiII be held in-person with an improved virtual component. Please visit the NACCH0360 website at naccho360.org for the latest updates on conference registration and to sign up for automatic email alerts on conference updates. Request for Nominations: 24123 Samuel J. Crumbine Consumer Protection Award for Excellence in Food Protection "While much attention is on the COVID-19 pandemic response, the local public health response to food -borne illness and outbreaks remains a criticsI and core function within communities.The Crumbine Award recognizes innovation and best practice in food safety, demonstrating outstanding work by health departments based on science and evidence. It is not only a way to celebrate the successes of the awardee, but it also highlights their work so that it can be replicated for the benefit of other communities:' - Lori TremmeI Freeman, Chief Executive Officer of NACCHO Named for one of America's most renowned health officers, Samuel J. Crumbine, MD (1862-1954), the Crumbine Award is given annually to local environmental health jurisdictions that demonstrate unsurpassed achievement in providing outstanding food protection services to their communities. Since 2001; the award has highlighted innovative programs and methods that reduce or eliminate the occurrence of foodborne illnesses, recognize the importance of food protection at the local level, and stimulate public interest in foodservice sanitation. To see if you rjurisdiction is eligible, please visit cru m bi neawa rd.com. Th e deadline to submit entries for the 2023 award is March 15. Learn more about eligibility and apply by visiting https:l/www.naccho.org/blog/articles/2023-samueI+ cru m bi n e -cans u m er--protection-awa rd -for -excel lence-i n -food -p rotectio n. lu Public Health Prcvcnt. Pr mo[c. Pmtcc1. In the Spotlight.. . NACCHO & Partner Funding Opportunities NACCHO offers opportunities for local health departments to secure funding for their various programmatic areas. Below please find links and application deadlines to our latest opportunities. A MyNACCHO account is required in order to apply to these opportunities and can be created at https:ll scri behow.comisha red/Creatin g_a_ MyNACCHO_Account_ m H WpJ M UYRzu 5-8VOA8WE PA for free. The latest funding opportunities can also be found at https://www.nac(ho.org/ o pportu niti eslopportun i ties/ funding -opportunities. Leveraging Lessons Learned from the SHIELD OC Program to Inform LHD Implementation of a Universal Decolonization `. Strategy The Shared Healthcare Intervention to Eliminate Life Threatening Dissemination of multidrug - resistant organisms (MDROs) in Orange County (5HIELD OC) Program is a Centers far Disease Control and Prevention (CDC) -funded public health regional decolonization collaborative to combat the spread of endemic and emerging MDROs across healthcare facilities in Orange County, California. In this webinar on Thursday, March 16, 2:00-3:00 participants will be able to join, Register at https:Hnaccho, zoom,uslwebinarlregister/WN_e7s-LTpvQG6MmUdPU-D2kw. "Addressing the intersection of Suicide, Overdose, and Adverse Childhood Experiences" Infographic NACCHO has released an infographic to accompany the report, "Addressing the Intersection of Suicide, Overdose, and Adverse Childhood Experiences"The infographic provides key findings related to strengths and opportunities for growth in local health departments'capacity to prevent these three intertwined public health issues. Both were developed with funding from the CDC. Vievv the infographic and full report at https://virtualcommunities.naccho.org/spacecat/home. PM ET, Dr. Susan Huang from the University of Nates from the Field: Recent Changes in Suicide Rates. by California, Irvine (UCI) will discuss the UCI team's Race and !Ethnicity and Age Group — United States, 2027 experience working with 38 healthcare facilities, Suicide is a serious public health problem in the United States, After including 17 hospitals, 18 nursing homes, and two consecutive years of declines in suicide, 2021 data indicate an three long-term acute care facilities that adopted increase in suicide to 48,183, nearly returning to the 2018 peak, the decolonization strategy. This webinar will with an age-adjusted rate of 14,1 suicides per 100,000 population. explore a potential future opportunity for LHD's To understand how this increase is distributed across racial and to work with Dr. Huang's team to implement ethnic groups, the CDC analyzed changes in racial and ethnic this type of intervention, NACCHO is supporting age -adjuster# and age-specific suicide rates during 2018--2021. UCI's dissemination efforts to train other nursing Suicide is preventable and a comprehensive public health approach homes to adopt this effective strategy and hopes with attention to culturally relevant upstream strategies that to hear from participants their questions, as well can reduce health disparities. The CDCs "Comprehensive Suicide as what support would be needed to implement Program" addresses popuiations at higher risk far suicide through the strategy. This webinar is open to a I I members a multi -sectoral upstream approach. To help guide this work, the of LHDs, as well as other community partners CDC recently published the Suicide Prevention Resource for Action, who are interested in this topic, Only registered which includes strategies with the best available evidence to make an impact on saving lives. To view the full report, visit https:ll r Puhiic Health Dispatch o March 2023 www.cdc.gov/mrnwr/volumes/72/ prescriptions and 28% reduction use drugs, high rates of substance use Wr/mm7206a4.htm?s_cid=mm7 in the antibiotic consumption rate, disorder among STI clinic clients, and a 206a4 0suggestedcitation. with reductions observed across all strong association between substance antibiotic classes. ASPs were also linked use and congenital syphilis; this is in Antibiotic Stewardship to reduced antibiotic prescribing part due to shared root causes and Programs Linked to in pediatric hospitals and fess use risk factors, such as unstable housing, Reduced Antibiotic of antibiotics with high resistance involvement with the criminal justice Prescribing and potentia1.To learn mare about the system, poor access to healthcare, and Consumption study, visit https://www.cidrap.umn. stigma and discrimination, including Worldwide edu/antimicrobial-stewardship/ from medical providers. NACCHO with A systematic review and meta-analysis antibiotic -stewardship -programs- AIDS United, NASTAD, NCS D, and the has found that antibiotic stewardship linl<ed-reduced-antibiotic-prescribing. Northwest Portland Area Indian Health programs (ASPS) across the globe are Board will be co -hosting a webinar associates! with significant reductions Syphilis and People Who Use series exploring syphilis among in antibiotic prescriptions and Drugs Webinar Series communities of people who use drugs. consumption rates. The paper, which The U,S, is currently experiencing This series consists of five monthly analyzed 52 studies that included unprecedented levels of drug overdose sessions with the first webinar more than 1.7 million patients, and sexually transmitted infections taking place on March 28 at 3:00 PIM found that ASFs in hospital and non- (STI s), including syphilis. These ET. To register, visit https://nastad. hospital settings were associated epidemics are closely connected, with zoom.us/meeting/register/tZAgf- with a 10°/° reduction in antibiotic high rates of STIs among people who GgrTOiHdclOeeFsmWxooRWGKxogpzZ. Join us in Atlanta or virtually April 24-27, Don't miss your chance to reenergize while gaining the knowledge, resources, and relationships necessary to prepare for and respond to public health emergencies. Register Today! Public Health Dispatch • March 2023 Connecting Climate Change and Health Equity in Public Health Agencies Climate change is one of the most pressing threats to U[ " the health and well-being ' of the public, especially for already at -risk communities. On the latest episode of J ' - Public Health Review, learn how the Washington State Department of Health (WA ❑OH) is integrating environmental justice and health equity in their public health practice to care for these vulnerable communities, as well as a discussion on some of the department's recent initiatives, app roa c hes for tra 1 n i ng and coordinating resiliency planning, and highlights of ways the department raises awareness of the climate's impact on health. Listen novo to hear the full story by visiting https://www.astho. orglcom m u n ications/podcast/co n n eeti ng-cl i m ate - ch a nge-h ea Ith-eq u ity-p u bl i c-hea Ith-a genc i es/, Society for Vector Ecology (50VE) 2023 Meeting The Society for Vector Ecology (SOVE) is halting It their 2023 meeting between September 18-21 at the Charleston Marriott in Charleston, South Carolina. Learn more and register on the SOVE website at https://www.sove.org/. NEVBD Publishes - — µ Pesticide Resistance - - _- Monitoring Maps for - - the Northeast Region The Northeast Regional Center for Excel lence's (NEVBD) Pesticide Resistance Monitoring Program shared a new resource for pesticide resistance monitoring in the northeast region. In partnership with vector control agencies across the Northeast, they have developed a series of maps tracking the resistance monitoring results of their program since 2019. Visit the Pesticide Resistance StoryMap to learn more about NEVBD's program and view resistance monitoring results from 2019 to 2022 at https:llstorymaps.arcg1s. com/stories/dffd054adc84449aa801 ad2396761 f9d. Current CDCIATSDR Involvement in Trail Derailment incident in Ohio The CDC/Ag encyfor Toxic Substances and Disease Registry (ATSDR) is working closely with the U.S. Environmental Protection Agency [EPA] and the Ohio Department of Health and the Pennsylvania Department of Health to assess the public health impact of the train derailment in East Palestine, Ohio. CDCIATSDR has a team on the ground in Ohio to provide technical assistance and to assess public health needs, NACCHO staff is available to help answer questions LH Ds may have about the CDC's involvement in this response. Please contact us at environmentaIhealth@naccho.org to get started, 0 Public Health Dispatch • Mar(h 2023 Rural Health Departments: Share Your After - Action Reports 0 NACCHO is collaborating with East Tennessee State University's (ETSU) Center for Rural Health Research .0 (CRHR) to assess public health emergency preparedness (PREP) among rural local health departments.Through the grant, ETSU and NACCHO will be developing rural -specific PREP capabilities through assessment activities and listening sessions across various states. Part of this project includes a needs assessment to identify shared challenges, gaps, and needs among rural local health departments as they pertain to meeting the PH EP Capabilities established by the CDC. A key component of the needs assessment includes a review of past After -Action Reports (AARs) from rural local health departments. AARs are being requested from rural LH Ds across the United States, and these will be used for the intended purposes of the specified project, will not be distributed in any identifiable manner, and associated information will be destroyed at the completion of the study. For inquiries concerning this project or to submit AARs, please email Michael Meit at meltmb@etsu,edu. accurate information about public health is hard to find or understand, it's easier for false and misleading information to circulate. Using plain language can help your audience find what they need and understand what they find. The Public Health Communications Collaborative (PHCC) has created a new Plain Language far Public Heolth guide to support public health communicators in creating messaging to advance health literacy, build trust in your organization as a source of information, and promote overall community health. View the guide at https://publichealthcoIIaborative. orglresourceslpIai n-language-for-public-hea It h. a� George Washington University Assessing the Impact of Misinformation on the Well-being of the Public iHealth Workforce and tjkvr� eA Public Health Agencies 0% In many cases, misinformation has led to occupational intimidation and harassment of public health professionals. GW is looking for members of the public health workforce who have been the targets of intimidation or harassment due to misinformation that would be open to sharing their .,vr. r�rionro[ in nn hnttr-lnnn interview. The information Public Health Dispatch a March 2023 Explore the 2023 PREP REDNESS Preparedness Summit S U M M I T Schedule and Register The schedule of in-person sessions for the 2023 Preparedness Summit includes over 150 learning sessions, quick hits, demonstrations, and workshops on diverse topics that address reprioritizing al[ -hazards preparedness. Check out the schedule and start thinking about your game plan at http://www.preparednesssummit.org. Not yet registered? There are a range of registration types available—including virtual—to meet your specific needs Addressing the Needs of Vulnerable Populations -� During an Evacuation Vulnerable populations, including older adults, children, and those with a disability, face unique challenges during an emergency. For the Central Nebraska Medical Reserve Corps (MRC), this became particularly apparent three years ago when a local assisted living facility experienced a fire and needed to evacuate residents. See how the unit is equipping its volunteers to respond to future evacuations at https://www.naccho.org/blog/articles/mrc-afn. Resources to Prepare for a Chemical Emergency FEMA's 2022 National Household Survey on Disaster Preparedness showed that 70% of people were unprepared for a chemical emergency.The recent derailment of a train containing hazardous chemicals helps to illustrate why local communities should take steps today to be prepared for such events. Explore resources to help local health departments prepare for chemical emergencies at https:// www,naccho.org/blog/articles/resources-chememergency. LISA Report Outlines Protections to Address Cybersecurity Risk for K-12 Schools I'1 and Districts 0149 Cybersecurity and Infrastructure Security Agency (CISA) has released "Protecting Our Future: Partnering to Safeguard K-12 organizations from CybersecurityThreats" The report provides recommendations and resources to help K-12 schools and school districts address systemic cybersecurity risk. It also provides insight into the current threat landscape specific to the K-12 community and offers simple steps school leaders can take to strengthen their cybersecurity efforts. Learn more at https://www. n a cc ho.org/b logia rticles/c€ sa-kl 2 -cyber -repo rt. - COCA Webinars Addresses COVID-19 Subject matter experts " presented updates '4 regarding COVID-19 o' on two recent COCA n web! nars. Access links to watch "Updates to COVID-19 Testing and Treatment for the Current SARS-CoV-2 Variants" and"Evaluating and Supporting Children and Adolescents Presenting with Post-COVID Conditions" at https://emergency.cdc.gov/coca/calls/index.asp. CDC Launches Website to Help Consumers Find Free COVID-19 Testing Sites The CDC has launched the COVID-19Testi ng Locator website, which will allow consumersto search for free COVID-19 testing sites near them. Visit https://testing locator. cdc.gov/ to learn more. 0 • Public Health Dispatch • March 2023 FROMWASHINGTON What to Expect in the 1 I8th Congress By Kerry Allen, Director of Government Affairs, and Lauren Mastrobe rardino, Government Affairs Senior Specialist January marked the beginning of the 118th Congress, and with it comes new leadership and new policy debates about pandemic preparedness and federal funding. NeWAuthorizing Committee Leadership Public health policy is overseen by two main committees in Congress—the House Energy and Commerce Committee and Senate Health, Education, Labor and Pensions {HELP) Committee—both of which have new leaders this year. Rep. Cathy McMorris Rodgers (R -WA) is now chair of the House Energy and Commerce Committee, after previously serving as its ranking member. Chair Rodgers has stated that priorities for the committee will be investigating COVID-19's origins, oversight of the Biden Administration's COVID-19 response, and combatting the fentanyl crisis. Rep. Frank Pallone (D -NJ) is now the committee's ranking member after spending the past four years as its chair. Meanwhile, the Senate HELP Committee has a new chair and ranking member. Senator Bernie Sanders (I -VT) is the new chair an.d-ha s identified drug pricing, primary care, and the healthcare workforce as key priorities. Senator Bill Cassidy (R -LA), the new top Republican on the committee, also indicated interest in working on drug pricing—so there is the possibility of bipartisan collaboration on that issue. PAHPA Reauthorization A major item on both the Energy and Commerce and HELP Committees'agendas in 2023 is the reauthorization Of the Pandemic and All -Hazards Preparedness Act (PAHPA). PAHPA was first signed into law 1n 2005 and intended to"improve the country's public health and medical preparedness and response capabilities for emergencies, whether deliberate, accidental, or natural' The law directs the implementation of major pandemic Preparedness and response programs within the Department Of Health and Human Services (HHS) including: Biomedical Advanced Research and Development Authority ` Administration for Strategic Preparedness and Response Public Health Dispatch • March 2023 • National Health Security Strategy Public Health Emergency Preparedness Grant Program • Hospital Preparedness Program • Public Health Emergency Medical Countermeasure Enterprise Medical Reserve Corps • Public Health Emergency Fund Each committee will lead the drafting of PAHPA reauthorization within their respective chambers, before the bill is considered by the full House and Senate. Spending Fights Congress holds the "purse strings"of the federal government and allocates funding for federal agencies, programs, and activities through the annual appropriations process and supplemental emergency appropriations when necessary. In response to COVID-19, Congress passed multiple emergency bills that allocated short-term boosts in funding for the public health response. Some House Republicans have indicated they would. like to decrease federal spending in Fiscal Year (FY) 2024, with rumors that they may try to cap funding at FY 2022 levels, which would require cutting about $130 billion in federal spending. instituting such a budget cap would likely disproportionately affect domestic discretionary programs, including public health programs. Appropriations bills require bipartisan cooperation to pass, and lawmakers will be balancing competing interests and priorities in drafting the FY 2024 funding bills. For the first time In history, all four appropriations leaders are women: Chair Patty Murray (D -WA) and Ranking Member Susan Collins (R -M E) in the Senate, and Chair Kay Granger (RTX) and Ranking Member Rosa DeLauro (D -CT) in the House. The four leaders have publicly stated that although the dynamics in Congress are chaIlen ging, they are committed to working together on this year's spending bills. www.naccho.org LLJISPATCHQ V m Resources and Information about Local Public Health UPCOMING EVENTS 2023 Preparedness Summit April 24-27, 2023 Atlanta, GA bttps://www.preparednesssummit.org/home NACCHO360 Conference July.10—July 13, 2023 Denver, CO https://www.naccho360.org/horne 1 - Hennepin County Health Care for the Homeless (HCH) PrEP Pilot Project LESS Hennepin County Public Health's Red Door Clinic HO�� l historically diagnoses 20-25% of Minnesota's ►G annual HIV cases. Hennepin County Public Health LIF is home to Health Care for the Homeless (HCH), a federally qualified health center. The objective of Hennepin County Public Health's HCH project, which began in August 2020, was to implement a relationship -based, extremely low -barrier 6-12 month pilot of pre -exposure prophylaxis (PrEP) care coordination for unsheltered people who inject drugs (PWID) in order to prevent the acquisition of HIV, and to stop forward transmission of HIV. Hennepin County Public Health's HCH team provided immediate care to those experiencing homelessness and who were at risk for acquiring HIV. HCH works to decrease barriers to.accessing healthcare by bringing critical services to the homeless population, as well as their program's clinics being co -located in eight shelters, drop-in centers, and community-based facilities in Minneapolis'where people experiencing homelessness go for emergency shelter and other services. The HCH team also provides mobile outreach, interdisciplinary health services and care coordination at these sites and out in the community. Stopping forward transmission of HIV is integral to ending the outbreak and ultimately the epidemic. See how the project was able to reach people where they currently were located, level the playing field, and reduce disparities by giving access to a medication that many would not have been able to obtain on their own at https:H nacchoapplication.secure-platform.com/a/gal lery/rounds/23/details/2162. COASTAL engineering co. TECHNICAL SERVICES 260 Cranberry Highway Orleans, MA 02653 508.255.6511 P 508.255.6700 F Orleans I Sandwich I Nantucket coastalenglneeringtompany.com To: Brewster Town Hall Date: Board of Health Department Via: 2198 Main St Brewster, MA 02531 Subject: Cape Cod Sea Camps 3057 Main Street Brewster, MA GWDP 977-0 [] Plans ❑ Copy of Letter Specifications Wo nro cpndinF the fallnwing items' TRANSMITTAL 03/08/2023 Project No. C16845-07 ®1st Class Mail Pick up [Certified'i„ R # L) E-f.,RG'i� FH C)E-P `N MENT ® other Ex Copies Date No. Description 1 0212023 C16845.D7 Daily Log Sheet (Not field-tested — Camp is Closed) 1 0212023 C16845.07 Monthly Discharge Monitor Report (Not sampled -- Camp is Closed) 1 03/08/2023 C16845.D7 eDLP Electronic Receipt 'these are transmitted as checked below: ]for approval ®for your use [:]as requested Qfor review 6 comment E] Remarks: Enclosed are the recent monthly reporting farms for the system at the above referenced location under GW❑P 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 hox was not sampled. Please do not hesitate to contact us if you have any questions or comments. JGS/acc Cc; plombardi(Ebrewster-ma.gov By: John G. Schnaible NOTE: if enclosures are not as noted, please contact us at (508) 255-6511 Orleans J Sandwich I Nantucket Massachusetts Department of Environmental Protection 1977 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number LI, Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 2023 FEB GAILY 3. Sampling Month & Frequency Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 zs 27 28 29 30 31 C. Daily Readings/Analysis Information Effluent Reuse Irrigation Flaw GPD Flow GPD Flow GPD Turbidity Influent pH Effluent pH NS NS NS NS N5 NS NS N5 NS NS NS NS N5 NS N5 N5 N5 N5 NS N5 NS NS NS NS NS N5 NS N5 Chlorine UV Residual intensity (mgM (°Io) gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 File No.: C16845,02 2/812022 Monitoring Wells Analytical Test Results Cape Cod Sea Camps 3057 Main Street Brewster, MA GWDP SE 977-0 PARAMETER UNITS CCSC-1 MW -9 MW -4 MW -5 MW -7 TOC Elevation feet 52.27 35.82 22.7 21.19 23.95 Depth To Water feet 31.38 15.87 3.87 6.69 6.41 GW Elevation feet 20.89 19.95 18.83 14.50 17.54 PH pH units 5,98 5.64 5.78 5.91 6.07 Sp. Conductance OJcm 600 580 460 380 450 Nitrite -N mg/L X0.050 X0.050 X0.050 X0.050 X0.050 Nltrate-N mg/L 0.28 1.80 0.93 2.01 2.7 TKN-N mg1L X0.300 X0.300 X0.300 1.19 1.32 Total Nitrogen mg/L 0.28 1.80 0.93 3.19 4.02 Total Phosphorus mg1L 0.508 1.25 0.248 0.484 1.79 Ortho -Phosphate mg/i_ <0.005 0.008 <0.005 X0.005 0.045 Surfactants mg/L 0.090 <0,050 X0.050 X0.050 X0.050 VOC's ug/L ----- __-__ ----- NOTES: All tests performed at a state -certified laboratory, except pH and Sp. Conductivity, which were performed onsite with handheld test meters. ND = Not detected, below the reporting limit of the laboratory. VOC's are tested annualy during the month of August. D:00=16800116845.07 - No Physical FolderlLMonitor Well Reporting Forms.xls]2023-02-08 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT [9T7 -7— T-. 77 - 1. Permit Number 2. Tax identification Number 2023 QUARTERLY 1 3. Sampling Month & Frequency C. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant ccSG-1 MW -1 MW -4 MW -5 MW -7 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 PH 5.98 5.64 5.78 15.91 6.07 S.U. NITRATE -N o.28 1.80 o.s3 2.0 2.7 MCVL TOTAL NITROGEN(NO3+NO2+TK10 28 1.80 0.93 3.99 4.02 MC& TOTAL. PHOSPHORUS AS P 11.25 1 0.248 0.484 111.79 MGL ORTHO PHOSPHATE IND 10.008 IND IND 0.045 MGL FOAMING AGENTS (MBAs)0.090 ND ND Nb Nb MGIL Well #: 6 mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 'l.1L HA A N A L Y T I C A L ANALYTICAL REPORT Lab Number: L2307142 Client: Coastal Engineering 260 Cranberry High Route 5A Orleans, MA 02653 ATTN: John Schnaible Phone: (508) 255-6511 Project Name: CAPE COD SEA CP Project Number: C-16845.07 Report Date: 02/16/23 Serial No:02162315:53 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 (LA000065), TX (T104704476), VT (VT -0935), VA (460195), USDA (Perm it#P330-17-00196). Eight Walkup Drive, Westborough, MA 01581-1019 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com IxLPHA Page 1 of 21 Project Name: CAPE COD SEA CAMPS Project Number: C-16845.07 Lab ID: L2307142-01 Date Client ID: MW -1 Sample Location: BREWSTER, MA Prepared Sample Depth: Method Analyst Matrix: Water Parameter Result Qualifier Units General Chemistry - Westborough Lab 1 Nitrogen, Nitrite ND mgll Nitrogen, Nitrate 1.8 mg4 Nitrogen, Total Kjeldahl ND mgil Phosphorus, Total 1.25 mgll Phosphorus, Orthophosphate 0.008 mgll Surfactants, MBAs ND mgli Page 6 of 21 SAMPLE RESULTS Serial No:02162315:53 Lab Number: L2307142 Report Date: 02/16/23 Date Collected: 02/09/23 11:30 Date Received: 02/09/23 Field Prep: Not Specified IL1L�F;.a Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 0.050 1 02/10/23 03:43 44,353.2 KAF 0.10 1 - 02/10/23 03:43 44,353.2 KAF 0.300 - 1 0211112316:39 0211312319:22 121,4500NH3-H AT 0.100 - 10 02/16/23 09:35 02/16/23 12:59 121,4500P -E EYA 0.005 - 1 - 02/10/23 08:43 121,4500P -E KAF 0.250 5 0211012303:50 0211012306:28 321,55400 KAF IL1L�F;.a Project Name: CAPE COD SEA CAMPS Project Number: C-16845.07 SAMPLE RESULTS Lab ID: L2307142-02 44,353.2 KAF Client ID: CCSC-1 44,353.2 KAF Sample Location: BREWSTER, MA 121,4500NH3-H AT Sample Depth; 0211612309:35 02/1612313:00 121,450UP-E EYA Matrix: Water 121,4500P -E KAF Parameter Result Qualifier Units RL General Chemistry - Westborough Lab Nitrogen, Nitrite MID mgll 0.050 Nitrogen, Nitrate 0.28 mgll 0.10 Nitrogen, Total Kjeldahl ND mgll 0.300 Phosphorus, Totai 0.508 mgll 0.050 Phosphorus, Orthophosphate ND mgll 0.005 Surfactants, MBAS 0.090 mgll 0.050 Page 7 of 21 SerialNo:02162315:53 Lab Number: L2307142 Report Date: 02/16/23 Date Collected: 02/09/23 11:15 Date Received: 02/09/23 Field Prep: Not Specified Dilution Date MDL Factor Prepared Date Analytical Analyzed Method Analyst 1 - 02/10/23 03:45 44,353.2 KAF 1 - 02/10/23 03:45 44,353.2 KAF - 1 0211112316:39 0211312319:23 121,4500NH3-H AT -- 5 0211612309:35 02/1612313:00 121,450UP-E EYA -- 1 - 0211012308:43 121,4500P -E KAF -- 1 02/10/23 03:50 02/10/23 06:29 121,55400 KAF Project Name: CAPE COD SEA CAMPS Project Number: C-16845.07 Lab ID: L2307142-03 Date Client ID: MW -4 Sample Location: BREWSTER, MA Prepared Sample Depth: Method Analyst Matrix: Water - Parameter Result Qualifier Units General Chemistry - Westborough Lab - 1 Nitrogen, Nitrite ND mgrl Nitrogen, Nitrate 0.93 mgr! Nitrogen, Total Kjeldahl ND mgll Phosphorus, Total 0.248 mgA Phosphorus, Orthophosphate ND mgll Surfactants, IMBAS ND rng)l Page 8 of 21 SAMPLE RESULTS Serial No:02162315:53 Lab Number: L2307142 Report Date: 02/16/23 Date Collected: 02/09/23 11:45 Date Received: 02/09/23 Field Prep: Not Specified /ALPHA •Jr ... Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 0,050 - 1 - 02/10/23 03:50 44,3532 KAF 0.10 - 1 - 02/10/23 03:50 44,353.2 KAF 0.300 - 1 0211112316:39 02113/2319:24 121,4500NH3-H AT 0.050 5 02116/2309:35 0211612313:01 121,4500P -E EYA 0.005 1 - 02/10/23 08:44 121,4500P -E KAF 0.060 1 02/10/23 0160 02/10/23 06'29 121,5540C KAF /ALPHA •Jr ... Project Name: CAPE COD SEA CAMPS Project Number: C-15845.07 Lab ID: L2307142-04 Date Client ID: MW -5 Sample Location: BREWSTER, MA Prepared Sample Depth: Method Analyst Matrix: Water Parameter Result Qualifier Units General Chemistry - Westborough Lab 1 Nitrogen, Nitrite ND mgII Nitrogen, Nitrate 2.0 mgll Nitrogen, Total Kjeldahl 1.19 mgll Phosphorus, Total 0.484 mg11 Phosphorus, Orthophosphate ND mg1l Surfactants, NIBAS ND mgli Page9of21 SAMPLE RESULTS Serial Na:02162315:53 Lab Number: L2307142 Report Date: 02/16/23 Date Collected: 02/09/23 12:00 Date Received: 02/09/23 Field Prep: Not Specified L�LPHA Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 0,050 1 02/10/23 03:51 44,353.2 KAF 0.10 1 - 02114/23 03:51 44,353.2 KAF 0.3D0 - 1 0211112316:39 0211312319:25 121,450ONH3-H AT 0.100 - 10 02/16/23 09:35 02/96/23 13:02 121,450OP-E EYA 0.005 - 1 - 02/10/23 08:44 121,450OP-E KAF 0.500 - 10 02/10/23 03:50 02/10/23 06:30 121,55400 KAF L�LPHA Project Name: CAPE COD SEA CAMPS Project Number: C-16845.07 Lab ID: L2307142-05 Date Prepared Client ID: MW -7 Analyst Sample Location: BREWSTER, MA - Sample Depth: 44,353.2 KAF Matrix: Water - Parameter Result Qualifier Units General Chemistry - Westborough Lab 1 Nitrogen, Nitrite ND mgII Nitrogen, Nitrate 2.7 mgII Nitrogen, Total Kjeldahl 1.32 mgII Phosphorus, Total 1.79 mgll Phosphorus, Orthophosphate 0.045 mg✓f Surfactants, MBAS ND mqA Page 10 of 21 SAMPLE RESULTS Serial Nc:02162315:53 Lab Number: L2307142 Report Date: 02/16/23 Date Collected: 02/09/23 12:15 Date Received: 02/09/23 Field Prep: Not Specified RL Dilution MDL Factor Date Prepared Date Analyzed Analytical Method Analyst 0.050 -- 1 - 02/10/23 03:52 44,353.2 KAF 0,10 1 - 0211012303:52 44,353.2 KAF 0.300 1 02111/2316:45 0211312321:51 121,4500NH3-H AT 0.100 10 02/16/23 09:35 02/16/23 13:03 121,4500P -E EYA 0.005 1 - 02/10/23 08:45 121,4500P -E KAF 0.500 - 10 02/10/23 03:50 02/10/23 06:31 121,55400 KAF �1. /ALPHA LO m N r0 r- t1f d O Z f .v a- 7 ❑ 1 p■ � a o .,, {r{ff s}uQjaajpjnsl 5 f }� 0 efeqdsayde4pty 7— di 'N}I1 ®®®® M £QN'Z4N ®®M ©10 H Df d W E � L7 U` U' 0 0 C P Q C Il C a C P Q C Il C LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT 977 1. Permit Number 2. Tax identificatlon Number 2023 FEB MONTHLY 3. Sampling Month & Frequency C. Contaminant Analysis Information • Far "o", 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 LAUNDRYEFFLU Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 TSS INS MGA - OIL & GREASE NS MGL FOAMING AGENTS (MBAS) NS MGL Well #: 5 Well #: 6 c mwdgwp-blank.doc • rev. 69115/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 318!23, 9:39 AM eDEP - MassDEP's OnlineFiling System MassDEP Home I Contact I Privacy Policy l4 MassDEP's Online Filing System LJsemame:CASDMR Forma Signature Receipt Summary/Receipt print receipt Exif 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: 1526077 Date and Time Suhmitted: 3/8/2023 9:39:02 AM Other Email : DEP Transaction ID: 1526077 Date and Time Submitted: 3/8/2023 9:39:02 AM Other Email : DEP Transaction ID: 1526077 Date and Time Submitted: 3/8/2023 9:39:02 AM Other Email : DEP Transaction ID: 1526077 Date and Time Submitted: 3/8/2023 9:39:02 AM Other Emall : Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 043070847 location: 3057 MAIN STREET Address: BREWSTER ZIP: 02631 Daily Log Sheet(2023 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 - 2023 Quarterly 1 ) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 043070847 https:lledep.dep.mass.goy/eD EPIPageslPrintReceipt.aspx 112 318!23, 9:39 AM eDEP - MassDEP's OnlineFiling System location: 3057 MAIN STREET Address: BREWSTER ZIP: 02631 Monitoring Well Data Report(! - 2023 Feb Monthly) Form Name: Comments M ey ❑EP MassDEP Home I Gonlact j Privacy Policy MassDEP's Online Filing System ver. 16.4.11.1® 2019 MassDEP https:f/edep.dep.mass.go+deDEP/Pages/PrintReceipt.aspx 212 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. FMAR 15 2023 REVVSI-Er3 HEALr�j Username: EBELAIR DEPARTMENT Transaction ID: 1524787 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1022.70K Status of Transaction: submitted Date and Time Created: 3/1412023:1:29:11 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to e D E P and select to "Download a Copy" from the Current Submittals page. Massachusetts Department of Environmental Protection 599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit iVumber Groundwater Permit LLI- 2. Fax identification Number DAILY LOG SHEET 2023 FEB DAILY 3. Sampling Month & Frequency A. Facility Information Important:when filling out forms on 1. Facility name, address: the computer, use JSERENITY BREWSTER M'VTF only the tab key to a. Name move your cursor- 873 HARWICH ROAD do not use the return key. b• Street Address BREWSTER IM -A 102631 l c. City d. State e. lap Code lk AV 2. Contact information: Jaw 6A_ I, MAHEEN AKHTER a. Name of Facility Contact Person 6178526110 makhter@elevationfinancialg roup.com b. Telephc;ie Number c. e-mail address 3. Sampling information: 2!2812023 a. Date Sampled {mmlddlyyyyj RICK 13RULOTTE c. Analysis Performed By (Name) B. Form Selection W H ITEWATER b. Laboratory Name 1, Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2023 Feb Daily 1- All farms for submittal have been completed. 2, r- This is the last selection. 3, F Delete the selected form. T gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet - Page 1 of 1 Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Massachusetts Department of Environmental Protection 1599 _ Bureau of Resource Protection -Groundwater Discharge Program 1. Permit Number . Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 2023 FEB DAILY 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Effluent Reuse Irrigation Turbidity Influent PH Effluent Chlorine UV Flow GPD Flow GPI] Flow GPD pH Residual Intensity {mgll} N 6706 6773 5626 5983 6306 6277 6716 5541 5493 5195 6027 7302 6538 5902 6450 6689 6671 5720 6882 6993 fi383 5714 7083 6068 641$ 7913 6092 8637 gdpols.doc • rev. 09/15/15 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. irdb jA 1] r�i€ir 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: SERENITY BREWSTER WWTF a. Name 873 HARWICH ROAD b. Street Address BREWSTER IMA C. City d. State 2. Contact information: MAHEEN AKHTER a. Name of Facility Contact Person 159-9 - - --I 1. Permit Number 2. Tax identification Number 2023 FEB MONTHLY 3. sampling Month -& Frequency 02631 e. Zip Code 16178525110 1makhter@elevadonf inancialg roup.corn b. Telephme Number c. a -mall address 3. Sampling information: 217/2023 WHITEWATER a. Date Sampled (mmlddly M) b. Laboratory Name RICK BRULOTTE c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2023 Feb Monthly r All forms for submittal have been completed. 2. 1- This is the last selection. 3. r- Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection rgg Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number �, Groundwater Permit 2, Tax identification Number MONITORING WELL DATA REPORT 2M923 FEB MONTHLY7J 9 -.--Sampling Month & Frequency C. Contaminant Analysis Infolrmation ■ 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. ParameterlContamtnant MW1 MW2 MW3 MW4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 PH D 7.1 1 6.7 7.6 I S -U - STATIC WATER LEVEL I qRy 59.2 1161.5 62,2 FEET SPECIFIC CONDUCTANCE [DRY 319 2 f2 860 UNIHOS/C mwdgwp-blank.doc • rev. 09/15115 Monitoring Well Data for Groundwater Permit • Page 1 of 1 �l Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. rad :1 1k f am AAJ Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater discharge Program Groundwater Permit DISCHARGE MONITORING REPORT A. Facility Information 1. Facility name, address: SERENITY BREWSTER WWTF a. Name 73 HARWICH ROAD 599 1. Permit Number I� _ . 2. Tax identification Number 2023 FEB MONTHLY 3. Sampling Month & Frequency b. Street Address BREWSTER IMA 02631 C. City d. State e. Zip Code 2. Contact information: MAHEEN AKHTER a. Name of Facility Contact Person 16178526110 b. Telephone Number 3. Sampling information: 2/8/2023 a. Date Sampled (mmlddlyyyy) BRENT PLANT c. Analysis Performed By (Name) B. Form Selection Imakhter@a eievationfinancialgroup.com c. e-mail address [RI ANALYTICAL b. Laboratory Name 1, Please select Form Type and Sampling Month & Frequency discharge Monitoring Report - 2023 Feb Monthly F All forms for submittal have been completed. 2, r This is the last selection. 3. r Delete the selected form. gdpols 2095-09-15.doc • rev. 09/15/15 Groundwater Permlt Daily Log Sheet • Page 1 of 9 infeffrp-b[ank.doc • rev. 09115/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection 1599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT 12423 FEB MONTHLY 9. sampling Month & Frequency D. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "NO" ■ TNTC = too numerous to count. (Fecal results only) ■ N5 =Not Sampled 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit BODii 12 1_Nd_ i 3.0 MGq- .. _ .. T55 23 1 17 112.0 MGIL TOTAL SOLIDS 274 MGIL AMMONIA -N 4.7 MGIL NITRATE -N S,Ej 1 4.050 1 MGIL TOTAL NITROGEN(NO3+NO2+TKN) 5.5 10.54 _ MG,i. OIL & GREASE 0.61 I 0.54 i MG1 --- infeffrp-b[ank.doc • rev. 09115/15 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 5A4(1) or (2) shall make the following certification If you are filing electronic -ally and want to attacks additional comments, select the check box. F Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number Facility Information SERENITY BREWSTER WWTF a. Name 873 HARWICH ROAD b. Street Address BREWSTER JIVIA C' City d. State 02631 e. Zip Code Certification "i certify under penalty of law that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the hest of my knowledge and belief, true, accurate and complete. I am aware that then are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations" ELIZABETH BELAIR 13/14/2023 a. Signature b. Hate (mrnld&yyyy) gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 L1Massachusetts Department of Environmental Protection 1 eaEP 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 FARRF N KOPF Transaction ID: 1528075 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1024.41 K Status of Transaction: In Process Date and Time Created: 311312023:12:37:12 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. Massachusetts department of Environmental Protection 1746 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number i'- Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 2023 FEB DAILY 3. 5arnpling Month & Frequency A. Facility Information important:When filling out forms on 1. Facility name, address: the computer, use IPLEASANT BAY HEALTH CTR only the tab key to a. Name move your cursor - 383 5OL1TI I ORLEANS ROAD do not use the return key. b. Street Address BREWSTE R JIVIA 102631 c. City d. State e. Zip Code 2. Contact information: rAw A 1JOSEPH SMITH a. Name of Facility Contact Person 7742125005 jsmith@bennett-ea.com b. Telephone Number c. e-mail address 3. Sampling information: X21112023 a. Data Sampled (mmlddryyyy) BEA/NSU WWTO PERSONNEL c. Analysis Performed By (Name) B. Form Selection NOT APPLICABLE b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2023 Feb Daily — All forms for submittal have been completed. 2. i- This is the last selection. 3.- Delete the selected form. Ir gdpdIs 2015-09-15.doc • rev. 09/15/15 Groundwater Permit. Daily Lag Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection746 Bureau of Resource Protection - Groundwater Discharge Program �t. rmit Numt}er Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 2023 FEB DAILY LLI—j 3. Sampling Month & Frequency Date 1 z 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 31] 31 C. Daily Readings/Analysis Information Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine UV Flow GPD Flow GPD Flow GPD pH Residual Intensity (mg1l) M) 69.2 66.6 66.6 66.5 66.6 69.2 69.1 69.2 66.6 66.fi 66.7 66.5 B6.6 66.6 67.6 74.3 61.4 66.6 61.4 B6.6 gdpols.doc • rev. 49/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 1746 � Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 1 2. Tax identification Number DISCHARGE MONITORING REPORT 2023 FEB MONTHLY L1. 3. Sampling Month & Frequency A. Facility Information Important:When filling out forms on 1. Facility name, address: the computer, use IPLEASANT BAY HEALTH CTR only the tab key to a Name move your cursor- 383 SOUTH ORLEANS ROAD do not use the return key. b. Street Address BREWSTER IMA 102631 G. City d- State e. Zip Code 2. Contact information: 1-41 JJOSEPH SMITH a. Name of Facility Contact Person 7742125005 jsmith@bennett-ea.com b. Telephone Number c. e-mail address 3. Sampling information: J2/14/2023 a. bate Sampled (mmlddlyyyy) ALPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Farm Selection ALPHA ANALYTICAL b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2023 Feb Monthly r- 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 • rem. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 1746 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT 2023 FEB MONTHLY Ll 3. Sampling Month & Frequency D. Contaminant Analysis Information ■ For "0°, below detection limit, less than (<) value, or rent detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS = Not Sampled 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit f 190 1 Np P 1 MGIL T55 f 85 ND C� MGIL TOTAL SOLIDS 3gp 240 13 -71 MGIL AMMONIA -N 17.5 MGIL NITRATE -N F� 0.10 MGG TOTAL NITR0GEN[NO3+NO2+TION] 16.91 0.4511 OIL & GREASE No 14.0 FECAL COLIFORM ND 2.0 1100 ML CHLORIDE 43 1.0 MGIL - 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. Q jAr rn 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: PLEASANT BAY HEALTH CTR a. Name 383 SOUTH ORLEANS ROAD 746 1. Permit Number 2. Tax identification Number 2023 FEB MONTHLY ] 3. Sampling Month & Frequency b. Street Address BREWSTER IMA 102631 c. City d. State e. Zlp Cade 2. Contact information: JOSEPH SMITH a. Name of Facility Ccnta;t Person 7742125005jsmith�7a bennett-ea.com b. Telephone Number c. a -mall address 3. Sampling information; 2/17/2023 NOT APPLICABLE a. Date Sampled (mmlddlyyyy) b. Laboratory Name BEA/NSU WWTO PERSONNEL c. Analysis Performed By {Name} B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2023 Feb Monthly l- All forms for submittal have been completed. 2. r This is the last selection. 3.- Delete the selected form. T gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 1746 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number IS' Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2Q23 FEB MONTHLY 3. Sampling Month & Frequency C. Contaminant Analysis Information ■ For "Q", 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 DG -1 DG -2 DG -4 LIG-1 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 PH5.fi4 5.72 6.31 5.84 S.U. STATIC WATER LEVEL 2.21 12.25 12.2Q { 2.42 FEET SPECIFIC CONDUCTANCE 237.Q 133.5331 172.3 UMHOSIC mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Any person signing a document under 314 CMR 5.14(1) or (2) shall make the following certification if you are filing electronic -ally and want to attach additional comments, select the check box. r Massachusetts Department of Environmental Protection 74B Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit I 2. Tax identification Number Information PLEASANT BAY HEALTH CTR a. Name 383 SOUTH ORLEANS ROAD b. Street Address BREWSTER C. City MA 102631 d. State e. Zip Code Certification "I certify under penalty of law that this document and all attachments were prepared under my dlrectlon or supsrvislon 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 responslble far gathering the information, the Information submitted is, to the best of my knoWedge and belief, true, accurate and complete. I am aware that [her are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations SAMANTHA FARRENKOPF 3113/2023 a. Signature b. Date (mrrVddlyyyy) orting Package Comments ENNETT ENVIRONMENTAL ASSOCIATES, LLC. (SEA) HAS COMPLETED THE FEBRUARY 323 MONTHLY INFLUENT AND EFFLUENT SAMPLING OF THE AMPHIDROME WASTEWATER REATM ENT SYSTEM. MONTHLY WASTEWATER SAMPLING WAS COMPLETED ON 2114/23. ASORATORY RESULTS REPORTED ALL PARAMETERS WITHIN DISCHARGE PERMIT IMITATIONS. EFFLUENT PH WAS REPORTED WITHIN THE 6.5-8.5 RANGE THROUGHOUT THE IONTH. FLOW VOLUME MEASUREMENTS WERE ASSESSED DURING THE MONTH FROM HE SYSTEM'S EFFLUENT FLOW METER. DAILY FLOW REMAINED WITHIN THE 26,500 -GPD IMITATION THROUGHOUT THE MONTH. THE MINIMUM, MAXIMUM AND AVERAGE GPD LOWS REPORTED OVER THE COURSE OF THE MONTH WERE 4,250 GPD, 13,260 GPD AND ,101 GPD, RESPECTIVELY. gdpols 2015-09-15,doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 1 11L HA A N A L Y T I C A L ANALYTICAL REPORT Lab Number: L2307905 Client: Bennett Enviror 1573 Main Stre Brewster, MA 0 ATTN: Joseph Smith Phone: (508) 896-1706 Project Name: Project Number: Report Date: PLEASANT BA 1<47810DA. S. N, 02/21/23 Serial No:02212311:12 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 tar results andlor data that are not consistent with the original. Certifications & Approvals: MA (M- MAO 86), NH NELAP (2064), CT (PH -0574), IL (200077), ME (MAO 0086), MD (348), NJ (MA935), NY (11148), IVC (257001666), PA (68-03671), RI (LA000065), TX (T104704476), VT (VT -0935), VA (460195), USDA (Permit #P330-17-00196). Eight Walkup Drive, Westborough, MA 0 1581 -1019 508-898-9220 (Fax) 508-898.9193 800-624-9220 - www.alphalab.com Page 1 of 21 U� L 0� x w w w aD 41 iS7 � w w w 67 N > � r CD y N t} Y Y J 07 w w m o ry L: m C) apo rt Ei 2 07 G E r co r r co m W N N N N tlD a oo o CJ CD U� L 0� x w w w w w w Q -c E 0 w w w m o ry V) -i m m m U� L 0� x w w w m � a w w W a LU w W- LL a Y - w u. U w w L . m m � E E m � 2 2 a o o Q a o o a 0 y m .a 0) (Mm D m a r• r- r- Project Name: PLEASANT BAY Project Number: K47810DA. S -MV -700 Case Narrative Serial No:02212311:12 Lab Number: L2307905 Report Date: 02/21/23 The samples were received in accordance with 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 - Res ults eport. Results contained withln chis 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 (Le. 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 Cantrol at the end of each parameter. Tentatively Identified Compounds (TI Cs), if requested, are reported for compounds identified to be present and are not part of the methodlprogram Target Compound List, even if only a subset of the TCL are being reported. If a sample was re -analyzed or re -extracted due to a required quality control corrective action and if both sets of data are reported, the Laboratory ID of the re -analysis or re -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 RPD value that is outside the listed Acceptance Criteria is bolded in the report. In reference to questions H (CAM) or 4 (RCP) when "NO" is checked, the performance criteria for CAM and RCP methods allow for same qualify control failures to occur arvd still be within method compliance. 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. Soillsediments, solids and tissues are reported on a dry weight basis unless otherwise noted. Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. HOLD POLICY - Far samples submitted on hold, Alpha's policy is to hold samples {with the exception of Air canisters} free of charge far 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 will be disposed after 3 business days from the date the project is completed. Please contact Project Management at 800-624-9220 with any questions. ,SHA Page 3 of 21 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Case Narrative (continued) Serial No:02212311:12 Lab Number: L2307905 Report Date: 02/21123 Coliform, f=ecal {MF} L2307905-03: The sample has an elevated detection limit due to the dilution required by the method. 1, the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: WAwwou Caitlin Walukeuich Title: Technical Director/Representative Date: 02/21/23 ALPHA Page 4 of 21 INORGANICS 0 MISCELLANEOUS Page 5 of 21 Serial No:02212311:12 fk- Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Lab ID: L2307905-01 Dilution Factor Client ID: INFLUENT Analytical Method Sample Location: BREWSTER, MA NA Sample Depth: - 02/17/23 03:53 Matrix: Water 25 Parameter Result Qualifier Units General Chemistry - Westborough Lab MDG Solids, Totai 360 mgt Solids, Total Suspended 85. mgll Nitrogen, Ammonia 17.5 mgll BOD, 5 day 190 mgt[ Page 6 of 21 SAMPLE RESULTS Serial No:02212311A2 Lab Number: L2307905 Report Date: 02/21/23 Date Collected: 02/14/23 14:20 Date Received: 02/14/23 Field Prep: Not Specified RL MDL Dilution Factor Date Prepared Date Analyzed Analytical Method Analyst 13 NA 1.3 - 02/17/23 03:53 121,25408 DEW 25 NA 5 - 02/17/23 1410 121,2540D MDG 0.375 -- 5 0211512320:07 02/16/2312:13121,4500NH3-BH AAA 30 NA 15 02/14/23 23:30 02/19/23 18:02 121,52108 JRG A PHA Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Lab 1D: L23079O5-02 Dilution Client ID: EFFLUENT Analytical Sample Location: BREWSTER, MA MDL Sample Depth: Prepared Analyzed Matrix: Water 13 Parameter Result Qualifier Units General Chemistry - Westborough Lab DEW Solids, Total 240 mgll Solids, Total Suspended ND mgll Chloride 43. mgll Nitrogen, Nitrite ND rngll Nitrogen, Nitrate 6.0 m911 Nitrogen, Total Kjeldahl 0.908 mgm BCCA, 5 day ND mgn Oil & Grease, Hem-Grav ND mgll Page 7 of 21 SAMPLE RESULTS SerialNo:02212311:12 Lab Number: L2307905 Report Date: 02/21/23 Date Collected: 02/14123 14:20 Date Received: 02/14/23 Field Prep: Not Specified L PHA Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 13 NA 1.3 - 02/17/23 03:53 121,254013 DEW 5.4 NA 1 - 02/17/23 14:10 121,2540D MDG 1,0 -- 1 0211612318:57 121,4500CL-E TLH 0.050 1 02/15/23 00:04 44,353.2 KAF 0,10 - 1 02/15/23 00:04 44,353.2 KAF 0.300 1 02/15/23 0015 02/16/23 10:48 121,4500NH3-H AAA 2.0 NA 1 02/14/23 23:30 02/19/23 18:02 121,5210B JRG 4.0 - 1 02/16/23 05:00 02/16/23 06:38 140,16648 NICU L PHA Project Name: PLEASANT BAY Project Number: K47810DA.S.VWU.700 SAMPLE RESULTS Lab 1D: L2307905-03 Client ID: EFFLUENT Sample Location: BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units RL Microbiological Analysis - Westborough Lab Coliform, Feral (MF) ND ro11100ml 2.0 Page 8 of 21 Serial—No: 02212 311:12 Lab Number: L2307905 Report Cate: 02/21/23 Date Collected: 02/14/23 14:20 Date Received: 02/14/23 Field Prep: Not Specified Dilution Date MDL Factor Prepared NA 2 - Date Analytical Analvzed Method Annkmt 4211412319:57 121,9222D DRV ALPHA Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Method Blank Analysis Batch Quality Control Serial No:02212311:12 Lab Number: L2307905 Report Date: 02/21/23 General Chemistry - Westborough Lab for sample(s): 02 Hatch: WG1744635-1 Nitrogen, Total Kjeldahl ND rngli 0.300 -- 1 02/15/23 00:15 02/16/23 10:33 121,4500NH3-H AAA General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1744867-1 Nitrogen, Ammonia ND mg/l 0.075 -- 1 02/15/23 20:07 02/16/23 11:53 121,4500NH3431H AAA General Chemistry - Westborough Lab for samples): 02 Batch: WG1744951-1 Chloride NO mgii 1.0 -- 1 - 02/16/23 18:34 121,4500CL-E TLH General Chemistry - Westborough Lab for samples): 02 Batch: WG1745004-1 Oil & Grease, Hem-Grav NO mgll 4.0 -- 1 02/16/23 05:00 02/16/23 06:38 140,1664E mcu General Chemistry - Westborough Lab for samples): 01-02 Batch: WG1745462-1 Solids, Total ND mgll 10 NA 1 - 02/17/23 03:53 121,25408 DEW General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1745763-1 Scuts, Total Suspended ND mgll 5.0 NA 1 - 02/17/23 14:15 121,2540D MDG ALA Page 9of21 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst Microbiological Analysis - Westborough Lab for samples): 03 Batch: WG1744461-1 Coliform, Feral (MF) ND o011100ml 1.0 NA 1 - 02/14/23 19:57 121,92224 DRV General Chemistry - Westborough Lab for samples): 01-02 Batch: WG 1744483-1 Bop, 5 day ND mgrl 2.0 NA 1 02/14/23 23:30 02/19/23 18.02 121,52106 JRG General Chemistry - Westborough Lab for samples): 02 Batch: WG1744502-1 Nitrogen, Nitrite NO mg/1 0.050 -- 1 - 02/14/23 23:43 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1744505-1 Nitrogen, Nitrate ND mgM 0.10 1 - 02/14/23 23:45 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 02 Hatch: WG1744635-1 Nitrogen, Total Kjeldahl ND rngli 0.300 -- 1 02/15/23 00:15 02/16/23 10:33 121,4500NH3-H AAA General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1744867-1 Nitrogen, Ammonia ND mg/l 0.075 -- 1 02/15/23 20:07 02/16/23 11:53 121,4500NH3431H AAA General Chemistry - Westborough Lab for samples): 02 Batch: WG1744951-1 Chloride NO mgii 1.0 -- 1 - 02/16/23 18:34 121,4500CL-E TLH General Chemistry - Westborough Lab for samples): 02 Batch: WG1745004-1 Oil & Grease, Hem-Grav NO mgll 4.0 -- 1 02/16/23 05:00 02/16/23 06:38 140,1664E mcu General Chemistry - Westborough Lab for samples): 01-02 Batch: WG1745462-1 Solids, Total ND mgll 10 NA 1 - 02/17/23 03:53 121,25408 DEW General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1745763-1 Scuts, Total Suspended ND mgll 5.0 NA 1 - 02/17/23 14:15 121,2540D MDG ALA Page 9of21 N \ \ \ \ \ / � � o 3 / L: 2 E Z 0 i = j J A : + ,/ p & g a g m J \ ' \ \ \ \ \ » rl- \ \ \ \ \ 0 / co \ / s \ / g | 7 \ b / 3 F \ F f k * k . 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C0 V V m U ¢N m N i.a 4 i., 4 �N O rn 0 rn w 0 0 p p pqj Lj ao C)- m m m U m U U [Q rmi. Nm +I //yy +4 (� (+i J J 1� N ❑ N N LL. LLto to N V f+l v N J J D m ci U)z [� V)d Q z F I- F LO F O D LL LL I (13 a N Q Q Q Q Q N N a >-- Z a Q. a 0 h 0.0 V N 0 { ] N ¢ ❑z ti r n r ti � ui ui en tri �i fi V r- r V LO LO ell m ❑ ❑ ❑ U ro a m a m s m a. 0. C0 V V m U ¢N m N i.a 4 i., 4 m O rn 0 rn w 0 0 p p Lj in m m m m G7 a INyU �Q7 d N N a Z a 0 h V N 0 { ] N ¢ {+ Q C a C n C a to Lo m to 0) LO LO ell m ❑ ❑ ❑ U ro a m a m s m a. 0. C0 a m U ¢N m N i.a 4 i., 4 m rn o rn 0 rn w 0 0 p p U U [Q U U J J J J J (D N N G 'm Q ¢ Q Q Q r r } } } ui ui W) LO ui h r z z z z m m m m m U ❑ W Q CA N N N m [7 a o o a o Ln u7 in in 0 0 0 M 0 0 w rn M rn rn mm o m D7 CO N M -i .NJ J J CJ Serial—No: 02212 311:12 Project Name: PLEASANT BAY Lab Number: L2307905 Project Number: K4781ODA- S.VAV700 Report Date: 02/21/23 GLOSSARY Acronyms 171, 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 ofquantitation (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 inchoes any adjustments From dilutions, concentrations or moisture content, whore applicable. The use of EDLs is specific to the analysis of PA Hs using Solid -Phase Microextraction (SPME). E :h9YC Estimated Maximum Possible Concentration: The concentration that results from the signal present at the retention tune of an analyte when the ions meet ail of the identification criteria except the ion abundance ratio criteria. An EMPC is a worst-case estimate of the concentration. EPA Environmental Protection Agency, LCS Laboratory Control Sample: A sample matrix, Free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate: Refer to LCS. LFB Laboratory Fortified Blank: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of anaIytes. LOD Limit ofihtection: This value represents the level to which a target analyte can reIiabiy 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 ofQuantitation. 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. (Dol) report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a speci fie concentration. The LOQ includes any adjustments from dilutions, concentrations c meisture content, where applicable. (DoD report fonnats only.) MDL Method Detection Liinit: This value represents the leve] to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The MDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. MS Matrix Spike Sample: A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. For Method 332. Q, the spike recovery is calculated using the native concentration, including estimated values. MSD Matrix Spike Sample Duplicate: Refer to MS. NA Not Applicable, NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non -detect at the parameter's reporting unit. NDPA/DPA - N-Nitrosodiphenylamine/Diphenylamine. NI Not Ignitable. NP Non -Plastic: Term is utilized for the analysis of Atterberg Limits in soil. NR No Results: Term is utilized when 'No Target Compounds Requested' is reported for the analysis of Volatile or Sam ivolatile Organic TIC only requests. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specifie concentration. The RL includes any adjustments From dilutions, concentrations or moisture content, where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent differenee (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 Refere nee Material: A reference sample of known or certified value that is of the same or similar matrix as the associated field samples. STLP Sem i-dynam ic 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,$ -TCDD. TEQ Toxic Equivalent: The measure of sample's toxicity derived by multiplying each dioxin and furan by its corresponding TEF 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 methal and/or program. All TICS are qual itatively identified and reported as estimated concentrations. Report Format: Data Usability Report YI&IFNA Page 16 of 21 Serial—No: 02212311:12 Project Name: PLEASANT BAY Lab Number: L2307905 Project Number: K47810DA. S.SrU 1-700 Report Date: 02121!23 Footnotes I - 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 1,8260B,) The codes for the reference method documents are provided in the References section of the Addendum. Chlordane: The target compound Chlordane (CAS No. 57-74-9) is reported for GC ECD analyses. Per EPA,this compound 'refers to a mixture ofchi ordane isomers, other chlorinated hydrocarbons and ntunerous other components." (Reference: USEPA Toxicological Review of Chlordane, In Support of Summary Information on the Integrated Risk Information System (IRIS), December 1997.) Difference: With respect to Total Oxidizable Precursor (TOP) Assay analysis, the difference is defined as the Post -Treatment value minus the Pre -'treatment value. Final pH: As it pertains to Sample Receipt & Container Information section of the report, Final pH reflects pH ofcontainer determined after adjustment at the laboratory, ifapplicable. if no adjustment required, value reflects Initial pH. Frozen Datel'time: With respect to Volatile Organics in soil, Frozen Date/Time reflects the date/time at which associated Reagent Water - preserved vials were initially frozen. Note: If frozen dateltimc is beyond 48 hours from sample collection, value will be reflected in `bold'. Gasoline Range Organics (GRO): Gasoline Range Organics (GRD) results include all chromatographic peaks eluting from Methyl tert butyl ether through Naphthalene, with the exception of GRO analysis in support of State of Ohio programs, which includes all chromatographic peaks eluting from Hexane through Dodecane. 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. PAH Total: With respect to Alkylated PAH analyses, the TAHs, Total' result is dell ned as the sutnmation of results for all or a subset of the following compoun€ls: Naphthalene, C i -C4 Naphthalenes, 2 -Methylnaphthalene, 1 -Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, C1-C3 Fluorenes, Phenanthrene, C1-C4 Phenanthrenes/Anthracenes, Anthracene, Fluoranthene, Pyrene, Cl -C4 Fluoranthenes/Pyrenes, Benz(a)anthracene, Chrysene, C1-C4 Chrysenes, Benzo(b)fiuoranthene, Benzo(j)+(k)fluoranthene, Benzo(e)pyrene, Benzo(a)pyrene, Perylene, Indeno(1,2,3-cd)pyrene, Dibenz(ah)+(ac)anthracerse, Benzc(g,hJ)peryIene. If a'Total' result is requested, the results of its individual components will also be reported. HAS Total: With respect to PFAS analyses, the IFAS, Total (5)' result is defined as the sutnmat ion of results for: PFHpA, PFHxS, PFOA, PFNA and PFAS. In addition, the'PFAS, Total (6y result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA, PFDA and PFOS. For MassDFP DW compliance analysis only, the ?FAS, 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. Total: With respect to Organic analyses, a'TotaI' result is defined as the summation of results for individual isomers or Arcelors. If a'Total' result is requested, the results of its individual com portents will also be reported. This is applicable to 'Total' results for methods 8260, 8081 and 8082. Data Qualifiers A Spectra identified as "Aldol Condensates" are byproducts of the extraction/coneentration procedures when acetone is introduced in the process. B The analyte was detected above the reporting limit in the associated method blank. Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (IOx) 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 -related projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (IOx) the concentration found in the blank AND the anaiyte was detected above one-halfthe 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 Iiinit. For NJ -related projects (excluding Air), flag only applies to associated field samples that have detectable concentrations of the analyte, which was detected above the reporting Iimit in the associated method blank or above five times the reporting limit for common lab contaminants (Phthalates, Acetone, Methylene Chloride, 2-Butanone). C Co -elution: The target analyte co -elutes with a known lab standard (i. c. surrogate, internal standards, etc.) for co -extracted analyses. D Concentration of analyte was quantified from diluted analysis. Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or Iinear range of the instrument. F The ratio of quantifier ion response to qualifier ion response (alis 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 resukt 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 lover value for the two columns has been reported due to obvious interference. J Estimated value. This represents an estimated concentration for Tentatively Identified Compounds (TTCs). M Reporting Limit (RL) exceeds the MCP CAM Reporting Limit for this analyte. Report Fermat: Data Usability Report Page 17 of 21 Project Name: PLEASANT PAY Project Number: K4781ODA- S.VVW,700 Serial No:02212311:12 Lab Number: L2307905 Report Date: 02/21/23 Data Qualifiers ND Not detected at the reporting limit (RL) for the sample. NJ Presumptive evidence of compund. This represents an estimated concentration for Tentatively Identified Compounds (TIC s), where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method -specified criteria. Q The quality control sample exceeds the assoeiated acceptance criteria. For DOD -related projects, LCS and/or Continuing Calibration Standard exceedences are also qualified on all associated sample results. /dote: This flag is not applicable for matrix spike recoveries when the sample concentration is greater than 4x the spike added or for batch duplicate RPI] when the sample concentrations are less than 5x the RL. (Metals only.) R Analytical results are from sample re -analysis. RE Analytical results are from sample re -extraction. S Analytical results are from modified screening analysis. 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 I imits. (Applicable to MassDEP DW Compliance samples only.) Report Format: Data Usability Report Page 18 of 21 Serial No:02212311:12 Project Name: PLEASANT BAY Late Number: L2307905 Project Number: K47810DA.S.W'W.700 Report Date: 02/21/23 REFERENCES 44 Methods far the Determination of Inorganic Substances in Environmental Samples, EPA1600JR-931100, August 1993. 121 Standard Methods for the Examination of Water and Wastewater. AP HA-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 sole and exclusive responsibility of Alpha Analytical shall be to re -perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha 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 19 of 21 Serial_No:0221231.1:12 Alpha Analytical, Inc. ID No.:17873 Facility: Company -wide Revision 19 Department: Quality Assurance Published Date: 4!212021 1:-14:23 PM Title: Certificate/Aj2proval Program Summary 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: alpha -Terpineol EPA 8260C18260D: NP4J: 1,2,4,5 -Tetra methylbenzene; 4-Ethyltoluene, Azobenzena; SCM: lodomethen e (methyl iadide), 1, 2,4,5- Tetra methylbenzene; 4-Ethyltoiuene. EPA 8270D1827DE: NPW: Dimethyl naphthalene,l,4-Diphenylhydrazine, alpha -Terpineol; SCM: Dimethyinaphthalene,1,4-Diphenylhydrazine. SM4500, NPW: Amenable Cyanide; SCM: TataI Phosphorus, TK N, NO2, N01 Mansfield Facility SM 254OD: TSS EPA 8DB2A: NPW: PCB: 1, 5, 31, 87,101, 110, 141, 151, 153, 180,183r 187- E. PA 87.EPA T0.15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-TrimethyI-l-pen ten e, Thiophene, 2-M ethyithiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1 -Methylnaphthalene. Biological Tissue Matrix: EPA 3050B The following analytes are included in our Massachusetts DEP Scope of Accreditation Westborough Facility: Drinking Water EPA 300,0: Chloride, Nitrate -N, Fluoride, Sulfate; EPA 353.2: Nitrate -N, Nitrite -N; SM4500NO3-F: Nitrate -N, Nitrite -N; SM4500F-C, SM4500CN•CE, EPA 180.1, SM2130B, SM4500CI-D, SM2320B, SM2540C, SM4500H-B, SM450ONO2-B EPA 332: Perchlorate; EPA 524.2: THMs and VOCs; EPA 504.1: EDB, DBCP. Microbiology: SM9215B; SM9223-PIA, SM9223B-Colilert-QT,SM9222D. Non -Potable Water SM4500H,B, EPA 120.1, SM251013, SM2540C, SM23208, SM4500CL-E, SM4500F-BC, SM4500NH3-BH: Ammonia -N and Kjeldahl -N. EPA 350.1: Ammonia -N, LACHAT 10-107-06.1-B: Ammonia -N, EPA 351.1, SM4500NO3-F, EPA 353.2: Nitrate -N, SM4500P•E, SM450013-13, E, SM4500SO4-E, SM5220D, EPA 410.4, SM521013, SM5310C, SM4500CL-D, EPA 1664, EPA 420.1, SM4500-CN-CE, SM25401), EPA 300: Chloride, Sulfate, Nitrate. EPA 624,1: Volatile Halocarbons & Aramatics, EPA 608.3: Chlordane, Toxaphene, Aldrin, alpha -BHC, beta -BHC, gamma -BHC, delta -BHC, Dieldrin, DDD, DDE, DDT, Endasulfan I, Endosulfan II, Endasulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625.1: SVQC (Acid/BaselNeutraI Extra ctables), EPA 6 0 014-81-0 4 5: PCB -Oil. Microbiology: SM92238-Coliiert-QT; Enterolert-QT, SM9221E, EPA 1600, EPA 1603, SM9222D, Mansfield Facility: Drinking Water EPA 200.7; AI, Be. Cd, Cr, Cu, Fe, Mn, Ni, Na, Ag, Ca, Zn. EPA 200.8: AI, Sb, As, Ba, Be, Cd, Cr, Cu, Pb, Mn, Ni, Se, Ag, TL, Zn. EPA 245A Hg. EPA 522, EPA 537.1. Nan -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: All 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 20 of 21 Pre-Qualtrax Document ID: 08-113 1019-0- 0 ■ ©©Km 0 1 7- a � N w� sdn 4 � C G] r � v U E Ln r C3 �! � (Y] hI = a N r hf C cu CL to to co v' E C f• T Ol - EIT M v � m QS 91 d mIU a n amim m m ay d fS. 4 a. 4 d rNi EL 0 tn La 0 Q u n a Ca LL J � ? ` a 1019-0- 0 ■ ©©Km 0 7- a N 4 ❑ � ❑ ❑ 4a w� sdn 4 C G] ewa}11n� lenn� FE] 0 I® NAI ❑ Asewo IR 110 OPP ON 0 '01111 IN '81SAIN 'Si '(109 ❑ � ❑ ,,nn � s sl ® ❑ YI £HN ❑ ❑ J 51 '(348 n o a �' t A N C G] fJ U E Ln C3 t � = m q7 N 0. W FajQ C cu CL to to co v' E C f• T Ol - EIT M v � m QS 91 d mIU a n amim m m ay d fS. 4 a. 4 d rNi N C G] E = 4 A C cu CL to to E v � m QS 91 tn La 0 t2 a Ca LL W 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: SFARRENKOPF Transaction ID: 1530020 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1027.28K Status of Transaction: In Process Date and Time Created: 312012023:9:59:25 AM Note: This file only includes forms that were part of your transaction as of the date and time indicated alcove. 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 - do not use the return key. vlr�i:] 1,0 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DAILY LOG SHEET A. Facility Information 1, Facility name, address: MAPLEWOOD AT BREWSTER a. Name 820 HARWICH ROAD b. Street Address BREWSTER IMA G. City d. State 2, Contact information: OSEPH SMITH a. Name of Facility Contact Persson 7742125005 h. Telephone Number 3. Sampling information: 1,951 1. Permit Number 2. Tax identification Number 2023 FEB DAILY 3. Sampling Month & Frequency 102631 e. Zip Cade 'smith@ben nett -ea -corn c. e-mail address 211!2023 INOTAPPLICABLE a. Date Sampled (mmlddtyyyy) b. Laboratory Name BEA/NSU WWTO PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2023 Feb Daily r All forms for submittal have been completed. 2. r This is the last selection. 3. r- Delete the selected form. V gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Date 1 z 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Massachusetts Department of Environmental Protection 1951 Bureau of Resource Protection - Groundwater Discharge Program 1. N r M-- I t Number Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 20 ' 23 FEB DAILY 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Effluent Reuse Irrigation Twbidity Influent pH Effluent Chlorine UV Flow GPD Flow GPD Flow GPD pH Residual Intensity (mg/1) (°Ioj 5377 6364 4522 4522 4522 6109 5193 6190 5189 4578 4578 4578 6197 52Q3 5177 7399 4222 4222 4222 7595 -� 9533 7842 8636 5892 5892 5892 6159 6Q53 gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 1951 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT � 2023 FEB MONTHLY_ 3. Sampling Month & Frequency A. Facility Information lmportant:When filling out forms on 1. Facility name, address: the computer, use MAPLEWOOD AT BREWSTER only the tab key to a. Name move your cursor - 820 HARWICH ROAD do not use the return key. b. Street Address BREWSTER IMA 102631 4:1 c. city d. State e. Zip Code lk Ar 2. Contact information: g'W JJOSEPH SMITH a. Name of Facility Contact Person 7742125005 'smith@bennett-ea.com b. Telephone Number c. e-mail address 3. Sampling information: 2/16/2023 ALPHA ANALYTICAL a. date Sampled (mmldd+yyyy) b. Laboratory Name ALPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2023 Feb Monthly r- All forms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form, gdpols 2015-09-15.dvc • rev. 09/15/15 Groundwater Permit Daily Log Sheet - Page 1 of 1 Massachusetts Department of Environmental Protection 951 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT 12023 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. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit BDD 1110 —1ND �Q MGIL TSS 194 5A MGL .ND TOTAL SOLIDS 9 3 0.- MG1L - AMMONIA -N 19.8 MGIL NITRATE -N 1.6 , 10.10 MGL TOTAL NITR0GEN(NO3+NO2+TKN) 2.92 0.450 MGL OIL & GREASE NO S_6 MG,L - - ----- ----1 - infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Important:sWhen filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. r� 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: MAPLEWOOD AT BREWSTER a. Narre; 1820 HARWICH ROAD b. Street Address JBREWSTER c. City 2. Contact information: JOSEPH SMITE a. Name of Facility Contact Person 7742125005 b. Telephone Number 3. Sampling information: 12/2212023 a. date Sampled (mmlddlyyyy) BEA/NSU WWTO PERSONNEL G. Analysis Performed By (Name) B. Form Selection 951 I 1. Permit Number 2. Tax identification Number 2023 FEB MONTHLY pli 3. Samng Month & Frequency rMA 02631 d. State e. Zip Code ljsrnith@bennett-ea.com c. a -mall address NOT APPLICABLE b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2023 Feb Monthly r All forms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form. gdpols 2015-09-15,doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 951 z. Bureau of Resource Protection - Groundwater discharge Program 1, Permit Number Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 12023 FEB MONTHLY 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 MW -1 NIW-2 MW -3 MW -4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 PH 6.13 6.00 -- 6.24 6.12 s.u. STATIC WATER LEVEL 131.52131,80 31.74 32.10 FEET SPECIFIC CONDUCTANCE 110.4 152.1 324.1 120.1 unnHMC mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Any person signing a document under 314 CMR 5.14(1) or (2) shall make the following certification If you are filing electronic -ally and want to attach additional comments, select the check box. F Massachusetts Department of Environmental Protection g51 E Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 1 2. Tax Identification Number Information LEWOOD AT BREWSTER a. flame 820 HARWICH ROAD b, Street Address BREWSTER P—A G. City d. State 102631 e. Zip Code Certification "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the informatlon submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that ther are signlficant penalties for submitting false information, Including the possibility of fine and imprisonment for knowing violations" SAMANTHA FARRENKOPF 3/20/2023 a. Signature b. pate (mmlddlyyyy) rting Package Comments BENNETT ENVIRONMENTAL ASSOCIATES, LLC. (BEA) HAS COMPLETED THE FEBRUARY 2023 MONTHLY INFLUENT AND EFFLUENT SAMPLING OF THE BIOCLERE WASTEWATER TREATMENT SYSTEM. MONTHLY WASTEWATER SAMPLING WAS COMPLETED ON 2116/23, 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 TH ROUGHOUT THE MONTH. THE MINIMUM, MAXIMUM AND AVERAGE GPD FLOWS REPORTED OVER THE COURSE OF THE MONTH WERE 4,222 GPD, 9,533 GPD AND 5,777 GPD, RESPECTIVELY. gdpols 2015-09-15Aoc • rev. 09/15115 Groundwater Permit • Page 1 of 1 ,1 AHA A N A L Y T l C A L ANALYTICAL REPORT Lab Number: L2308494 Client: Bennett Environmer 1573 Main Street Brewster, MA 02631 ATTN: Samantha Farrenko Phone: (508) 896-1706 Project Name: MAPLEWOOD AT E Project Number: K10842DA.S.WW.7 Report Date: 02/23/23 Serial No:02232314:43 The original project rep orUdata package is held by Alpha Analytical. This repaFtldata package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results andlor data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), NH NEL4P (2064), CT (PH -0574), 1L (240077), ME (MA00086), MD (348), NJ (PJ1A935), NY (11148), NC (25700/666), PA (68-0367'1), 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 L1 PEA Page 1 of 19 i i k L-< O 7 m o m m t w > @ g \ \ \ / 2 \ d / 2 \ 3 Z 2E m o \\ / §0 I \ \ dm \ 4 CDd i i L-< \ \ \ 3 / I 4 w w \ _ < / < / m 0 « O + @ _j / g i Z w � / \ \ § \ b L: \ \ \ \ 2 � % 7 7 t 'o 'o 7 / ^ m a a § Rm m Serial No:02232314:43 Project Name: MAPLEWOO❑ AT BREWSTER Lab Number: L2308494 Project Number: K10842DA.S.VVW.700 Report date: 02/23/23 Case Narrative The samples were received in accordance with 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 be present and are not part of the methodlprogram Target Compound List, even if only a subset of the TCL are being reported. If a sample was re -analyzed or re -extracted due to a required quality control corrective action and if both sets of data are reported, the Laboratory ID of the re -analysis or re -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 Speclfic °% recovery or RPD value that is outside the listed Acceptance Criteria is bolded in the report. In reference to questions H (CAM) or 4 (RCP) when "NO" is checked, the performance criteria for CAM and RCP methods allow for some quality control failures to occur and still be within method compliance. 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. Soil/sediments, solids and tissues are reported on a dry weight basis unless otherwise noted. Definitions of all data qualifiers and acronyms used in this report are provided in the Glossary located at the back of the report. HOLD POLICY - For samples submitted on hold, Alpha's policy is to 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 ail samples submitted including Chase put on hold unless you have contacted your Alpha Project Manager and made arrangements for Alpha to continue to hold the samples. Air canisters will be disposed after 3 business days from the date the project is completed. Please contact Project Management at 800-624-9220 with any questions. Page 3 of 19 =�""` Serial No:02232314A3 Project Name: MAPLEWOO❑ AT BREWSTER Lab Number: L2308494 Project Number: K10842DA.S.WW.700 Report Date: 02/23/23 Case Narrative (continued) BOD, 5 day L2308494-01: Test replicates used for the calculation of average BOD show more than a 30% difference between the high and low values. I, the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: �� 'V . iffani Morrissey Title: Technical Director/Representative Date: 02/23/23 , 1HA Page 4 of 19 °"` INORGANIICS !6311 MISCELLANEOUS Page 5 of 19 Serial No:022323'14:43 A& Project Name: MAPLEWOO❑ AT BREWSTER Project Number: K10842DA.S.WW.700 Lab ID: L2308494-01 - 02/17/23 03:53 121,2540B Client ID: INFLUENT 2 Sample Location: BREWSTER, MA 0.375 -- Sample Depth: 02118/2321:21 02/20/2311:28121,45aDNH3-13H KBP Matrix: Water 0211712310:50 0212212312:50 121,5210B Parameter Result Qualifier Units General Chemistry - Westborough Lab Solids, Total 390 mgrl Solids, Total Suspended 94. mgrl Nitrogen, Ammonia 19.8 mgll BOD, 5 day 110 mgll Page 6 of 19 SAMPLE RESULTS Serial No:02232314:43 Lab Number: L2308494 Report Date: 02/23/23 Date Collected: 02/16123 10:30 Date Received: 02/16/23 Field Prep: Not Specified Dilution Date RL MDL Factor Prepared Date Analytical Analyzed Method Analyst 13 NA 1.3 - 02/17/23 03:53 121,2540B DEW 10 NA 2 - 0212112313:30 121,2540D CVN 0.375 -- 5 02118/2321:21 02/20/2311:28121,45aDNH3-13H KBP 30 NA 15 0211712310:50 0212212312:50 121,5210B MKT /ALPti.a Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 SAMPLE RESULTS Lab ID: L2308494-02 0212112313:30 121,2540D Client ID: EFFLUENT 02118,23 21:21 02/20/23 11:40 Sample Location: BREWSTER, MA 1 - Sample Depth: 44,3532 KAF - 1 Matrix: Water 44,353.2 KAF Parameter Result Qualifier Units RL General Chemistry - Westborough Lab 0211712310:50 0212212312:50 Solids, Total Suspended ND mgll 5.0 Nitrogen, Ammonia ND mg/l 0.075 Nitrogen, Nitrite ND mg1l 0.050 Nitrogen, Nitrate 1.6 mg1l 0.10 Nitrogen, Total Kjeldahl 1.32 mgll 0.300 BOD, 5 day ND mgll 2.0 Oil & Grease, Hem-Grav ND mgIl 3.6 Page 7 of 19 Serial No:02232314:43 Lab Number: L2308494 Report Date: 02/23/23 Date Collected: 02/16/23 11:00 Date Received: 02/16/23 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst NA 1 - 0212112313:30 121,2540D CVN - 1 02118,23 21:21 02/20/23 11:40 121,4500NH3-BH KEP 1 - 02/17/23 02:51 44,3532 KAF - 1 - 02/17/23 02:51 44,353.2 KAF 1 0211812321:35 0212112311:42 121,4500NH3-H KEP NA 1 0211712310:50 0212212312:50 121,5210B PA KT .9 02/18/23 18:30 02/19/23 01:02 140,1664B OJIM /&;r HA r., o Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WVI.700 Method Blank Analysis Batch Quality Control Serial No:02232314:43 Lab Number: L2308494 Report Date: 02/23/23 Page 8 of 19 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab for samples): 02 Batch: WG1745433-1 Nitrogen, Nitrite ND mgll 0.050 -- 1 - 02/17/23 02:13 44,3532 ICAF General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1745434-1 Nitrogen, Nitrate ND mgll 0.10 -- 1 - 02/17/23 02:16 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1745462-1 Solids, Total ND mull 10 NA 1 - 172/17/23 03:53 121,254013 DEW General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1745601-1 BOD, 5 day ND mgfl 20 NA 1 62/17/23 10:50 02/22/23 12:50 121,5210B FAKT General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1746054-1 Nitrogen, Ammonia ND mg11 0.075 -- 1 02/18/23 21:21 02/20/23 10:53 121,4500NH3-BH KEP General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1746055-1 Nitrogen, Total Kjeldahl ND rngh 0.300 1 02/18/23 21:35 02/21/23 11:33 121,4500NH3-H KEP General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1746071-1 Oil & Grease, Hem-Grav ND mull 4.0 -- 1 02118/23 18:30 02/19/23 01:02 140,16548 QJF.I General Chemistry - Westborough Lab for samples): 01-02 Batch: WG1746977-1 Solids, Total Suspended ND mgll 5.0 NA 1 - 02/21/23 13:30 121,2540D CVN Page 8 of 19 q a c �| , q 4 g 3 � \ / \ \ \ 2 / f� .S \ w g \ m 3 § a m 0 2 CL \ N � J q a c �| , g L \ w g g 3 m g \ • w \ N \ » \ $ \ » \ w / Q \ \ \ 3 \ \ \ / / G 7 G g / E E f f 0) (D\ * \ @ � m m n e @ m \ \ \ \ \ \ \ / \ \ \ \ \ \ t k k 0) / [ § § / § § / / / 2 2 2 2 \ \ \ \ \ \ \ 9 e 5 \ # ^ /9 5 _ ƒ 2 K ƒ \ | O � ( \ O � \ o { » \ O / \ \ O / ) ( \ O / G / $ # � rn m � N Q m m N J O E n Z Q CL `m 3 0 (n L) N t� n rn n m m M a d r CD m CL U 0 42 # E\ $ / ■ \ \ 9 g / / 2� c � n U) \ O x = fv E>� 2 0 0 5 i \ W �\ U ¥ ° 0 ■ � c co �I «� mE 2� �LL � 2LL U) \ \ x = ( M _ � 5 i , W n c ° 0 ■ o / | a n\ � 2LL \ I ± R E � u 0 & �\ 0, n _ / E / / 2 O m 7f . 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Z [U .0 N L m p U ..G 7+ @ 47 L E Q C37 L o N L v N tt7 U L ❑ 47 L �u p `Q U c tJ 1 U U U U � U U F- U p 0.o 2 o Lwl a N C 2 (D C '-' O7 C ❑ C6 a) G 0 m 4.T C Z C Z C ❑ C C1] C fn CD 0 C7 U CJ 0 0 rj U \ / / / \ \ N L � # / � e � * A A 7 } z � § £ 8 9? o a¥ w \ \ / / / \ \ \ o �\ §® \ § [ \ k k ) ) k \ § k - \ \ \ ) » r ¥ ¥ » x x » 7 � ca Q Q \ � � 2 v a w » w \ i a vaj § 7 \ } a / v a a% > w z ) p CL. / \ k \ \ Q e o 0 0 0 0 0 0 « L R \ % � L \ CD 0 CL \ { j 'o $\ \ d) | \ § w 0U 2± a o§@ LD) C, o K _ ) 2 A § \ ) S ( [ S E w Q« Q E E E E±/ 2 \LP \ \ 2 ) ( ) § \} k j j{\ L: 0 k ® 2) E \ ( \ \ 2 g m o § m E w % ) ® o ? ^ _ ~ 7 R k 7 $ 3 « w = 4 & = 2 4 2 \ \ § \ ) ) \ § \ 0- Serial—No: 022 32 314:4 3 Project Name: MAPLEWOOD AT BREWSTFR Lab Number: L2308494 Project Number: K1O842DA.S.WW.700 Report Date: 02/23/23 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 PA Hs using Solid -Phase Microextraction (SPME). EMPC Estimated Maximum Possible Concentration: The concentration that results train the signal present at the retention time of an analyte when the ions meet all of the identification criteria except the ion abundance ratio criteria, An EMPC is a worst-case estimate of the concentration. EPA Environmental Protection Agency. LCS Laboratory Control Samplc: 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. LCSD Laboratory Control Sample Duplicate: Refer to LC S, LF$ 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 spec: ifie matrix by a specific method. The LOD includes any adjusunents from dilutions, concentrations or moisture content, where applicable. (DoD report formats only-) LQQ Uinit 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. (ND report formats only.) Limit of Quantitation: The value at which an instnnnent can accurately measure an analyte at a specific concentration. The LOQ incl odes any adjustments from dilutions, concentrations or moisture content, where applicable. (Dol) report formats only.) MDL Method Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated Values, when those target analyte concentrations are quantified below the reporting limit (RL). The MDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. MS Matrix Spike Sampie: A sample prepared by adding a known mass of target analyte to a specified amount of matrix sarnpie for which an independent estimate of target analyte concentration is available. For Method 332.0, the spike recovery is calculated rising the native concentration, including estimated values. MSD Matrix Spike Sample Duplicate: Refer to MS. NA Not Applicable, NC Not Calculated: Tenn is utilized when one or more of the results utilized in the calculation are non -detect at the parameter=s reporting unit. NDPA/DPA N-Nitrosodiphenylamine/Diphenylamine. Nl Not Ignitable. NP Non -Plastic: Tenn is utilized for the analysis of Atterberg Limits in soil. NR No Results: Term is utilized when 'No Target Compounds Requested` is reported for the analysis of Volatile or Semivolatile Organic TIC only requests. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration. The RL includes any adjustments from dilutions, concentrations or moisture content, where applicable, RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision 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 reference sample of a known or certified Value that is of the same or similar matrix as the associated field samples. STLP Semi -dynamic Tank Leaching Procedure per EPA Method 1315. TEF Toxic Equivalency Factors: The Values assigned to each dioxin and Furan to evaluate their toxicity relative to 2,3,7,8-TCDD. TEQ Toxic Equivalent: The measure ofa sample's toxicity derived by multiplying each dioxin and furan by its corresponding TSP 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 and/or program. All TICS are qualitatively identified and reported as estimated concentrations. Report Format, Data Usability Report At A Page 14 of 19 Serial—No: 02232314:43 Project dame: MAPLEWOOD AT BREWSTER Lab Number: L2308494 Project Number: K10842DA.S.W.N.700 Report Date: 02/23/23 Footnotes ] The reference For this analyte should be considered modified since this analyte is absent from the target analyte list of the original method- rerms Analytical Method: Both the document from which the method originates and the analytical reference method. (Example: EPA 8260B is shown as I,826t1B-) The codes far the reference method documents are provided in the ReFerences section of the Addendum. Chiordane: The target compound Chlordane (CAS No. 57-74-9) is reported for CC 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 In Formation on the Intcgratcd Risk Information System (IRIS), December 1997.) Difference: With respect to Total Oxidizable Precursor (TOP) Assay analysis, the difference is defined as the Post Treatment value minus the Pre -Treatment value. Final pH: As it pertains to Sample Receipt & Container Information section of the report, Final pH reflects pH cfcontainer determined after adjustment at the laboratory, irapplicable- Ifne adjustment required, value reflects Initial pH_ FrozenDate/Time: With respect to Volatile Organics in soil, Frozen Date/Time reflects the date/time at which associated Reagent Water - preserved vials were initially frozeii-Note: If frozen dateltime is beyond 48 hours from sample collection, value will be reflected in'bold'. Gasoline Range Organics (GRO): Gasoline Range Organics (GRO) results include all chromatographic peaks eluting from Methyl tert butyi ether through Naplrthalene, with the exception ofGRO analysis in support of State of Ohio programs, which includes all chromatographic peaks eluting from Hexane through Dodecane. Initial pli-. As it pertains to Sample Receipt & Container Information see tion of the report, Initial pH reflects pH of container determimd upon receipt, if applicable. PAH Total: With respect to AIkylated PATI analyses, the'PAHs, Total' result is defined as the summation of results for all or a subset of the following compounds: Naphthalene, C I -C4 Naphthalenes, 2 -Methylnaphthalene, I -Methylnaphthalene, Biphenyl, Acenaplmthylene, Acenaphthene, FIuorene, CI -C3 FIucrenes, Phenanthrene, C1-C4 Phenanthrenes/Anthracenes, Anthracene, Fluoranthene, Pyrene, CI -C4 Fluoranthenes/Pyrenes, Benz(a)anthracene, Chrysene, CI -C4 Chrysenes, Be nzo(b)fl uoranthene, Benzoo)+(k)fluoranthene, Benzo(e)pyrene, Benzo(a)pyrene, Perylene, Indeno(1,2,3-cd)pyrenc, Dibenz(ah)+(ac)anthracene, Benzo(g,h,i)perylene. If a'Totai' result is requested, the results of its individual components will also be reported. HAS Total: With respect to PFAS analyses, the'PFAS, Total (5)' result is defined as the summation ofresults for: PFHpA, PFHxS, PFOA, PFNA and PFOS. In addition, the 'PPAS, 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 IFAS, Total (6)' result is defined as the summation of results at or above the RL. Mote: if a'Total' result is requested, the results of its individual components will also be reported, Total: With respect to Organic analyses, a' Total' result is defined as the summation of results for individual isomers or Aroclors. If a "Total` result is requested, the results of its individual components will also be reported. This is applicable to `Total' results for methods 8260, 8681 and 8482. Data Qualifiers A Spectra identified as "Aldol Condensates" are bypro3uas of the extractionlconcentralian procedures when acetone is introduced in the process - 11 The. analyte was detected allove the reporting limit in the associated method blank- Flag only applies to associated Feld samples that have detectable concentrations of the analyte at less than ten times ( I Ox) the oory entration found in the blank. For MCP -related projects, flag only applies to associated field sampies that have detectabie concentrations of the analyte at less than ten times ( Iax) the concentration found in the blank. For DOD -related projects, flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times ( IOx) 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 NJ -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 allove five times the reporting limit for common lab contaminants (Phthalates, Acetone, Methylene Chloride, 2-Butanone). C Co -elution: The target analyte co -elutes with a known lab standard (i.e. surrogate, internal standards, etc.) for co -extracted analyses - D Concentration of analyte was quantified from diluted analysis. Flag only applics to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. F The ratio of quantifier ion response to quaIiffier 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 ccIiection. 1 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 (171Cs). M Reporting Limit (RL) exceeds the MCP CAM Reporting Limit for this analyte. Report Format: Data Usability Report Page 15 of 19 Serial No:02232314:43 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2308494 Project Number: K10842DA.S.WW.700 Report Date: 02/23123 Data Qualifiers ND - Not detected at the reporting limit (RL) for the sample. NJ Presumptive evidence of compound. This represents an estimated concentration for Tentatively Identified Compounds (TICS), where the identification is based on a mass spectral library search. P The RPD between the results for the two columns exceeds the method -specified criteria. Q The quality control sample exceeds the associated acceptance criteria. For DOD -related projects, LCS 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 from sample re -analysis. RE 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 recoverylRPD outside the QC acceptance limits. {Applicable to MassDEP DW Compliance samples only.) Report Format: Data Usability Report AL �NA acs Page 16 of 19 Serial—No: 022 32314:43 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2308494 Project Number: K10842DA.S.WW.700 Report Date: 02/23/23 REFERENCES 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPAl6001R-93!100, 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 sole and exclusive responsibility of Alpha Analytical shall be to re -perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha 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 17 of 19 Serial No:02232314:43 Alpha Analytical, Inc. _ ID No.:17873 Facility; Company -wide Revision 19 Department: Quality Assurance Published Date: 4!212021 1;14:23 PM Title: Certificate/Approval Program Summary Page 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: alpha -Terpineol EPA 8260C18260D: NPW: 1,2,45-Tetramethylbernzene; 4 -Ethyl toluene, Azobenzene; SCM: Iodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene. EPA 82700IB270E: NPW: Dimethylnaphthalene,1,4-Diphenylhydrazine, alpha -Terpineol; SCM: Dimethylnaphthalene,1,4-Diphenylhydrazine. SM4500: NPW: Amenable Cyanide; SCM: Total Phosphorus, TKN, NO2, NO3. Mansfield Facility SM 2540D: TSS EPA 8082A: NPW: PCB: 1, 5, 31, 87,101, 110, 141, 151, 153, 180, 183, 187. EPA To -15: Halothane, 2,4,4-Tr1methyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene, 2-Methylthiophene, 3-Methylthlophene, 2-Ethylthiophene, 1,2,3-Trimethylbenzene, indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1-Ntethylnaphthalene. Biological Tissue Matrix: EPA 3050B The following analytes are included in our Massachusetts DEP Scope of Accreditation Westborough Facility: Drinking Water EPA 300.0: Chloride, Nitrate -N, Fluoride, Sulfate; EPA 353.2: Nitrate -N, Nitrite -N; SM4500NO3-F: Nitrate -N, Nitrite -N; SM4500F-C, SM4500CN-CE, EPA 180.1, SM2130B, SM4500C1-D, SM2320B, SM2540C, SM4500H-B, SM4500NO2•B EPA 332: Perchlorate; EPA 524.2. THMs and VOCs; EPA 504.1: EDB, DBCP. Microbiology: SM9215B; SM9223•P1A, SM9223B-Colilert-QT,SM9222D. Non -Potable Water SM4500H,B, EPA 120. 1. SM251OB, SM2540C, SM2320B, SM4500CL-E, SM4500F-BC, SM4500N113-BH: Ammonia -N and Kjeldahl -N, EPA 350.1: Ammonia -N, LAC HAT 10-107-06-1-B: Ammonia -N, EPA 351.1, SM450014O3-F, EPA 353.2: Nitrate -N, SM4500P-E, SM4500P-B, E, SM4500SO4•E, SM52200, EPA 410.4, SM52108, SM531QC, SM4500CL-D, EPA 16641 EPA 420.1, SM4500-CN-C E, SM2540D, EPA 300: Chloride, Sulfate, Nitrate. EPA 624.1: Volatile Halacarbons & Aromatics, EPA 608.3: Chlordane, Toxaphene, Aldrin, alpha -BHC, beta -BHC, gamma -BHC, delta -BHC, Dieldrin, DDD, DOE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625.1: SVOC (Acid/Base/Neutral Extractables), EPA 60014.61-045: PCB -Oil. Microbiology: SM9223B-Colilert-QT; Enterolert•QT, SM9221E, EPA 9600, EPA 1603, SM92221). Mansfield Facility Drinking Water EPA 200.7: Al, Be, Cd, Cr, Cu, Fe, Mn, Ni, Na, Ag, Ca, Zn, EPA 200.8: At, Sib, As, Ba, Be, Cd, Cr, Cu, Pb, Mri, Ni, Se, Ag, TL, Zn, EPA 245.1 Hg I=PA 522, EPA 537.1. Non -Potable Water EPA 2007: Al, Sb, As, Be, Cd, Ca, Cr, Cc, Cu, Fe, Pb, Mg, Mn, Mo, Ni, K, Se, Ag, Na, Sr, TL, Ti, V, Zn. EPA 200.$: AI, 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 Pre-Qualtrax Document ID: 08-113 Page 18 of 19 0 L A 7 it--' ❑ ®C! Ci n G P � � [� yr 4 c � � • o ❑ ❑ ❑ ❑ ❑ ❑ `a ❑y❑{❑�❑ AI ull■JE] o ❑❑❑❑❑❑❑❑❑❑ ,. ❑❑❑❑❑❑❑ ❑ ❑ ❑ ❑ ❑ ❑p ❑ 0. a n a �1■ NNl ❑® 11 ❑❑ El El El 4 ❑til a ' a c ® El6seaiD ❑ c m 8 l!o ❑ ❑ ❑'� ❑ ❑ ❑ C n b S £HN ® M❑ IEJ ❑ 1111 ❑ a �� U)43 ��+y1N'v}e�F1N�0�9 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ a 4 � �a 5l'04B ® ❑❑❑❑❑❑❑❑ a ❑ E n El❑ Q SSl ®2 ❑❑❑❑❑❑❑❑ a n N V] d C y CI 0. C m < 1� � C ❑ a N r Y G (3 E N J di 2 as a ❑ Q .T •Q chi DL n�i CL a � m LIL 0 E E Z U m m _ N � is d) a o �-n r{ y V? to a z R' m N to c 2 5 F C � lr7 in ED a - fL> bi L w c If7 ch in a 0 m p�j ll'1 N CL -! § $ a w 0