Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My Public Portal
About
BOH6.21.23packetpublic
��,:.•. ase sew '�0 o* Town of Brewster Board of Health Ai 2198 Main St., Brewster, MA 02631 0' brhealth@brewster-ma.gov - _— (508) 896-3701 ��\`\\\\ BOARD OF HEALTH MEETING AGENDA 2198 Main Street June 21, 2023 at 6:30PM Board of Health 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 the public are welcome to attend in person as well. As Penny Holeman a courtesy only, access to the meeting is also being provided via remote means in accordance with applicable law. Please note that while an option for remote attendance and/or 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, Kimberley Crocker unless otherwise required by law. Members of the public with particular interest in any specific item on this agenda, which includes Pearson an applicant and its representatives, should make plans for in-person vs. virtual attendance accordingly. David Bennett Members of the public who wish to access the meeting may do so in the following manner: Phone: Call (301)715-8592 or (312)626-6799. Webinar ID: 820 4394 4509 Passcode: 979174 John Keith To request to speak: Press "9 and wait to be recognized. Zoom Webinar: https://us02Web.zQom.us/V82043944509?owd=MvrpM kvUExKbU1RS0hmM01Zb3dr:'Zz09 Abigail Archer 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), Livestream (livestream.brewster-ma.gov) or Video recording (tv.brewster- ma.gov) Health Director 1. Call to Order Amy von Hone 2. Declaration of a Quorum Assistant Health 3. Recording Statement: As required by the Open Meeting Law we are informing you that the Town will be video and audio taping as well as broadcasting this public meeting. In addition, if anyone intends to either video or audio tape this meeting they are required to Director inform the Chair Sherrie McCullough 4. Chairman's announcements 5. 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 Senior Department minutes at the Chair's discretion. Under Open Meeting Law, the Board of Health is unable to reply but may add items presented to a Assistant future agenda 6. Ratification of Emergency Condemnation Order for for health or safety violations Tammi Mason 7. Consent agenda: • 2149 Main Street - Title 5 depth variance 8. EPA invitation of comment on Draft Report for Joint Base CC Machine Gun Range - discuss letter from BOH 9. I/A Monitoring discussion: enforcement letters, flow chart, review of noncompliant systems 10. Update on Pressure Dose letter notification - feedback from engineers 11. Liaison Reports 12. Matters not reasonably anticipated by the Chair 13. Items for next agenda 14. Next meeting: July 5, 2023 15. Informational items: a. Town of Orleans Pesticide Bylaw informational letter b. Monthly report for Maplewood at Brewster C. Monthly report for Serenity of Brewster d. Monthly report for Kings Landing e. Monthly report for Pleasant Bay Health & Living Center f. Monthly report for Ocean Edge 16. Adjournment Date Posted: Date Revised: Received by Town Clerk: 6/15/23 -- - -- - - N:\Ilealth\BOH Agendas and Minutes and Remote Schedule\BOH Agendas\June2123a.docx June 13, 2023 Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth .i Brewster -ma. eov WWW.BREWSTER-MA.GOV % Certified Mail and Electronic Mail Deliver c/o Attorney Robert D. Dimler, Guardian and Conservator 40 Court Street, 3rd Floor Plymouth, MA 02360 Health Department Amy L. von Hone, R.S., C.H.O. Director , BREWSTER, MA EMERGENCY CONDEMNATION ORDER RESIDENCE UNFIT FOR HUMAN HABITATION Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant In accordance with Sections 127A and 127B of Chapter 111 of the Massachusetts General Laws, 105 CMR 400.000, et sec . (State Sanitary Code, Chapter I, General Administrative Procedures, and 105 CMR 410.000, et sec . (State Sanitary Code, Chapter II, Minimum Standards of Fitness for Human Habitation), the Board of Health of the Town of Brewster (the "Board"), acting by and through its duly authorized agent, Health Director Amy von Hone, has found that the premises located at �, Massachusetts, are unfit for human habitation and cannot be reoccupied, based on conditions, which, pursuant to 105 CMR 410.630, are deemed to endanger or materially impair the health, safety and welfare of the persons occupying said premises. Specifically, observations confirmed by Brewster Health Department inspectors Amy von Hone and Sherrie McCullough while on the premises in response to an emergency notification from the Brewster Fire Department revealed that the entire dwelling, which is currently unoccupied, is kept in an unsanitary manner such that there is an accumulation of human waste, garbage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease, and that prevent egress by occupants and access for emergency responders. The conditions observed at the property are more specifically described in the report attached hereto. Further in accordance with 105 CMR 410.650(E), it has been determined that there is a danger to the life and health of the occupants that is so immediate that no delay may be permitted in the issuance of an order requiring that the premises be vacated and secured. N:Health'.Complaints'23 Woodview Drive`,Emergency Condenmation Order 23 Woodview Drive 06.13?3.doc As a result of the reported conditions, it is hereby ordered that said premises are unfit for human habitation and shall not be re-entered or occupied without the prior written permission of the board of health; and further that the owner and/or occupants shall secure the property within twenty-four hours of receipt of this order. Please be advised that you may not return to the dwelling for any reason until the conditions cited in this notice have been corrected and the Board of Health has certified, in writing, that the premises are safe for human habitation. Please be advised that the Board of Health will consider this matter at its meeting at 6:30 pm on June 21, 2023, in the Brewster Town Hall. This meeting may also be accessed through remote virtual means: Phone: Call (301)715-8592 or (312)626-6799. Webinar ID: 820 4394 4509 Passcode: 979174 or Zoom Webinar: https•//usO2Web.zoom.us/i/82043944509?pwd=My!gM2kvUExKbU 1 RSOhmMOl Zb3dQZzO9 Passcode: 979174 At said meeting you will be given an opportunity to be heard and to present witness and documentary evidence as to why this order should be modified or withdrawn. You may be represented by an attorney. Please be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports, orders, notices, and other documentary information in the possession of this Board. This is an important legal document. If you have any questions or if you would like to arrange for remote attendance at the Board's meeting, please call this office at 508-896-3701 ext. 1120. Sincerely, �von 64w A L. one, R.S., C.H.O ealth Director cc: Attorney Robert Dimler, Temporary Guardian and Conservator to Diane Singleton, Elder Services of Cape Cod and The Islands, Inc. Oakwood Condominium HOA c/o Bill Davis, Mercantile Property Management Brewster Board of Health Brewster Police Department Brewster Fire Department Brewster Council on Aging Town Counsel Gregg Corbo, KP Law Attachment Enclosed W HealtliTomplaints\23 Woodview Drive\Emergency Condemnation Order 23 Woodview Drive 06.13.23.doc Amy von Hone From Sent: To: Cc: Subject: Attachments: Tracking: Good Evening Attorney Dimler: Amy von Hone Wednesday, June 14, 2023 6:00 PM rdimler@dimlerlawoffice.com Diane Singleton; Robert Moran; Kevin Varley; Heath Eldredge; Charles Mawn; Freddie O'Neal; Elton Cutler; Cynthia Thatcher; Mary King; Sherrie McCullough; Dave Bennett; Bill Davis; Gregg J. Corbo; Donna Kalinick; Peter Lombardi Emergency Condemnation Order - Recipient rdimler@dimlerlawoffice.com Diane Singleton Robert Moran Kevin Varley Heath Eldredge Charles Mawn Freddie O'Neal Elton Cutler Cynthia Thatcher Mary King Sherrie McCullough Dave Bennett Bill Davis Gregg J. Corbo Donna Kalinick Peter Lombardi Delivery Delivered: 6/14/2023 6:00 PM Delivered: 6/14/2023 6:00 PM Delivered: 6/14/2023 6:00 PM Delivered: 6/14/2023 6:00 PM Delivered: 6/14/2023 6:00 PM Delivered: 6/14/2023 6:00 PM Delivered: 6/14/2023 6:00 PM Delivered: 6/14/2023 6:00 PM Delivered: 6/14/2023 6:00 PM Delivered: 6/14/2023 6:00 PM Delivered: 6/14/2023 6:00 PM Please find attached a copy of the Emergency Condemnation Order for Brewster, MA being. issued to you on behalf of the owner, A hard copy of same is to follow by certified mail. The Brewster Board of Health is scheduled to discuss and ratify this order at their June 21, 2023 meeting to take place at Brewster Town Hall starting at 6:30 pm. Virtual access to the meeting is available with instructions included in the attached letter. The property has been physically posted as of today. Please do not hesitate to contact me with any questions or concerns. Our Brewster team is available to provide any additional information or documentation of the history at this property over the last couple of years to aid in your role as guardian and conservator for Thank you, Amy Amy L. von Hone, R.S., C.H.O. Brewster Health Director 1 b� rekolp crr,WA IWP7 f _T_ � TOWN OF BREWSTER HOUSING INSPECTION REPORT �l DATE: ADDRESS: OCCUPAW: TIME: ' OLiIYER' S HMO: �^ { _ _ No. BABITABLS RWhS: >S OWNER'S ADDRESS: �- :^� ~ _ No.51,EEPISG ROOMS: >_ 12. Rubbish Storage (410.600, 410.602) 13. Rubbish Removal (410.601) 14. Fences (410.500) Kitchen [3415. Sink (410.100:A1) 16. Stove (410.100:A2) 17. Refrigerator Hookup (410.100:A3) 18. Surfaces Easily Cleaned (410.10018, 41D.504) Hahlteble-Ra2" 19. Electrical Outlets (410.25018) 20. Windows. Weathertight (410.501:A) 21. Windows.Screens (410.551) 22. Windows, Locks (410.4801E) 23. Natural Light (410.250:A) 24. Walls. Callings, Floors (410.500) Other 36. Stairs/Handralls (410.503sA. 410.500) 37. Lights (410.253. 410.254) 38. Smoke Detectors (410.482) 39. Rodents/Insects (410.550) 40. Potable Water (410.180) 41. Hot Water. 110 -130 F (410.190) 42. Heating (410.200.410.201,410.202) 43. Plumbing (410.350, 410.351) 44. Wiring (410.255,410.256,410.351) 45. Owner's Name Posted (410.481) 46. Rental Permit Posted (Bylaw) 47. General Sanitation (410.500) 48. Sewage Disposal (410.300) 49. Asbestos (410.353) 50. Lead Paint (410.502) 51. Metering of Gas/Electrlc (410.354) Based on an Inspection today.the Items checked Indicate the violated provisions of Chapter 11 of the State Sanitary Code. Each Item Is followed by the applicable section of the Code of Massachusetts Regulsftlon. One or more of the violations listed Is a condition which may materially Impair the health and safety and well-being of the occupant as determined by 105 CMR 410.750 of the Code or the Authorized Inspector. of perjury.' INSPECTOR'S SIGNATURE: f I DATE R TIME OF NEXT SOPiDULED INSPECTIOMI_ LIVIIiG AREA: INSPECTOR'S 191MR: OMPER. S PHONE: . �. Si/l�'r/L� CCCII Strmetars, 1. EI:t. Porch (410.500) �tbrooe 25. Toilet (410.150:A1) 1. Rall!ng. Balusters Y, 26. Washbasin (410,150:A2) (410.5,;:A 8.C) 27. Tub/Shower (410:150:A3) 3. Steps (410.500) 28. Door (410.1501A4) 4. Roof (410.500) 29: Light (410.252) 5. Gutters, Drains (410.500) 30. Proper Access (410.150:C) 6. Foundation (410.500) 31. ventilation (410.280) 7. Door Locks (410.480:B,C.0) 32. Windows, Weatherttght "8. Doors, Weathertight (410.501:A) (410.501.:8) 33. Windows. Screens ©9. Doors, Screens (410.553) 34. (410.551) Windows. Locks 10. Exits. Duel 8 Unobstructed (410.450. 410.451. 410.4523 (410.4601E) 35. Surfaces Easily Cleaned Yard (410.150:D, 410.504) 11. Outbuildings (410.500) 12. Rubbish Storage (410.600, 410.602) 13. Rubbish Removal (410.601) 14. Fences (410.500) Kitchen [3415. Sink (410.100:A1) 16. Stove (410.100:A2) 17. Refrigerator Hookup (410.100:A3) 18. Surfaces Easily Cleaned (410.10018, 41D.504) Hahlteble-Ra2" 19. Electrical Outlets (410.25018) 20. Windows. Weathertight (410.501:A) 21. Windows.Screens (410.551) 22. Windows, Locks (410.4801E) 23. Natural Light (410.250:A) 24. Walls. Callings, Floors (410.500) Other 36. Stairs/Handralls (410.503sA. 410.500) 37. Lights (410.253. 410.254) 38. Smoke Detectors (410.482) 39. Rodents/Insects (410.550) 40. Potable Water (410.180) 41. Hot Water. 110 -130 F (410.190) 42. Heating (410.200.410.201,410.202) 43. Plumbing (410.350, 410.351) 44. Wiring (410.255,410.256,410.351) 45. Owner's Name Posted (410.481) 46. Rental Permit Posted (Bylaw) 47. General Sanitation (410.500) 48. Sewage Disposal (410.300) 49. Asbestos (410.353) 50. Lead Paint (410.502) 51. Metering of Gas/Electrlc (410.354) Based on an Inspection today.the Items checked Indicate the violated provisions of Chapter 11 of the State Sanitary Code. Each Item Is followed by the applicable section of the Code of Massachusetts Regulsftlon. One or more of the violations listed Is a condition which may materially Impair the health and safety and well-being of the occupant as determined by 105 CMR 410.750 of the Code or the Authorized Inspector. of perjury.' INSPECTOR'S SIGNATURE: f I DATE R TIME OF NEXT SOPiDULED INSPECTIOMI_ a� U M a 00 0 N N 0) CU 0- L0, u7, rn 0 w N Y O 0 m a� a� r. 1_� 0 t:.Ok qq,h +� 7Q •• •_• Ntk a co June 12, 2023 Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 �: EIlt',aif tl:fa I�l.l:lx'ti [.a 1�-lllal.i4.`,1�� W W W.BREWSTER-MA.GOV Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Notice of Board of Health Variance Approval/Deed Restriction Mr. & Mrs. Arthur and Judy Arnold — Applicant 1792 Main Street Brewster, MA 02631 RE: 2149 Main Street, Brewster, MA Assessors Map: 68 Parcel: 121 Deed Reference Book: 28095 Page: 208 Parcel: I, II, and III Plan Reference Book: 83 Page: 151 Owner of Record: Eggs Are Us, LLC Dear Mr. and Mrs. Arnold: On May 16, 2023, the Brewster Health Department reviewed and approved the following variances for the septic system upgrade at the above referenced address per engineered plans by CSN Engineering, Linda J. Cronin, P.E. dated April 24, 2023, Revised and Stamped June -7, 2023. Title 5: 310 CMR 15.221(7) Maximum Cover a. Variance request to allow Soil Absorption System and Distribution Box to be installed up to 72" below finished grade. A variance of 26" (Soil Absorption System) and 4" (Distribution Box) are granted. Town of Brewster: None In granting the above variance, the Health Department imposes the following Order of Conditions: 1. Any additional flow to the commercial structure will require further review by the Board of Health. 2. Prior to issuance of the Certificate of Compliance, this Variance Approval Letter must be properly recorded at the Barnstable County Registry of Deeds and a recorded copy of same shall be furnished to the Brewster Health Department as proof of the recording. 3. Variances shall expire within one (1) year of the date of this approval. Please feel free to contact me if you have any comments or questions on the above. I can be reached at the Health Department, 508-896-3701, ext. 1120. Sincerely, Am,y,'lL. von Hone, R.S., C.H.O. Ho-alth Director cc: CSN Engineering, PO Box 201, Brewster, MA. 02631 File N:\Health\BOH Decision Letters\Septic Variance In -House Decisions\Title 5 Brewster Approvals\2149 Main Street InHouseApproval Deed Restriction 06.12.2023.doc Application for Board of Health Variances • Add to a project Expiration Date Active V-10 Details Submitted on Apr 26, 2023 at 9:07 am Attachments 2 files F_.b Activity Feed Latest activity on Apr 26, 2023 Applicant Linda Cronin Location 2149 MAIN STREET, BREWSTER, MA 02631 Timeline In -House Septic Local Upgrade Approval Notice Issued Apr 26, 2023 at 9:07 am Payment Paid Apr 26, 2023 at 9:11 am Application Review In Progress Health Department Review Review Attach Letter to Record (Internal Only) Review Q Internal M IN Add New n A Abutter Deadline Property Information Type of Variance * In -House Local Upgrade Approval Book 28095 Page 208 LC Certificate LC Plan Lot Owner(s) of Record Arnold Design Engineer/Sanitarian Name of Engineer/Sanitarian Linda J. Cronin Firm/Company Name CSN Engineering Address * P.O. Box 201 City, State, Zip * Brewster, MA 02631 Phone Number * 15082747347 Email * linda@csn-eng.com Variance Information Check all that apply: New Construction O Voluntary Upgrade O Addition/Alteration O Failed system G Real Estate Transfer O Design flow of existing system 1910 gpd Design flow of proposed system 1283 gpd Total sewage flow of site 1810 gpd Conservation Commission approval required No Reason for failure: * Leach Pits overfull Total lot size (sf) 27,078 Variance from * State Codes Variance from State Codes Title 5, Sec #: 15.221 Description of Variance(s) * SAS and D -box not <36" b.g. Applicant Signature Signature Linda I Cronin Apr 26, 2023 Certified Mail Return Receipt Requested BREWSTER IN-HOUSE SEPTIC LOCAL UPGRADE APPROVAL NOTICE: Date: April 26, 2023 Re: 2149 MAIN STREET MBL: 68-121-0 Dear Abutter: Please be advised that an application for septic local upgrade approvals from the regulations of the Massachusetts Department of Environmental Protection, Title 5 and/or the Town of Brewster Regulations for Subsurface Disposal of Sewage, has been submitted to the Brewster Health Department for approval. The following variances are requested: List of all variances from State and Town Codes Title 5, Sec # Description of Variance(s) 15.221 SAS and D -box not <36" b.g. Brewster Reg. # Description of Variance(s) The application and plans are available for review and comment at the Brewster Health Department, Brewster Town Offices, 2198 Main Street Brewster, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:00 p.m. Sincerely, Applicant/Representative CC: Brewster Health Department Dth Bth Bar Kitchen Dining Room 5eatinc Kitchen Floor Plan NOT TO SCALE CSN ENGINEERING May 23, 2023 Ms. Amy Von Hone Brewster Board of Health 2198 Main St. Brewster, MA 02631 Re: 2149 Main St. Maintenance Plan Dear Ms. Von Hone, P.O. Box 201 Phone: (508) 896-1783 Brewster, MA 02631 linda@csn-eng.com CSN Engineering has recommended the following schedule for maintenance of the sewage disposal system at the above -referenced property: All components are to be inspected weekly, and pumped & cleaned when the liquid level reaches 75% capacity. If it is found that the system needs more frequent pumping, then inspections will be increased to twice weekly. After one month this schedule can be re- examined to reduce the frequency of inspections if warranted. Grease trap is to be pressure washed and pumped and cleaned prior to use of the system. Reports at each inspection date are to be emailed to the Board of Health and shall include the liquid levels of each component and if pumping is recommended or not. If you should have any questions, I can be reached at telephone number 508-274-7347 Sincerely yours, Linda J. Cronin, P.E. CSN Engineering LJC/l Contractor: Date: F�r�•. Fipo.- €L=d4,�± Cxr�do x " 2.3'rm�tar c�racrn�.s m�rer ra,Yeacf to Wtkn 6"ofLuu�s'x ,�eie far � nottGl drmi%v g da -44101 I LXORY6 15 CAL ON 69fA5f 7-1�A CN5TCTfN NOTES 43.31 �31� SLOW FKOFCLF -NOT TO SCALE n g fl —44. CL45. r 24'dametee r X 6mh 0"66 df —45. C(rrae) T7-207 Jated 1rrpechon Pore "d cap with 'PVA VENT rr pact+ markrrlej J1 P Y'54VEZAI ' bmih ,,Reid SJMIN f� =45.cF:m 0z 0 t7-44. 45.5 41.D - atr rg 42± r 41 4' FVC VENT 407.}�' 2" lAYER. OF I Td' - 112' S7`CINE 41.sY 41.40 4f"f5>~ 4Q37 40.2[7 40.0 _". rv° ',+4'.l.JT2`STDNE _ 'r+m" � � Gas aQ11Fc -39.Ot s$. T L ` ssr �1 LtAC'1Y f I1LD (4'x 1'x 1,1 EX1,5TINC� 5000 C�.4t1D � 5' 7� �{ � { �o�o 1,500 .�u nB- �{ �.} �} — t c� . �_ � Test T�faVfc 1 1 1 I I Y� (H-20 Rated) f 1� r# ! f , '7-1C' TANK - (H-20 L��ngJ I .1 ALL WOkK5s.ALL CC) KF OKM 10 -HL _A7E ENVJicONME14TAL CODE. TITLE 5 (3 10 CMR 15,0001: AND THE REE-ULATION5 OF THE LOCAL E�JAKD 01= 1:4MTH. 2-j AW 5ErT1C 5Y57, -M GOI AFQNENT INSTALLED IN A LOCATION WIN ERE THERE 15 POTEWIAL POR VEHIGLE5 OR. Hf-AVY rQU1PMENT TO PA55 OVER IT 511A- BE 9t5tGNED TO W'TFI5TANP AN H-20 LOADING. IF UNDER AN IMPERVI01-15 -%n ACE, 5Y5717M 5!IALL BE VENTED TO THE ATMOSi'hi - 3.1 TO MINIM12E UNEVEN 5tTTLiNG, SEPTIC TAN K5 5h XL ff IN5TAUED ON A 5TABL.F MIfCHAt4ICALLY-C;QMPAC7ED [5+5r ON SIX %015 OF: CKUSHED 5TONE- 4J COVF-R5 OVEF THS I NLLT AND CUTLET 7E> 5 OF 7tiE 1 PTI[ T 1rVK, THE [ fSxl rEsUTlOtd BOX, AND TtiE 50EL ABSORPTION 5Y5TEM 5H.ALL BE RAI EO TO WITHIN C OF FINAL RADE- LEACHING FEELpS, TRENCH E5. AND 07tq.rK S4rl- A550KIPTrOK 5Y5TEM9 W1111OUT ACC E55 MANH0LE5 SHALL HAVE AT IZ r ONE (1 ) INSPECTION FOKT CONf15TH,, G OF FERFDRATEG 4" PVC PIPE F'I CZD VL-KpICs1,LLY70 Tr -.5 COTTOM OF THE 501L A550 '7ION SYSTEM M -M A CAr, TIED Wd 711-1 MAGMERC V.AKKING TAPE, ACCE551ME TO WIMIN 3' OF FINAL C7E 4DE- 5.J PWING SHALL CON31`5T OE 4" SCHE17OLE 40 FVC OR, wG7UIVALENT- PTFE SHALL 5f LAID ON A MINIMUM CONTINUOUS GKADFf Or NCT LE -55 THAN 2% FROM THE DU I LVIKG TO THE 5EFTIC TANK, AND NOT LE55 ThAN I OTHF R' ISE, G,} DISTRMLYTION UNE5 FOR TFtE 501L ABSORPTION 5Y5TFhA 5HALL EC 4' DIANIETEK SCHEDUtt 40 PVC (OR. tQUJVALfN-fJ LAID AT 0.005 MFT. UNLESS 0THERW15E NOTED. UNE5 SHAn 09 CAPPED AT END OR AS NOTED 7-) LINES rROM THE DL9TRIB1JTI0N BOX TO BE LEVEL FOR THE FIF5T TWO (2) fEET 6FFOR! PITCIiING Tb THF- 501L AE60KIPTION SY5TW- DI 5T?j Ek)T ION BOX SHALL BE WATER TMTED TO A55URE EVEN D1571RIBUTION, S.) GROUT TO ISE USEQ Ai ALL POINTS WINED PEPES ENTER OR LEAVE ALL CONCRETE 5TRUCTl R55 IN QKDERr0 FR VIDE A WATEf IGH SEAL, 9,} HEAVY EQUIPMENT SHALL NOT BE ALLQWCV TO OPFRAaE OVER 7HT LIMITS OF-rHI! 5EWA6e DR51 AL FIELD DURING, THE COURSE OF CQN5TRUCTION Or THE SYSTEM, I0.) !td ACCQRPANCE WITYt 3 I E] CMR r 5"22 I ,ALL 5YSTEM. ODMPO#IEN75 5"ALL BP MARK f) WITH MAGNI'TIC MkRKING TAPE, I MM ARE NO OThlER 1<\NOWi�F WELLS WITHIN 100 Of 7H I! P7i OF05rD SOIL ABSORPTION SYSTEM. 12.) FROM Td I! DATE Of THI! INSTALLATION Or TM I! SOIL A55ORF-L ION SYSTEM UNTIL RECEIPT OFTttC� CERTIFICATE OF COMPUANCf, THE PERIMETER 5HALL f3E 5TAKI!D AND Fuwvr_ TO PREVENT U5f Of THE AF.EAL-rt1AT MAY CAUSE DAMAGE TO THE SY.57EM, 13.) THE DE51 NER WILL NOT BE Rf5rON51BLF- FOR. THE 3Y5T1=3a1 A5 0C5rGNF_p UNLF55 CON57RUCTED AS SHOWN OH FLAN. ANY CHANGES 2rt1ALL 13E AFPROVED IN WPJTING BY TIME IDE51GNER., J 4.1 THE BOARD OF HMTH REQJIRf IN5P'ECT10N Of ALL GQN5TR,Ur�TION B1' AN AGENT Of=T1iE BOARD QF HEALTH AND TETE 17f51GNER- THE ET3iGNER -5HALL CERTIFY FN W?,-T;KG THAT THE 5EWAGE 015P AL SY57EM WA -9 IN5TAUEV IN ACCORDANCE WITH TN r Tf�RMEa Or THE FL`P. IT AND THE APPROVED PLANS, 46 hOUR5 ADVANCE NOTICE 15 RfOIJE57ED. 15.) LOCATION OF UTIUTIE5 15 AP'P'ROXIMATE AND CONTRACTOR 5t1ALL EZ RF5F0t4SI15LE cOR DFIf RMININO Tt1E LOCATION Or ALL UNDERGROUND AMD OVERNEAD UTFLITIES PRIOR TO GOIkAhAENGi 1FNT OF ANY WORK. THIS 1NCLUDE5, BUT 15 NOT LIMITED TO, RLQUE5T'5 TO DIG.SAFE, ANY rR�VATI_ UTILITY COMPANIES, AND THE LOCAL Wok rPK DEPARTMENT. J 6.1 CONTi TOR 9H ALL VERIFY THAT ALL WA5TELIN A GQNNEC'.�f� BY WATfri� TESTING ITIl1td i HE 1--WEL:1N!G PR.'OR To IN5TALLADON CC- AW 5EFTiC COMPONENTS. J 7,) CONTRACTOR SHALL VERIFY Eyr5TING INVEKT CLEVATION9 PRJOR TO IMSTALLAT`10? OF ANY 3F-PTIC Y5TEM COMFONENTS, 16.) iNSTRUMENT 5URVE' CONDUCTED FOR PROP05CL) 44'ORK ONLY- SiT1- FLAN SYIALL NOT BE U5fD rOk STAWNG, OR ANY OTHER PURPOSES. NOR SHALL JT 6E UBED P6 A IVOriGAGE P'LO'P PLAN Of, TITLE SURVEY. CONI'OFWANCE TO LOCAL BYLAW5 SHALL BE [)F-TF-FMINED BY THF- Ct'"ER PFJOK TO CQNSTgucTroN- J 5.J Tt115 PIAN DOE5 NOT CERTIFY. GUARANTEE: OR WARRANTY COI IPLIANC� WrTH DEEDED OF, ZONING BYLAWS, 5PTCIFICALLY, 5!UT NOT LIMITED 70, SiDEL1NE 3ETBACIK9 AND 61ALDING HEIGHT 915TRICTIONS- OWNER IS RE5P'ON5IDa FOR OBTAINING 5UCM A pE lF-RMINAT ION rFQM THE AFPKOMATf AJTr.MTY, 0-) TEST HOLES COME LETED PF -K STATE ENVIRONMENTAL CC)DE, TITLE S. SOILS CAN E VARA31-r AND 7EBT HOLE DATA 15 NO GUARANTE Z OF 504 GONVITION5 IN OTHER AES. IF SOEL9 DIrrI!P rR0r%4 THOSE SHOWN EN Th I! SOILS LOGS, DESIGN ENGINEER 15 70 INSPECT Tt1F 501 L3 PRIOR TO PROCEEDING WlTt1 IN5TALLATION OF ANY ECIC COMFONf�N-F-5- 21 .) FArr5TING J 540 GALLON GREA5F TRAP AND BOW GALLON SEPTIC TANK TO BE UTILIZED. PVC Trl=5 TO BE rNSTAULED ON INLET ANI] OUTLET PIPES IF NECESSARY, AND A GAS 5AffLE IN57ALLf1) IN TOE OUTLET TFT. 22-) E145T=NG 5EP'TEC COM rON€NTS TO BE REMOVED. AW OOIfTAMINATED 501L 5HALL 5E gEmIVICA(W rrOR A DI5TANC1- OF !=Wr {5) PEt7 LATERALLY FROM THF- .501L AE60 TION SYSTEM AND REM ACED WITH OLFAN SAND. AREA TO 8E CO-MPAI:�TED TO MINIMIZE 5ETTLING, IN5PEGT10N NOTE! PROR TO FWAL IN PUCTION BY THE FNGINEEK, SY5iW NMD5 TO 3E COMPLETE INCLUDING BUILDUP' FOR COVER5, - - - - - - - - - - - - - - - - - - - - - - - - I 'v I I — — — — — — — — — — — — — — — — — — — — — — — — —I I Inchon fort Nvitb 1-1-20 ALre56 Cowes at Grade)- --------0 j - ------------------------i 4' Sch. 4o I'VC ?erforated Laterals D-Bdx------------------------, I 4' 501. 40 PVC Vent Pine d . — — — — — — — — — — — — — — — — — — — — — — —I � I -------------------.__ - - - - �. I" I ;T — Irmpe4L)on Port (with H-20 Ac --e--;5 COVer at Grade) —+-------��,.------------- i ~Vent FLAN VIEW SCALE: YSTff 1 DEQ GN CALCULATION5 WA 6f L7f9CIN a 0 W REO LlfR1`D: ,3 A ff A r A!ES7AUtk!ANT 5 6!V1 ✓,AT = l2g -0 )V SLS If D I - (34 x,51) x, 74 1263.2 GPD 1283 &ry PRO I/ 0fo ? 1260 GPD RZOVIRLV GR4A.!5ETRAP CAPAG'TTYRt(XffRfV, 3i ,SQAT3 X 1.56.4L 4ff4l=540 GPDP�QUf C� TRAP 4PACITY PRCWOM, 9A750M5 15190GALLON J OVIDED 5EP77C TA 1aCCAP.AGITY+ C?U11 a2 TWCLC0► rAR7MffNF FAVK,, 12CO 07D X 200% - 2520 45FP gF<C [.J19fD 124`0 OPD X 100% = 1 X60 GPV k5CX#Rff0 s f77C TA1 K C f4G77Y?ROi/fD4FDr D(15TM46 3CW &4UON AND PROr05EO 500 6ALLON PW Vi0tD IN SSP1�5 ,4 C�9.+�64G'� DTSPGl��.4L NDT PE�IdRT�p i4?'JJ7' T111S pESfaV #�Q44� TESIT 1 I LE L OG5 Te i lode # I (F -L=45.7±; LEGEN Deptli Layer 5oil Cla" 5nil Colcr Commcnks 0'°. 11' A Loamy 5arz ' QYK 313 WATER SERVICE LINE 1 11-2!? 5 Loamy Sana i QYK 7}6 28"-50' G i Satlr Mediium-Ccarse 5an�i OYR 811 Perc @ 48" 56"-64" G2 F me 5ary ' OYR Ara !berc @ 76" 54"-144' C3 Med'um-Cogrse Sand 1CYR&G �2mr�in r Test 1101e 42 (EL=4 LEGEN Dsptfr r 5oiI Class 304 Color Gommffri s 01- 10 A Limy Sane ! OYR 313 WATER SERVICE LINE 10"-2G' 15 Loamy Sans I ;YR 71G W-50' C : Silty Med+um-Go rr,e 5anc. I OYK &+ Perc @ 48" 50'-79 C2 Fine 5anal I OYR 313 1 Cmirl+,rch 70'-? 32 d G3 Med-,um-Coa me Sand I OYR DISTRIBUTION 15OX DATE Of TESTING: 0212312023 501L EVALUATOR-, 0- 5ENNnT, R-5-, 5.E. BOARD OF HEALTH AGENT! AMY VON NONE, BREW5TER HEALTH DEPARTMENT PERCOLATION RATE: LC55 THAN 2 MINVkNCH IN "C 2" 4G3" LAY) -P5 NO GROUNDWATER ENGOUNTEUID L 1L—t I�in�ng Room �.s-eat�ng Floor Flan NOT TO SCALE 1 "SLIP x 1,r FIPT ADAPTI ACCESS BOX C04i=R (H-20) (TO BE PLACED AT GRADE) P NUT f" PVC INSPECTION TER In5pection Fort and Vent �-20 Acce,55 Sox NOT TO SCALE :N!3TALLE TO VFRIF:- THF LOCATION Or ALL UNDERGROUND AND OVERHEAD UTILITIF5 P'RIOR TO THI! 5TAKT OE ANY EXCAVATION ACTIVITIF-5 AND RZLOCATE A5 NEGE55a Y (SEE NOTE # 1 ) Gere Lot Area 27.075 5.ff. ± I O.G2 Acrc5 J5. 000 .A } Turk �v4,901 #> rrs" 3000-6� q% 5C kT Tek Eo fr72, vn ,' ^ `• - lead'+ �x fit 1 f t 4 FTs j l5G#C C4;; Prope�scd 1500 Grease Trap Lo +Fcr�um7 Calfor� 5cpa�uear�k _ r No *21J . - --fir - - - - 46 G� TP bfrb { --J Campve,zfs to LP ' h. FF Fac v 44-71 i . . - . k 10'mk 00' , T 69, ' 30' - .W'�S�i-"i�'-i�-?#•`'.�yi�;�iA:itiii3-�wi `i#.[*"i•i'wi'�`.J�l+ 'h'Y IVV/„III t M • �5 ' L r wu t t 13f-NCHMAKr1---j � x7 FL_=43.6 (A55umed Datum) �Tlf PLAN SCALE - I " = 20' u� 1= 1TE LOCU VOT TO SCALE 151 EW TE ,NIA I " A5see50r'5 Map G8 Parcel 12 1 2.) Deed book 2(5095 Page 205 3.) Plan Book 83 Paye 1 5 f 4") Thee property I!5 not 1n a Zone, 11 of a Pubhc ~Nater supply 5.j Flood done: G V,AI IANCF- UQUE5TM Loca4 Upgrade ApprovaL5; 3 10 C M K 1 5.443 Vanaroces= 3 E O CMR 15.22 J General Con5trvct,on ?Cqu�remeni g for All System Gornponenes- 5A5 not <5G' below eradc. G2' hteid 26' Variartce Reqva5t4ad (72' Mauamum) (36' Maodmum) 2,j D -I; x not <3G' below arade. 40' Held 4" Vanance ReztvGfited (72' Maximum) (3G' ammvm) hrmi[ vidW Tor REPA1$ [13SEFMC SY5TLX ONL:y, due Lit Suyid 1—al acplic wierteer. 8n*Fd oT HHIoM reriew iod ypp�aral de requirrd [br Mn}' Tulare &MJUortsrrommgilJon5,jNRafaLianr to sn"W f+alitias ELWur alroelaresidwill JR DreWSTor ]-Icalth Imo]#CpaLrimcntl 4 APP Y D �irFC Dale 0 20 40 GO 9GALF i "=2 C_IG5t DS-Maiin2I491Mikin I49 -E Pian.dwg JUN 0E- EVNV"STEM HE-ALTH DEPARTMENT 9URVrY BY; TS LAND SURVEY N , INC, 2 SVINEffr-E N LANE HARWICH, MA55ACHUSETT-9 02G45 TELEPHOMr. 508 737-8-935 Propos ci 5cwa6je 0I5p05ak 5y5tCM 143 Main 5t, Brewster, NIA CSN Prepared For, P.O. Box 201 Ar#.hsir Arnold Brewster, MA 03631 1 792 Main 5t. Phony'_ (.508) 886-1783 Brewster, MA �E' ENGNEERIN DATE_ 5CALF: l DZ5IGN-. CHFCJC, JOB NO; O�T2412Q23 A5 SHOWN I LJC KM � 2022332 LEGEN EXISTING BPOT GRADE 24xc; PROPO ED SPOT GRAD` EX15TING OONTOUK ---24 P OPOsED CONTOUR ' WATER SERVICE LINE D OVERHEAD UTILITY LINES LJ UNDERGROUND OUND UTILITY LINES CA5 9F OGE LINE -- I — TOP OF BAN -0--0 LIMIT OF WOR EDGE OF GLEAINC FENCE TEST HOLE LOCATION 57 SEPTIC TANK D-5 DISTRIBUTION 15OX �A5 501L AB301 PTION Y5TEM R-er�e R-SERVED FOR FL)TIJU USE UTILITY POLE CATCH 5A51N FIRE 11YE) ANT DPJNKJNG WATER WELL ■ GONGRETF BOUND V,AI IANCF- UQUE5TM Loca4 Upgrade ApprovaL5; 3 10 C M K 1 5.443 Vanaroces= 3 E O CMR 15.22 J General Con5trvct,on ?Cqu�remeni g for All System Gornponenes- 5A5 not <5G' below eradc. G2' hteid 26' Variartce Reqva5t4ad (72' Mauamum) (36' Maodmum) 2,j D -I; x not <3G' below arade. 40' Held 4" Vanance ReztvGfited (72' Maximum) (3G' ammvm) hrmi[ vidW Tor REPA1$ [13SEFMC SY5TLX ONL:y, due Lit Suyid 1—al acplic wierteer. 8n*Fd oT HHIoM reriew iod ypp�aral de requirrd [br Mn}' Tulare &MJUortsrrommgilJon5,jNRafaLianr to sn"W f+alitias ELWur alroelaresidwill JR DreWSTor ]-Icalth Imo]#CpaLrimcntl 4 APP Y D �irFC Dale 0 20 40 GO 9GALF i "=2 C_IG5t DS-Maiin2I491Mikin I49 -E Pian.dwg JUN 0E- EVNV"STEM HE-ALTH DEPARTMENT 9URVrY BY; TS LAND SURVEY N , INC, 2 SVINEffr-E N LANE HARWICH, MA55ACHUSETT-9 02G45 TELEPHOMr. 508 737-8-935 Propos ci 5cwa6je 0I5p05ak 5y5tCM 143 Main 5t, Brewster, NIA CSN Prepared For, P.O. Box 201 Ar#.hsir Arnold Brewster, MA 03631 1 792 Main 5t. Phony'_ (.508) 886-1783 Brewster, MA �E' ENGNEERIN DATE_ 5CALF: l DZ5IGN-. CHFCJC, JOB NO; O�T2412Q23 A5 SHOWN I LJC KM � 2022332 An official website of the United States government Here's how you know United States 14r Environmental Protection MENU Agency Search EPA.gov News Releases: Region 01-https://epa.gov/newsreleases/search/press_office/region-01- 226161> CONTACT US <https://epa.gov/newsreleases/forms/contact-us> EPA Proposes Draft Determination to Protect Cape Cad's Sole Source of Drinking Water; Seeks Public Input on Groundwater Impacts from Proposed Machine Gun Range Project April 27, 2023 Contact Information David Deegan (deegan.dave@epa.gov) (617) 918-1017 BOSTON - The U.S. Environmental Protection Agency (EPA) is issuing a draft determination under the Safe Drinking Water Act that a Multi -Purpose Machine Gun Range proposed to be constructed by the Massachusetts Army National Guard may contaminate the Cape Cod Aquifer, thereby creating a significant public health hazard. There are no reasonably available alternative drinking water sources for Cape Cod residents should the aquifer become contaminated. EPA will accept public comment on this proposal for 60 days, through June 26, and will hold a formal Public Hearing on May 24, 2023. "Cape Cod's Sole Source Aquifer is a public health resource that must be protected," said EPA Regional Administrator David W. Cash. "We have studied the proposed machine gun range very carefully because EPA recognizes the need for our armed forces to maintain readiness and provide training to service members. However, the risk of irreparable damage to the only drinking water source on Cape Cod is too significant." The Sole Source Aquifer Program, used by EPA in making this draft determination, provides EPA a proactive tool to protect this valuable water supply, thus avoiding expensive and consequential cleanups. Should this determination become final, no commitment of federal financial assistance may be allowed. The Massachusetts Army National Guard proposed construction of a new permanent 138 -acre machine gun range at Joint Base Cape Cod. In August 2021, EPA started a review of the proposed project and has now completed an exhaustive 20 -month scientific review of the design and operational plans for the proposed site to evaluate potential impacts to Cape Cod's Sole Source Aquifer. The Safe Drinking Water Act (SDWA) mandates a strong preventative approach where a drinking water supply is highly dependent on a single aquifer, and EPA's draft determination is based on protecting Cape Cod's sole source of drinking water. During the review, EPA has carefully evaluated information submitted by and communicated with the Massachusetts Army National Guard to seek clarifying information, and reviewed thousands of pages of documents. Following this thorough evaluation, EPA has provisionally concluded that the proposed range may contaminate the aquifer, therefore causing a significant public health hazard for more than 220,000 year-round of Cape Cod residents. If the aquifer were contaminated, surrounding areas might need to construct and operate expensive advanced drinking water systems, overburdening communities that already face economic hardships. EPA will open a 60 -day public comment period, from April 27 through June 26. Further, EPA will hold a May 24th public hearing as described more fully below to accept verbal comments. In 1982, the Cape Cod Aquifer was designated as the sole or principal source of drinking water for Cape Cod. As a result, projects proposed to be constructed on Cape Cod receiving federal financial assistance may be subject to a sole source aquifer review, at EPA's discretion, as outlined in the Safe Drinking Water Act. EPA defines a sole source aquifer as one where the aquifer supplies at least 50% of the drinking water in its service area and there are no reasonably available alternative drinking water sources should the aquifer become contaminated. EPA's review focused primarily on the project's potential impacts to the aquifer and was not a comprehensive review of all other potential environmental or public health impacts, such as those evaluated by other agencies through their environmental reviews and their public involvement mechanisms. Protecting Cape Cod's source of drinking water continues to be a high priority for EPA and the many parties involved in the cleanup and management of Joint Base Cape Cod. EPA appreciates the long-standing work of the Massachusetts Army National Guard, including training soldiers to secure the Commonwealth and the nation against many threats. The Environmental Management Commission and the Massachusetts Department of Environmental Protection are also key partners in ensuring environmental and public health protection throughout Cape Cod. Throughout the SSA project review, EPA has coordinated closely with and received input from the Massachusetts Army National Guard, the Massachusetts Department of Environmental Protection, and the state Environmental Management Commission. Public Engagement Process EPA will accept public comments on this proposed decision for 60 days, until June 26, 2023. During this time, the public and interested stakeholders may submit written comments for EPA's consideration. Written comments may be submitted to: RISSAComments@epa.gov. EPA will also hold a public hearing to receive oral comments on May 24, 2023. The public hearing will be held at: Center for Active Living 70 Quaker Meetinghouse Road Sandwich, Mass. The formal public hearing will begin at 7:00 p.m. and will be preceded by a public meeting beginning at 6:30 p.m. Individuals with accessibility or translation requests may contact Metanson.Kate@epa.gov for assistance. All comments timely received will be reviewed and considered by the Region, along with other available information. If, after evaluating this material, EPA's Regional Administrator continues to believe that the proposed project may create a significant public health hazard, he will then forward the information to the EPA Administrator with a recommended conclusion that the project may contaminate the aquifer through the recharge zone so as to create a significant hazard to public health. The EPA Administrator will then make a final determination. Should this determination become final, no commitment of federal financial assistance (through a grant, contract, loan guarantee, or otherwise) may be allowed. More Information: Cape Cod Sole Source Aquifer and EPA documents about this draft determination: https://www3.epa.gov/regioni/eco/drinkwater/capecod.htmi <https://www3.epa.gov/region1/eco/drinkwater/capecod.htmI> Contact US <https://epa.gov/newsreleases/forms/contact-us> to ask a question, provide feedback, or report a problem. LAST UPDATED ON APRIL 27, 2023 lot ��ewsr Town of Brewster 2198 Main Street Brewster, MA 02631-1898 Phone: (508) 896-3701 brewster-ma.gov United States Environmental Protection Agency 1200 Pennsylvania Ave., NW Washington, DC 20460 Via RISSAComments.aepa.Lov RE: Proposed Machine Gun Range at Joint Base Cape Cod Office of the: Select Board Town Manager June 5, 2023 The Environmental Protection Agency analyzed the potential risk to Cape Cod's sole aquifer presented by a proposed multi-purpose machine gun range desired by the Massachusetts Army National Guard on Joint Base Cape Cod. Your agency found that the project has the potential to contaminate Cape Cod's sole water source, a single underground aquifer, creating a significant public health hazard. We concur that the proposed gun range is a threat to all who live, work on, and visit Cape Cod and depend on high quality, safe drinking water. The Brewster Select Board and Town Management strongly oppose the establishment of the proposed machine gun range. Brewster has taken careful steps over decades to protect our municipal drinking water. Because all fifteen municipalities on Cape Cod share a single water source, contamination at Joint Base Cape Cod could spread like a cancer to each Town that depends on the sole aquifer—including Brewster. Thank you for the careful analysis of health risks that you carried out. There is no rationale important enough that could be asserted by the Massachusetts Army National Guard to justify the creation of a credible health threat to the residents of and visitors to Cape Cod. Clean water is essential to human life and it must be the priority. Sincerely, Dave Whitney Select Board Chair, Brewster, Massachusetts ` '\881 IE ~4� $ � IE %w 0 D 9Fhn = 0 8- RPORPapD~ n i i� Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth- i r -brewster-ma... ov WWW.BREWSTER-MA.GOV I/A System Discussion Summary November 16, 2022 BOH Meeting Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant I/A Technology: - BOH Chair Graczewski explained her research on the current Health Department list of properties serviced by I/A systems compared to the number of properties listed on the County I/A database. There is a discrepancy between the two lists which the Chair volunteered to research and reconcile. An updated list needs to be generated before the Board and Health Department staff can start the process of enforcement of the Brewster I/A systems that are currently out of compliance. - BOH Chair offered a suggestion to use the list of addresses received on a monthly basis from the County database as a starting point for generating a list of noncompliant I/A systems. The majority of members supported the use of the monthly lists for prioritizing enforcement for noncompliance. - The Board discussed the availability of reference maps that delineate the watersheds and the individual lots in Brewster. Member Pearson stated the Cape Cod Commission MVP Watershed Map WatershedMVP I Cave Cod Commission provides that information and is readily available through their website. - Recommendations suggested for enforcement of noncompliant I/A systems: o Prioritize list of violation systems i.e. systems in DCPC, Zone IIs, within 300' of freshwater ponds o Member Holeman and Chair Graczewski offered to research Health Department files for the history of the I/A system to determine the conditions of the original approval. o Member Bennett offered to create a flow chart for research purposes. He suggested restricting the look back period to two years for noncompliant laboratory data, and the focus for enforcement should be the worst performing systems. Brewster I/A Monitoring Regulation: - A copy of the Falmouth I/A supplemental regulations was provided to the Board for review. The Falmouth regulations also provide thresholds for tiered mitigation measures when septic systems cannot meet the minimum setbacks i.e. separation distances to wetlands. - Revisions to be discussed in the Brewster regulation: N:\Health\BOH Meeting Notes\BOH Hearing Notes\BOH Hearing Notes 06.21.23.docx -1- o Current fines of $30, $60, $90, and $120 is not strict enough to encourage compliance with the system owners o Lab results to be submitted within 15 days of monitoring events is not reasonable due to limited capacity of available certified laboratories. o Future I/A approval conditions need to include sampling of the sewage influent to determine if the I/A system is performing to the approved standards. Effluent results may be above the recommended limits because the influent nutrient load is higher than normal and not a result of the system not functioning properly. N:\Health\BOH Meeting Notes\BOH Hearing Notes\BOH Hearing Notes 06.21.23.docx -2- Brewster I/A Systems N:\Health\IA Information\BOH IA Enforcement Information\Brewster IA Systems Spreadsheet 2023 Number) Street Ma /Parcel Brand DEP Approval Year Nutrient Reduction Nutr. Limit ESA O&M Contract Compliance Notification 1271 Beach Plum Lane 96/63 Bioclere Provisional y 306 Blueberry Pond Drive 101/lOD Presby General 2013 BOH and DEP d/c Inspection rqrmnt 30 Brewster Woods Road 56/75 Bioclere General 2021 >2000gpd - Ch. 40B development exempt } Y 200 Brier Lane 48/45 Perc-Rite Remedial 19 Burning Bush Way 33/267 Bioclere Provisional 34 Captain Connolly Road 19/29 Perc-Rite General historically non- compliant 10/2021 BOH hearing 5 Carson's Way 47 Carson's Way 23/60 23/63 iMicro Fast 0.9 H600A H -Series Hoot General _ Water Quality Reg (Zoning) -_4 or more dwellings d/c> 2000 gpd Y 60 Carson's Wa 23/64 Micro Fast 0.9 General Water Quality Reg (Zoning) - 4 or more dwellings d/c> 2000 gpd Y 56 Carson's Way 23/65 Micro Fast 0.9 General Water Quality Reg (Zoning) - 4 or more dwellings d/c> 2000 gpd Y 14 Carson's Way 23/67 Micro Fast 0.5 General Water Quality Reg (Zoning) - 4 or more dwellings d/c> 2000 gpd Y , 26 Carson's Way 23/68 Micro Fast 0.5L General Water Quality Reg (Zoning) - 4 or more dwellings d/c > 2000 gpd Y 35 Carson's Way 23/62 Micro Fast 0.5 General Water Quality Reg (Zoning) - 4 or more dwellings d/c> 2000 gpd Y 40 Carson's Way 23/66 Micro Fast 0.5 General Water Quality Reg (Zoning) - 4 or more dwellings d/c > 2000 gpd Y i 19 Cedar Hill Road 38/20 Perc-Rite 40 Cranview 300 Foster Road 38/74 79/25 Waterloo Biofilter Micro Fast 0.5 Pilot _ General 2018 Phosphorous 300' Elbow Pond, Bog, GW@ 4.5' County No 75 Johnson Cartway 61/20 Perc-Rite General 1581 Jonathan's Way 95/7 ISingulair General wl N 85 Hamilton Cartway 93/9 Advantex A20 88 Hamilton Cartway 93/11 Micro Fast/ Drip Dispersal 40 Konohassett Cartway 72/25 Micro Fast 0.5 General 495 Long Pond Road 85/111 Septi -tech General 1597 Long Pond Road 94/93 Bioclere Provisional 15 Lower Road 37/1 Micro Fast 4.5 General 2006 Nitrogen 25 ppm 300' to saltmarsh/test ever 3 earsY No 5401 Main Street 26/7 Micro Fast w/ UV General w/ N F 2907 Main Street (Ocean Edge) Am hidrome Pilot 54Mate's Way 18/32 Sludge Hammer 39 McGuerty Road 94/75 Micro Fast 0.5 General 2018 Nitrogen 19 or 25 pp Zone II/DCPC not addressed Y No 56 McGuerty Road 94/88 Singulair Pilot 2002 Nitrogen Zone II Yes ? i No 26 Nancy May Path 91/14-801 Perc Rite 78 Old Red Top Road 12/72 Sin ulair Remedial w/ N i �! 160 Old Red Top Road 12/44 Sin ulair 1pilot 85 Old Owl Pond Road 137/75 Perc Rite 65 Pell's Fishing Road 125/50 White Knight 255 Robbin's Hill Road 298 Robbin's Hill Road 17 Russell's Path 0 Sachemus Trail 50 Sarah Maker Lane 18 Samoset Road 38/58 38/80 85/73 78/ 85/138 85/134 Perc Rite Advantex AX25RT Waterloo Biofilter Bioclere w/ Cultex LF Micro Fast Micro Fast Provisional General Provisional 2005 Nitro en Zone II Yes ? — Yes N:\Health\IA Information\BOH IA Enforcement Information\Brewster IA Systems Spreadsheet 2023 Brewster I/A Systems 120 Satucket Road 13/103 Singulair 960 NR 50 Sea Meadow Lane 37/71 Micro Fast 6 Seaman's Lane 12/71 Micro Fast 0.5 53 Sheep Pond Circle 73/11 Biotube ProPak Pump 42 Six Penny Lane 37/29 Micro Fast Remedial 157 South Orleans Road 142/102 Septi -tech M3000N 8421 Stony Brook Road 35/46 1 Micro Fast Remedial 75 Swift Lane ISludge Hammer 19 Thousand Oaks Drive 107/21 Advantex Provisional Nitrogen Zone II No No 54 Thousand Oaks Drive 108/23 Micro Fast Trevor Lane (Ocean Edge) White Knight 42 Warren's Road 38/75 Perc Rite 120 Woodlands Lane (PBA Living) 143/12 Am hidrome 831 Greenland Pond Road N:\Health\IA Information\BOH IA Enforcement Information\Brewster IA Systems Spreadsheet 2023 a�ws TOWN OF .BREWSTER OFFICE. OF pFO r HE.ALTH_DEPARTMENT 2198 MAIN STREET 3 .BRE\i'SrER, MA 02631 PHONE (503) 896-3701 Ex -r 1120 FAX: (508) 896-4538 �rai�unaa�` BRI iEA.I..TF l@B RF.. W STEi2-MA. GO V LOCAL REGULATION TO SUPPLEMENT TITLE 5 STATE ENVIRONMENTAL CODE MONITORING OF INNOVATIVE/ALTERNATIVE ON-SITE SEWAGE TREATMENT SYSTEMS 1. Authority — In considering the permitting and use of various alternative septic treatment technologies in the Town of Brewster, the Brewster Board of Health recognizes that there may be specific local circumstances which warrant the Board to require more stringent conditions for the installation and monitoring of these alternative systems than may be required by the Massachusetts Department of Environmental Protection. As allowed under Massachusetts General Laws, Chapter 111, Section 31 and as permitted by 310 CMR 15.003 (3), 15.285 (2), 15.286 (5) and 15.288 (4), the Brewster Board of Health hereby adopts the following regulations concerning all innovative/alternative sewage treatment technologies and all systems where the soil absorption system is designed for pressure distribution of effluent. 2. Purpose —The purpose of this regulation is to provide a greater degree of protection to environmental and public health, to protect groundwater from contamination, prevent the spread of disease and provide specific reporting and monitoring requirement for the use of innovative/alternative sewage treatment technologies and pressure -distribution systems. 3. Monitoring Requirement — The Brewster Board of Health hereby requires that all owners and operators of innovative/alternative sewage treatment technologies and pressure -distribution systems approved for use in Brewster submit for approval to the Board of Health a proposed monitoring and reporting plan to evaluate the performance of the system. This plan shall include a description of any long-term operation or maintenance requirements of the alternative system and any education, financial assurance or other mechanism proposed to ensure effective long-term operation and maintenance. 4. Reporting of Monitoring and Maintenance Results — The Brewster Board of Health hereby requires that owners and operators of all innovative/alternative sewage treatment and pressure -distribution systems shall report the results of all operation, maintenance and monitoring activities required by the foregoing . provision or by the Department of Environmental Protection to the Brewster Board through the Barnstable County Department of Health and Environment. Such reporting must be performed in the manner specified by the Board of Health in imposing the monitoring requirement or in the form approved by the Barnstable County Department of Health and Environment and must occur within 15 days after each maintenance or monitoring event. 5. Reporting of Malfunctioning Systems —The Board of Health hereby further requires that when a system operator performs a system inspection and finds that a sewage treatment technology has malfunctioning components which have comprised the system's ability to treat sewage as designed, the operator shall report on the system's status and any planned corrective action, including a proposed deadline W WW.TOWN.BREWSTER.MA.US for said corrective action, to the Brewster Board of Health and the Barnstable County Department of Health and Environment within 48 hours of inspection. 6. Malfunctioning Systems — If at any time a monitoring or maintenance report indicates that an innovative/alternative system or system using pressure distribution is in need of corrective action, the Brewster Board of Health may hold a hearing to inquire as to whether corrective action is needed. If at such hearing, the Brewster Board of Health determines that such system is in need of corrective action, it may take enforcement action, including but not limited to the imposition of fines, orders to take corrective action or cease operation of the system, or any other action otherwise necessary to protect public health, safety, welfare and the environment. 7. Right to impose Additional Conditions Reserved — The Brewster Board of Health hereby reserves the right to impose any additional conditions, effluent water quality standards and/or monitoring and reporting requirements it views as necessary to ensure the safe performance of any innovative/alternative sewage treatment systems and all pressure -distribution systems permitted within the Town of Brewster. Such conditions may include, without limitation, specification of site or effluent characteristics; flow limitations; monitoring, testing and reporting requirements; a requirement that a certified operator operate the system; or financial assurance mechanisms. 8. Certified Operator Requirement — If a condition of approval for an innovative/alternative system or pressure -distribution system is that it be operated by a certified systems operator, the owner or operator shall provide the Brewster Board of Health with documentation verifying that said system will be operated by an operator certified by the Board of Certification of Operators of Wastewater Treatment Facilities pursuant to the provisions of Massachusetts General Laws, Chapter 21, Section 34A. A list of such certified operators doing business within the Town of Brewster shall be on file with the Brewster Board of Health for inspection or examination by any person. 9. Enforcement — In addition to the remedies described in the preceding sections, the Board of Health may enforce this regulation or enjoin violations thereof through any lawful process, and the election of one remedy shall not preclude enforcement through any other lawful means, including but not limited to the following: Whoever violates any provision of this regulation may be penalized by indictment or on complaint brought in the district court. Except as may be otherwise provided by law and as the district court may see fit to impose, the maximum penalty for each violation shall be a fine of not more than $1,000. Whoever violates any provision of this regulation may be penalized by a non -criminal disposition process as provided in Massachusetts General Laws, Chapter 40, Section 21D and the Town's non -criminal disposition bylaw. If non -criminal disposition is elected, then any person who violates any provision of this regulation shall be subject to the following penalties: • A fine of $30.00 for a first offense not corrected within 60 days of notice of the violation; • A fine of $60.00 for a second offense or failure to correct a prior offense within 120 days of notice of the violation; • A fine of $90.00 for a third offense or failure to correct a prior offense within 180 days of notice of the violation; • A fine of $120.00 for a fourth or subsequent offense or failure to correct a prior offense within 240 days of the notice of violation; and • An additional fine of $120.00 for failure to correct after each additional offense or 60 day period thereafter until compliance is met. Each day any violation exists shall be deemed to be a separate offense. Dr. Carmen Scherzo, Chairman Joe Ford Dr. Mary Chaffee Annette Graczewski Anne Bittner Board Of Health Adopted: December 20, 2005 Effective: Upon publication Amended: November 15, 2017 Effective: December 1, 2017 IIA Systems Enforcement Flow Chart Did TN values Stop exceed 30 mg/ L Research BOH Regulation Is property outside Zone II/DCPC or 100' of wetland Is in future NSA Stop BOH issue letter of violation for BOH hearing BOH hearing corrective actions N/Health/BOHmeetingnotes/IAsystemsenforcementflowchartdraft Was >30 consistent Continue hearing 60 days to resolve document Enforcement j Stop k% Non -Compliant Innovative/Alternative Septic System Referral Summary Barnstable County Department of Health and Environment P.O. Box 427, Barnstable, MA 02630 Christian Diaz Avalo 7 Thousand Oaks Drive Brewster, MA 02631 Referral Summary On 6/07/2022 an email was received from the Operator that the owner did not renew their O&M and a letter of non- compliance was sent on 6/21/2022. On 7/14/2022 another letter of non-compliance was sent via certified mail. The certified letter signature card was received back 7/21/2022, USPS shows delivered/signed for on 7/16/2022. As of today, August 11, 2022, the owner is still out of compliance. Contact Chronology 07/14/2022 - Letter sent via certified mail #70220410000021146675. 06/21/2022 - Letter sent via standard mail. Documentation The attached documents are copies of the correspondence sent to the owner. The originals are available if needed. Barnstable County Regional Government of Cape Cod Department of Health and Environment innovative/Alternative Septic System Management and Compliance June 21st, 2022 Christian Diaz Avalo 121 Sheffield Road Brewster, MA 02631-2847 RE: Operation and Maintenance Contract for the Innovative/Alternative Septic System Installed at 7 Thousand Oaks Drive in the town of Brewster. Dear Christian Diaz Avalo, Our records indicate that the operation and maintenance contract with J.M. O'Reilly and Associates, Inc. for your innovative/alternative wastewater treatment system may have expired or was canceled as of June 7th, 2022. 1 am writing to remind you that the Massachusetts Department of Environmental Protection (MA DEP) and the Town of Brewster require you to keep an operation and maintenance (O&M) contract in effect at all times for your system. Information about these requirements maybe found at hbitp Aeptic.barnstablecountyhealth.or,. You can access the list of wastewater operators of whom we are aware do business in Barnstable County. This septic database also provides further explanation about your I/A septic system, as well as any sample and inspection history for the performance of your system, as entered by previous service providers. My department oversees I/A septic system management and compliance efforts for the Board of Health in your town. We are authorized by your Board of Health to contact you to inform you of the above requirement and to request your compliance. Accordingly, please forward a copy of a signed contract via mail, fax, or e-mail within fifteen (15) days of receipt of this letter. For your convenience, I have enclosed a list of wastewater operators we are aware of that do business in Barnstable County. The firms listed operate multiple types of I/A technologies and are not associated with any particular technology or vendor. Please be advised that if you do not respond within fifteen (15) days of your receipt of this letter by forwarding a copy of a signed contract, you may be referred to the Brewster Board of Health for further enforcement action. I can be reached at 508-375-3645; my fax number is (508)362-2603. 1 can also be reached via email at tracy.long@barnstablecounty.org. Thank you for your prompt attention to this matter. Sincerely, Tracy Long CC: Brewster Board of Health Enclosures (2): Certified Wastewater Treatment System Operators List, Inspection and Testing Requirements BARNSTABLE COUNTY COMPLEX 3195 MAIN STREET / PO BOX 427 BARNSTABLE, MASSACHUSETTS 02630 Phone: (508)375-6613 1 Fax: (508)362-26031 TDD: (508)362-5885 Web: barnstablecountyhealth.org I Twitter: @BCHDCapeCod July 14th, 2022 Christian Diaz Avalo 7 Thousand Oaks Drive Brewster, MA 02631-2651 RE: Operation and Maintenance Contract for the Innovative/Alternative Septic System Installed at 7 Thousand Oaks Drive in the town of Brewster. Dear Christian Diaz Avalo, Our records indicate that the operation and maintenance contract with J.M. O'Reilly and Associates, Inc. for your innovative/alternative wastewater treatment system may have expired or was canceled as of June 7th, 2022. To date we have not received evidence that you have entered into a new operation and maintenance contract. I am writing to remind you that the Massachusetts Department of Environmental Protection (MA DEP) and the Town of Brewster require you to keep an operation and maintenance (O&M) contract in effect at all times for your system._ Information about these requirements may be found at https://septic.barnstablecountyhealth.org. My department oversees I/A septic system management and compliance efforts for the Board of Health in your town. We are authorized by the Brewster Board of Health to contact you to inform you of the above requirement and to request your compliance. Accordingly, please forward a copy of a signed contract via mail, fax or e-mail within fifteen (15) days of receipt of this letter. For your convenience, I am enclosing a list of wastewater operators we are aware of that do business in Barnstable County. The firms listed operate multiple types of I/A technologies and are not associated with any particular technology or vendor. Please be advised that if you do not respond within fifteen (15) days of your receipt of this letter by forwarding a copy of a signed contract, I may refer you to the Brewster Board of Health for further enforcement action. You may be required to appear before the Brewster Board of Health to show cause as to why you have not maintained the required contract. I can be reached at 508-375-3645; my fax number is (508)362-2603. 1 can also be reached via email at tracy.long@barnstablecounty.org. Thank you for your prompt attention to this matter. Sincerely, Tracy Long CC: Brewster Board of Health Enclosures (2): Certified Wastewater Treatment System Operators List, Inspection and Testing Requirements Certified Letter Number: 70220410000021146675 a a ru Ej Return Receipt 0-01 i - ._: PPostmarkO C] Return Racelpt (et -nic) $ _ C3 ❑ cc,5w Man Reamed Dd-Y $ _ — - Here - - t C3 pnduttsl9nat=Req— $ — � Postaga Postage W.". O $ ru Ssnt To ru Christian Diaz Avalo i✓, • .- ,•• - C3 SLaef and/1 v N 7 Thousand Oaks Dr :_______ W, 2 Brewster, MA 02631-2651 v Complete items 1, 2, and 3. ■-TPrint your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the maiiplece, t or on the front if space permits. 1. Article Addressed to: Christian Diaz Avalo 7 Thousand Oaks Dr Brewster; MA 02631-2651 { A. Signature ,, C3 Agent ff 'r E3 Addressee B. Received by (Printed Name) ate D. Is delivery add— from Item 1? es ress di If YES, enter delivery address below: 13 No 3. Service ❑ Priority Mail Express® fI�II�IIII'eII�If11IIIII I��1�II�)II������I�I� •r- artintedMats®Deliveryo ReetrictadDelNeryRegisteredd MalI d Signature nTM Certified Mail Restrloled Delf-Y 11 Signature Confirmation 9590 9402 7403 2055 8065 90 ❑ collect on Denvwy ResM�ed Deman [3colledon Delivery R -tooted Del" 2. Article Number (transfer from servl- labe' ❑ Insured Man 2114 6 6 7 5 ❑ insured man Pmmoted Delivery 71322 Q 41 Q 0000 Ii Domestic Return Receipt P§0-9053 3811, July 2020 PSN 7530-02-000-9053 E w j February 24, 2023 Christian Diaz 7 Thousand Oaks Drive Brewster, MA 02631 RE: Notice of noncompliance 7 Thousand Oaks Drive, Brewster Dear Mr. Diaz Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealthicilbrewster-m -go W W W.BREW STER-MA. GOV Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant This office has learned that the innovative/Alternative septic system installed at the above -referenced location does not have a current Operation and Maintenance contract. 310 CMR 15.287(9) of 310 CMR 15.000: The State Environmental Code, Title 5: Standard Requirements for the Siting, Construction, Inspection, Upgrade and Expansion of On-site Sewage Treatment and Disposal Systems and for the Transport and Disposal of Septage states: "The system owner shall maintain an operation and maintenance contract with a Massachusetts. Certified Operator where one is required by 257 CMR 2.00: Certification of Operators of Wastewater Treatment Facilities, or otherwise with a person qualified to operate and maintain the system in Accordance with the Department's written approval." Therefore, you are noncompliant with 310 CMR 15.000: The State Environmental Code, Title 5, and the Town of Brewster Local Regulation to supplement Title 5, State Environmental Code Monitoring of Innovative/Alternative On -Site Sewage Treatment Systems. In order to bring this Innovative/Alternative system into compliance, you shall enter into a valid Operation and Maintenance contract with a qualified vendor within fifteen (15) day of receipt of this notice. You have the right to a hearing before the Board of Health to show cause why the Board should modify or withdraw this order. If you choose to exercise this right, you must do so, in writing, within seven (7) days of receipt of this letter. If you have any further questions or comments about this matter, please contact me. Our office is open Monday through Friday, 8:30- 4:00PM. Our telephone number is 508-896-3701 ext. 1120. Failure to comply will result in further Board of Health action and/or legal action. Respectfully, Amy von Hone, R.S., C.H.O. Health Director CC: Barnstable County Department of Health and Environment File Certified Mail #7021 0350 0000 0857 7126 N:\Health\IA Information\Non compliance letter 7-9 Thousand Oaks Drive.doc 5dw�le $�BWST a �mpWIM December 29, 2014 Ocean Edge Condominium Trust 9 Reservoir Road Milford, MA 01757 To Whom It May Concern: TOWN OF BREWSTER 2198 MAIN STREET BREWSTER, MA 02631 PHONE: (508) 896-3701 ExT 1120 FAX: (508) 896-4538 BRHEALTH Ct BRE WSTER-MA.GOV OFFICE,OF HEALTH DEPARTMENT This office was notified that the Operation and Maintenance contract for your property at 12-3 Trevor Lane has expired. Please note that you are required to maintain a contract at all times for this septic system. The Board of Health has requested that you attend their next regularly scheduled meeting on January 6, 2015 at 7:OOPM to discuss this matter. Please confirm the date and time with this office. Sincerely, Tammi Mason Senior Department Assistant Brewster Health Department Town of FalmouthBoard of HealthL FUR -15.0 SUPPLEMENTS TO 310 CMR 15.000: THE STATE ENVIRONMENTAL CODE TITLE 5 15.1 PURPOSE AND AUTHORITY: The Falmouth Board of Health adopts these regulations in accordance with Massachusetts General Laws, Chapter 111 Section 31, Chapter 21A Section 13, and the regulations contained within 310 CMR 15.000 et seq. (as amended in 1995) to provide for the protection of public health and the environment. The supplements to 310 CMR 15.000 are adopted due to the unique conditions in Falmouth including, among others, nitrogen in the Town's embayments rapidly percolating soils, the abundance of recreational and shellfish harvesting resources, extensive fresh water and salt water wetlands, public drinking water supply wells, and the occasional presence of private drinking water wells. 15.2 CONDITIONS THAT SHALL APPLY TO THE INSTALLATION OF ALL SEPTIC SYSTEMS:, 1. Septic Systems on Lot Served. All septic systems and septic system components designed to dispose of sanitary wastes shall be constructed on the same lot as the structure or structures that they serve except that shared systems pursuant to 310 CMR 15.290-291 shall be allowed. No easements or right-of-way for the installation, maintenance or service of any septic system on a different lot than the lot to be served shall suspend, diminish or invalidate this regulation. 2. Manhole Covers and Risers. a. All septic tanks, cesspools, pump chambers, and leaching pit covers on existing and new individual sewage disposal systems shall be of sound and durable materials. Cement covers used below grade shall be a minimum of twenty (20) inches in diameter and free of all cracks and chips and in good repair. b. Septic system covers at grade level shall be of material capable of supporting a minimum of H-10 loading. Covers shall be set flush to the ground and not tilt when stepped on. The rim of a manhole cover shall be firmly attached to the component or riser, and the cover be removable only with the use of some type of implement. c. If portions of a septic system are not replaced during an upgrade, such as reusing a septic tank, that component must also have risers installed. d. H-20 load rated covers not at grade must have a "special" ring and cover to allow for easier removal of the covers during servicing and inspection while maintaining sufficient strength for H-20 loading. e. All covers for all septic tanks, distribution boxes and inspection ports must have magnetic tape or suitable substitute firmly secured to each riser/cover to allow for locating them in the future. 3. Distribution Boxes. All distribution boxes must have an H-20 load rating. 4. Observation Ports Required on Leaching Facilities. FA Town of Falmouth Board Of Health A minimum of two (2) observation ports, enabling the inspection of effluent ponding levels, shall be installed in each leaching facility. The observation port shall have a minimum two-inch diameter and shall extend from the bottom of the leaching facility to within three (3) inches of final grade. All observation ports shall have securely sealed caps. If installed below grade, a metal object that will allow detection with a metal detector shall be placed immediately on top of the end cap. The location of all observation ports shall be noted on the septic plan and accurately indicated on an as -built illustration. Any structure, such as a gallery or chamber, having an observation port extended to within six (6) inches of surface grade may substitute for a separately installed observation port, provided that at least two (2) ports are present and are evenly spaced in the soil absorption area. All observation ports shall be labeled or otherwise marked to provide identification and prevent misuse. 5. Engineered Plans. a. The locus of the property on which a septic system is proposed shall be provided on the septic system site plan. The locus shall identify the nearest intersection and nearest three (3) streets to the locus. A separate sheet containing the locus shall not satisfy the requirement of this regulation. b. An electronic copy of the approved plan, in a format specified by the Health Department, shall be submitted to the Board of Health prior to the issuance of a certificate of compliance. 6. As -Built Illustrations. a. At the time of final inspection, a legible as -built illustration that shows the location of all components of a septic system shall be signed by the installer and submitted to the Health Department. Each reference on the illustration shall contain, at a minimum, the distance from two (2) points on permanent structures for each of the following: all observation ports, the center of two (2) manholes for all tanks or watertight structures, the four (4) corners of the leaching facility or the beginning and end of each trench if applicable. The as -built illustration shall be submitted to the Health Department on a 5"x7" card, and a copy of the as -built illustration shall also be supplied to the homeowner. b. In situations where the vertical separation distance of the bottom of the stone beneath the soil absorption system is within six feet of high groundwater in soils with a percolation rate of more than two minutes per inch and within seven feet of high groundwater in soils with a percolation rate of two minutes or less per inch, the system's final elevations must be certified by the septic engineer/designer and submitted to the Health Department. In these cases, the elevations shall be determined using the North American Vertical Datum of 1988, or any datum that supersedes this system. 15.3 APPROVAL OF ALTERNATIVE ONSITE SEPTICSY TS EMS: 1. Purpose. In certain situations, alternative septic systems, when properly designed, constructed, operated, and maintained, may provide enhanced protection of the public health and the environment. Notwithstanding the sound technical basis of many alternative technologies, the Falmouth Board of Health seeks, through these regulations, to ensure that those alternative on-site septic systems installed within its jurisdiction are operated in compliance with the appropriate Commonwealth of Massachusetts approvals for these technologies. In addition, by ensuring the completion of all required monitoring, the Board of health 2 Town of Falmouth Board of Health s - seeks to gain information on the efficacy of such technologies and modify its approval process accordingly. 2. Definitions. Alternative Onsite Septic Systems (I/A's) / Enhanced Nitrogen Removal Systems. Systems designed to provide or enhance on-site sewage disposal which either do not contain all of the components of an on-site disposal system constructed in accordance with 310 CMR 15.100 through 15.255 or which contain components in addition to those specified in 310 CMR 15.100 through 15.255 and which are proposed to the Falmouth Board of Health and/or the Massachusetts Department of Environmental Protection (MADEP), or an agent authorized by the MADEP, for Remedial, Pilot, Provisional, or General use approval pursuant to 310 CMR 15.280 through 15.289. Corrective Actions specific to Alternative Onsite Septic Systems. Corrective action shall include, at minimum the following: • A review of previous maintenance records and notes including the maintenance checklist; • A review of water records for the home and all facilities serving the system identified as nonfunctioning; • A verification that all water fixtures in the residence are sound and without leaks; • A review with the homeowner and record of water use patterns, cleaning products, etc.; • In the case of inadequate denitrification, a measure of alkalinity at the discharge point shall be taken and recorded; • A review with the homeowner of the proper use of the system including practices recommended by the manufacturer; • A consultation with the manufacturer of the treatment technology and a completion of any manufacturer recommendations; • A report to the Board of Health on the actions and findings; Should these corrective actions not result in findings that needed to be corrected and result in satisfactory system performance in accordance with the Board of Health Requirements, the maintenance provider's Corrective Action shall additionally include the performance of further diagnostic investigations that shall include, at minimum: • Dissolved oxygen measurements at appropriate locations in the treatment train; • Further in-depth listing of cleaning products used in the residence; • Other actions that may be prescribed by the manufacturer of the treatment technology. • A detailed report to the Board of Health on all consultations, actions and measurements taken. Seasonal Dwelling A dwelling unoccupied for three or more consecutive months in any one-year period. 3. Application Requirement. a. All applications for disposal system construction permits involving the use of alternative septic system components purporting enhanced treatment shall be submitted to the Board of Health which shall hold a hearing to consider their approval. No abutter notification shall be required for this •P Town of Falmouth L Board ®f Health approval except as otherwise required. The Board of Health may deny the use of an alternative septic system if in its opinion the installation of said system is not in the interest of public health. b. All applications for alternative septic systems shall be accompanied by a copy of the MA DEP Approval Letter appropriate for the technology indicating the level of approval (General Use, Remedial Use, Provisional Use, Piloting Use, or Site -Specific Pilot Approval). c. All applications submitted under Piloting Approval shall be accompanied by performance data from all piloting sites where the alternative system has been similarly configured. 4. Requirements on Plans pling ports appropriate for obtaining a representative sample All alternative septic systems shall have sam and that are easily accessible and secured from unauthorized tampering. The design plans incorporating the use of alternative septic systems shall contain a clear illustration of all sampling ports, accompanied by an illustration and explanation for their use. 5. Monitoring Requirements. The following monitoring requirements shall apply to the Town of Falmouth except that areas designated under an approved Targeted Wastewater Management Plan OR A Comprehensive Waste Water Plan shall follow all the requirements set forth by Mass DEP and the Responsible Management Entity of the Town of Falmouth. Also the following requirements are in addition to those stated in the Mass DEP Approval Letter for specific technologies. a. The system effluent of all Innovative/Alternative (UA) septic systems installed for the purpose of nitrogen reduction must undergo an initial probationary period of two years, during which the system shall be sampled and analyzed quarterly for parameters indicated by the Board of Health. Seasonally occupied homes shall be sampled two or three times during periods of occupancy with a minimum of six weeks between samples until eight measurements have been made. b. Excluding the first quarter, if at any time thereafter during this initial sampling period a value exceeds the permitted level of any contaminant by greater than 25%, the maintenance contractor must notify the property owner, the Board of Health, and the Barnstable County Department of Health and Environment within 48 hours of receipt of the laboratory results, determine a plan for additional sampling, and initiate corrective actions referenced in FHR 15.3.2 within 30 days. Should these corrective actions not result in findings that needed to be corrected and result in satisfactory system performance in accordance with the Board of Health requirements, the maintenance provider's corrective action shall additionally include the performance of further diagnostic investigations that shall include at the minimum: • Dissolved oxygen measurements at appropriate locations in the treatment train • Further in-depth listing of cleaning products used in the residence • Other actions that may be prescribed by the manufacturer of the treatment technology • A detailed report to the Board of Health on all consultations, actions and measurements taken st include the results of all follow-up samples taken, and c. Reported results of corrective actions mu must be submitted within 60 days from the initial non-compliant value. 4 FA4 Town of Falmouth Board ®f Health 6. Probationary Period. The probationary period shall conclude after two years of consecutive quarterly measurements, or in the case of seasonal homes after eight samples taken during periods when the home is occupied, if the following requirements are met: a. No more than two measurements of the primary parameter, as defined by the Board of Health approval letter, exceed the permitted value by more than 25% and b. The average of the eight measurements is equal to or less than the value permitted for the use of the technology. Samples taken in conjunction with the corrective actions referenced in FHR 15.3.2 shall not count toward the eight consecutive quarterly samples except that a sample resolving the deficient performance sample may be substituted for the failed sample from that quarter. 7. Reduction of Testing Schedule. Following successful completion of the probationary period, the applicant may petition to the Board of Health for a reduction of the testing schedule, provided that all of the permitted requirements have been satisfied, except in cases superseded by Mass DEP requirements. S. System Failure. If the Board of Health determines that a system is in failure it may at its discretion mandate corrective actions as defined in FHR 15.3.2 and may additionally include system upgrades or replacement. The system will be considered in failure if at the end of the probationary period or following a reduced schedule of testing the concentrations of the permitted parameters repeatedly fail to meet the system requirements through either standard sampling results or through the use of mass loading calculations as defined in FHR 15.3.9. 9. Calculating Compliance Using Mass Loading Calculations. a. If the UA system is considered to be failed using standard sample results, compliance may still be achieved if it can be demonstrated by use of influent concentration of total nitrogen (TN) and/or concurrent documented reduced water use that the system meets or exceeds the permitted reduction in nitrogen loading. For example, in a system permitted at 19 mg/l TN, the system would need to meet or exceed a 50% reduction in TN, a system permitted at 12 mg/1 TN would need to meet or exceed a 70% reduction in TN, and a system permitted at 10 mg/1 TN would need to meet or exceed a 75% reduction in TN. b. Information required for use in this alternate means for determining system performance shall include: • Influent TN concentration and the means by which this value was determined; • Concurrent water use records in the form of a statement from the Falmouth Water Department; • The number of occupants during the period of consideration; • Any additional information the applicant considers relevant to the explanation of system performance. c. When it is not feasible to obtain a system influent TN concentration, a qualified wastewater professional may submit information for consideration for alternate means of determining system performance, which shall be considered by the Board of Health. y•F Town Of Falmouth Board Of Health ll 10. Reporting Requirements. Any person or entity that owns an alternative on-site septic system or septic system with pressure distribution in Falmouth shall cause the results of all monitoring and inspections to be submitted to the Barnstable County Department of Health and Environment in a format designated by that department. All reports regarding maintenance, monitoring, or inspections of alternative septic systems or systems with pressure distribution shall be submitted within thirty (30) days of the time when the maintenance, inspection, or monitoring was performed. 11. Notification with Registry of Deeds. No certificate of compliance for a septic system that incorporates an alternative septic system that has any regular inspection or service requirement under the MA DEP Approval Letter shall be issued until the applicant has filed with the deed for the property a notice indicating the presence of an alternative septic system and the requirement for a service contract for the life of the system. 12. Requirement for Use of Shared Systems. All subdivisions subject to the requirement of denitrification by any Board or Commission in the Town of Falmouth, shall be required to construct a shared septic system as defined in 310 CMR 15.002 and shall meet a limit of twelve (12) mg/l TN at the point where the treatment unit discharges to the soil absorption system. Individual on-site denitrifying septic systems shall be prohibited in subdivisions subject to denitrifying requirements. 13. Requirement for Accessory Apartments. If an UA system is required to meet the Falmouth Accessory Apartment Bylaw, that UA system shall achieve a limit of 12 mg/L Total Nitrogen (TN) or achieve 70% TN removal. 15.4 CONDITIONS THAT SHALL APPLY TO PRESSURE DISTIBUTION SYSTEMS: All systems with pressure distribution shall be designed in accordance with the most recent guidelines for the design and construction of pressure -dosed systems as available through the Massachusetts Department of Environmental Protection. 1. The calculations for the sizing of pumps, diameter of discharge orifices, diameter of all wastewater conveyance lines, and the spacing of orifices shall be provided at the time of application for a disposal works permit. The permit application shall be considered incomplete until this information is submitted. 2. The report from the mandatory annual inspection (required under 310 CMR 15.254) of all systems with pressure distribution shall be submitted to the Barnstable County of Health and Environment in a format designated by that Department. 15.5 VARIANCES: 1. General Requirements. a. Variances may be granted only as follows: The Board of Health may vary the application of any provisions of this regulation with respect to any particular case when, in its opinion, the applicant has demonstrated that: 6 Town of FalmouthBoard of Health The enforcement thereof would do manifest injustice after considering all the relevant facts and circumstances of the individual case; and • A level of public health and environmental protection, that is at least equivalent to that provided under these regulations, can be achieved without strict enforcement of the provision of the regulation from which a variance is being sought. b. Every request for a variance shall be made in writing and shall state the specific variance requested and the reasons therefore. All variances required shall be noted on the plan and specify which requirement of in 310 CMR 15.000 or Falmouth Board of Health regulation(s) cannot be met. Any variance granted by the Board of Health shall be in writing. Any denial of a variance shall also be in writing and contain a brief statement of the reasons for the denial. A copy of any variance granted shall be available to the public at all reasonable hours in the office of the Town Clerk or the Health Department while it is in effect. c. Any variance or other modification authorized to be made by these regulations may be subject to such qualification, condition, revocation, suspension or expiration as the Board of Health expresses in its grant. A variance or modification authorized to be made by these regulations may otherwise be revoked, modified, or suspended, in whole or in part, only after the holder thereof has been notified in writing and has been given an opportunity to be heard in conformity with the requirements of 310 CMR 11.00 for orders and hearings. d. All variances to Title 5 granted by the Board of Health shall be recorded at the Barnstable Registry of Deeds in the chain of title of the subject property. The cost of recording shall be paid by the applicant. A copy of the recorded variance shall be returned to the Health Department. Variances shall be valid for two (2) years unless a certificate of compliance for the associated construction works permit application has been obtained. 2. Abutter Notification. For the purpose of notifying property abutters required by an action of the Board of Health as provided by Massachusetts General Laws or a Commonwealth of Massachusetts Regulation, abutters to a property shall include all owners of property falling entirely or in part within a one hundred (100) foot radius taken from any point on the property line of the subject lot. Abutters shall be identified through a certified list of abutters obtained from the Falmouth Board of Assessor's and said list shall be presented at the Board of Health hearing as evidence that the abutters have all been properly identified. 3. Standard Conditions. The following conditions may be applied to variances granted from the requirements of Title 5 and these regulations. The Board of Health shall have the discretion to apply the conditions as they deem appropriate. The purpose of these conditions is to obtain the same degree of environmental protection as would have been provided if the system conformed to Title 5 or this local regulation_ The Board may add other conditions which it deems necessary to mitigate environmental damage considering all the relevant facts and circumstances of the individual case. For any variances, the Board of Health may require: a. The installation of flow-restrictor devices on all faucets and shower fixtures in the house. b. A retrofitting of the toilets in the house to low-volume flush toilets in addition to the placement of flow-restrictor devices on all faucets and shower fixtures in the house. c. Design changes to the proposed plan which reduce the application rate of the septic effluent. 7 Town of Falmouth Board Of Health d. That there shall be no increase in the number of bedrooms or rooms that could be adapted for use as an additional bedroom. A bedroom is defined in DEQE (now DEP) correspondence 935-2160, dated 22 October 1985, which states "Bedroom" means any portion of a dwelling which is so designed as to furnish the minimum isolation necessary for use as a sleeping area and includes, but is not limited to, bedroom, den, study, sewing room, but does not include kitchen, bathroom, dining room, halls or unfinished cellar. e. That the existing system must be pumped dry and filled with clean soil before the new system is in service, or the system removed and the resulting void filled. C That the excavation area must be adequately shored during construction so as to prevent the roadway or abutting property from caving in or being undermined. g. That the septic tank must be pumped at least every five years or as determined by inspection in compliance with 310 CMR 15.351. h. That no garbage grinder shall be allowed. i. That the leaching area must be redesigned to provide a distribution line to each leaching component. j. That wells near the property must be moved to meet the one hundred (100) foot lateral separation. k. That irrigation wells located within fifty (50) feet must be decommissioned and their use discontinued. 4. Penalties. Penalty for failure to comply with any provision of this regulation shall be governed by Massachusetts General Laws, Chapter 111, Section 31. Each day's failure to comply with an order shall constitute a separate violation. Further, the Board of Health, after notice to and after a hearing thereon, may suspend, revoke, or modify any permit issued hereunder for cause shown. 15.6 SEPTIC SYSTEM LOCATION AND CONSTRUCTION — SEPTIC SYSTEMS NEAR SURFACE WATERS AND WETLANDS: Purpose: On-site sewage disposal systems designed to meet 310 CMR 15.000 have not proven to be adequate protection from viruses, pathogens, and other contaminants of groundwater and surface water, particularly in areas where there is a lack of filtration due to rapidly percolating soils. Scientists have observed virus entrainment in groundwater to distances of greater than two hundred (200) feet from where they were introduced to the subsurface through a conventional on-site sewage disposal system. In saturated groundwater flow, viruses can travel unattenuated in medium -to -coarse sands for distances exceeding the minimum requirements set forth in 310 CMR 15.211. Human consumption of viruses, pathogens and other contaminants which enter shellfish resource areas, swimming areas, and/or within zones of contribution to public water supply wells can place the public at risk to disease. 1. Prohibition of Systems Within One Hundred (100) Feet of Resource Areas That Serve New Construction. No septic system leaching facility serving new construction (as defined in 310 CMR 15.002) shall be constructed within one hundred (100) feet of a surface water or wetlands (as defined in 310 CMR 15.002) or within one hundred (100) feet of a water body or a bordering vegetated wetland (as defined in 310 CMR 10.000). Further, no system shall be located on a coastal beach, barrier beach, or dune (as defined j•F Town ®f Falmouth Board of Health in 310 CMR 10.000). The minimum distance of a completely sealed septic tank shall be fifty (50) feet from a surface water or wetland as defined above. 2. Conditions That Shall Apply to Repair of Septic Systems Within One Hundred (100) Feet of Surface Waters or Wetlands. The following conditions shall be required for the repair of those septic systems proposed within one hundred (100) feet of surface waters or wetlands. These regulations proceed on the principle that localized hydraulic loading resulting from gravity fed soil absorption systems results in decreased hydraulic retention, decreased wastewater treatment, and removal of pathogens. This situation compromises the public health near sensitive receptor sites such as surface waters, including wetlands. This regulation incorporates the principle that increased vertical separation between the bottom of the soil absorption system, afforded by pressure distribution networks, or alternative technologies, may compensate for horizontal setback deficiencies. Accordingly, where the health agent has determined that all feasible means have been taken to minimize the incursions toward the resource area, the following design features shall be incorporated. Notwithstanding the incorporation of the following design features, the health agent may, at his/her discretion refer any plan to the Board of Health for a hearing when, in their opinion, the applicant has not adequately demonstrated that all feasible means have been taken to minimize excursions toward resource areas. a. Where no increased design flow is proposed and where the bottom elevation of the soil absorption system (SAS) is greater than ten (10) feet from the adjusted seasonal high groundwater and where the maximum achievable horizontal separation between the SAS and a surface water or wetland is at least fifty (50) feet, but less than one hundred (100) feet, the applicant shall demonstrate that they have achieved the maximum separation between the SAS and the resource area, and the approval shall be subject to the conditions of FHR 15.5.3 a, d, g, h, i, j, and k. b. Where no increased flow is proposed and the bottom elevation of the SAS is less than ten (10) feet but at least five (5) feet from the adjusted seasonal high groundwater (but is otherwise in compliance with 310 CMR 15.242) and where the maximum achievable horizontal separation between the SAS and a wetland or surface water is at least seventy-five (75) feet but less than one hundred (100) feet, the applicant shall demonstrate that they have achieved the maximum separation between the SAS and the resource area and the approval shall be subject to the conditions of FHR 15.5.3 a, b d, g, h, i, j, and k. c. Where no increased flow is proposed and the bottom elevation of the SAS is less than ten (10) feet but at least five (5) feet from the adjusted seasonal high groundwater (but otherwise in compliance with 310 CMR 15.202), and where the maximum achievable horizontal separation between the SAS and a wetland or surface water is at least fifty (50) feet but less than seventy- five (75) feet, a pressure distribution system shall be required that conforms to guidelines issued by the MA DEP. The approval shall be subject to the conditions of FHR 15.5.3 a, b, d, g, h, i, j, and k. d. Where no increased design flow is proposed and where the bottom elevation of the SAS is greater than ten (10) feet from the adjusted seasonal high groundwater and where the maximum achievable horizontal separation between the SAS and a wetland or surface water is less than fifty (5 0) feet but at least forty (40) feet, a pressure distribution system shall be required that conforms to guidelines issued by the MA DEP. The approval shall be subject to the conditions of FHR 15.5.3 a, b, d, g, h, i, j, and k. Town of Falmouth Board Of Health F e. Where no increased design flow is proposed and where the bottom elevation of the SAS is less than ten (10) feet from the adjusted seasonal high groundwater (but is otherwise in compliance with 310 CMR 15.202) and where the maximum achievable horizontal separation between the SAS and a wetland or surface water is less than fifty (50) feet but at least forty (40) feet, an alternative on-site septic system in conjunction with a disinfection unit having no chemical residual and a system with pressure distribution shall be required that conforms to guidelines issued by the MA DEP. The approval shall be subject to the conditions of FHR 15.5.3 a, b, d, g, h, i, j, and k. 15.7 CRITERIA FOR DETERMINING A SEPTIC SYSTEM REPAIR OR REPLACEMENT: To protect the public health against potential sources of contamination of the ground and surface waters in the Town of Falmouth, the Board of Health adopts the following regulation. The Board of Health may require the repair or replacement of a septic system if any of the following apply: 1. The results of an inspection of the septic system pursuant to 310 CMR 15.300 — 310 CMR 15.304 reveal that the system is failed. 2. Any of the following observations is made independent of a complete inspection pursuant to 310 CMR 15.300 — 310 CMR 15.304: • There is evidence of sewage flow to the surface of the ground, there is structural damage to the components of the system which prevent it from functioning as required • The system was pumped more than two (2) times in a ninety (90) day period (excluding maintenance pumping of grease traps), • There is evidence of breakout, there was sewage back-up into the house resulting from a non- functioning leaching area • The system is damaged or destroyed by storm or flood. 3. In the case where the septic system serving a facility is comprised of a cesspool(s), and where the seasonal high groundwater is less than two (2) feet from the bottom elevation of any cesspool, the system shall be considered failed and shall be replaced with a system in compliance with 310 CMR 15.000. Observations of these conditions in the course of an inspection pursuant to 310 CMR 15.300-15.305 shall be referenced on the certification statement part of the inspection form in the words "Needs Further Evaluation by Approving Authority". 4. If the septic system being inspected is found not to be on the same lot it serves the system is considered failed unless a previous existing easement can be provided. 15.8 SEPTIC SYSTEM INSPECTION REOUIREMENTS: 1. A certified septic inspector who has failed a soil absorption system shall not conduct an installation, upgrade, repairs, or emergency repairs without the Board of Health or its agents certifying the system is in failure. 2. All domestic potable wells shall be located from two (2) points on permanent structures and included on the "As -Built" section of the inspection report. 3. Upon transfer of a property, if the dwelling is serviced by a domestic potable water well the septic system and has not been tested in the previous twelve (12) months, the inspector shall report the system as "needs further evaluation". The well water shall be tested for total coliform, nitrate, pH, sodium, copper, iron, 10 Town of Falmouth Board of Health conductance at a minimum. The Board of Health may also require additional testing for Volatile Organic Compounds. A new water quality analysis report shall be submitted to the Board of Health with the inspection report. In order for the system to be elevated to a "pass", the drinking water results must meet drinking water standards. Any septic system found within 50' of a drinking water well will be considered a failure. Refer to the MassDEP's Private Well Guidelines for further information. 4. Covers shall be brought to within 6" of grade for access to primary cesspools and septic tanks. Should the distribution boxes and/or soil absorption system be exposed during the process of the inspection, the risers shall be brought to within 6" of grade, 3" for inspection ports. If a system or component fails the inspection, then installation of risers is no longer required, as this will be corrected when the system is replaced or repaired. 5. When H-20 risers are needed, those covers must meet 15.2.2 11 ,o\`��rrrryuutti f l l I l ulll�J�urlii 0 ;.6*ME p ° '° W — i gg P CORP' �frii�,rrrl�rrrrri i i jzo " Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth a)brewster-ma.. o WWW.BREWSTER-MA.GOV I/A System Samples for Discussion June 21, 2023 BOH Meeting Sample I/A Systems (Systems out of compliance): 1. 320 Satucket Road - 2007 installation of Singulair 960 DN - Property in Zone II and DCPC - Provisional Approval - Maximum 19 ppm of Total Nitrogen allowed - Sample frequency — 2x/year - Total Nitrogen above limit 2. 158 Jonathans Way - 2001 installation of Singulair 960 DN - Property in Zone II and DCPC - General Approval with Nitrogen removal - Maximum 19 ppm of Total Nitrogen allowed - Sample frequency — 2x/year - Total Nitrogen above limit 3. 56 McGuerty Road - 2002 installation of Singulair 960 DN - Property in Zone II and DCPC - Pilot Approval with Nitrogen removal - Maximum 19 ppm of Total Nitrogen allowed - Sample frequency — 2x/year - Total Nitrogen above limit N:\Health\BOH Meeting Notes\BOH Hearing Notes\BOH Hearing Notes 06.21.23 IA Samples.docx -1- Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant VA System Sample Report History 320 Satucket Road, Brewster Barnstable County Department of Health and Environment P.O. Box 427, Barnstable, MA 02630 Effluent Sample Results Date TN 10/17/2009 0.3 03/02/2010 18.8 07/18/2010 11.84 04/15/2011 9.95 11/18/2011 10.6 10/15/2012 13.2 04/11/2016 21.68 07/05/2016 9.09 10/11/2016 54.44 12/06/2016 17.3 01/11/2017 45.6 03/29/2017 40.48 04/20/2017 6.55 07/13/2017 25.66 10/11/2017 27.97 01/24/2018 31.28 03/22/2018 13.38 04/03/2018 19.3 07/16/2018 151.43 09/18/2018 24.81 10/09/2018 22.1 01/08/2019 16.85 04/02/2019 27.6 07/09/2019 25.32 09/14/2019 14.428 01/30/2020 70 05/01/2020 33.14 10/26/2020 26.9 01/12/2021 27 04/01/2021 68.1 07/07/2021 58.1 11/01/2021 51.6 01/20/2022 44.3 04/13/2022 61.8 Nitrate Nitrite TKN BOD5 TSS pH 0.3 35 3.1 6.7 9 22 35 3.1 0.44 8.3 18 11 8.1 3.8 0.85 5.3 17 12 7.9 1.9 0.9 7.8 22 17 7.9 4.4 1.7 7.1 15 12 7.9 5.7 0.88 15.1 78 3.7 0.1 5.29 28 13 30 0.34 24.1 45 15 12 0.7 4.6 7.7 14 23.9 130 250 0.28 4.6 35.6 2.7 3.85 24 24 0.15 1.51 10 34 6.5 17 0.37 10.6 41 97 0.58 2.8 27.9 120 63 6.5 0.38 2.2 10.8 120 4.5 3.1 11.7 180 120 0.43 151 300 3300 7 17 0.19 7.62 11 8.1 17 0.31 4.79 14 6.9 12 0.25 4.6 9.6 15 0.52 0.58 26.5 190 26 4.3 0.42 20.6 66 150 7.1 0.088 7.24 9.1 71 70 530 3900 7 0.46 0.78 31.9 110 43 7 0.46 0.34 26.1 78 830 7.98 3.4 23.6 130 75 7.14 68.1 100 72 7.1 2 56.1 38 46 51.6 47 120 7.29 44.3 86 140 7.38 61.8 70 150 6.7 Date TN Nitrate N itrite TKN BOD5 TSS pH 10/17/2022 72.47 0.33 0.24 71.9 140 140 7.54 01/17/2023 69.573 0.1 0.073 69.4 150 230 7.62 Median 26.28 3.75 0.7 20.6 56.5 63 7.29 Influent Sample Results No Influent Sample Results 06/15/2023 04:25pm Page 2 of 2 `"S Town of Brewster Z 2198 MAIN STREET Health Department BREWSTER, MASSACHUSETTS 02631-1898 Nancy Ellis Ice O (508) 896-3701 FAX (508) 896-8089 ORPOA a. 1 9 i B__k\0�� November 27, 2007 Judy Z. Bersin, P.E. Ryder & Wilcox P. O. Box 439 South Orleans, MA 02662 Re: Lot 2 Satucket Road (Map 37, Parcel 29-2) Dear Mrs. Bersin: On November 6, 2007, the Board of Health voted to approve the request for a Singulair 960-600 NR in conjunction with the standard Title 5 System for the above referenced property. This will allow a five bedroom dwelling to be built on this property, which is located in a Zone II. Enclosed please find a Notice disclosing the existence of the alternative septic system; which must be properly recorded at the Registry of Deeds. Please submit a copy of the recorded document to this office. If you have any questions, do not hesitate to contact this office. Sincerely, Nancy Ellis Ice, CHO, RS Health Director � X `.9Q- z PROPOSED } = =88 RETAINING - z - WALL (TYP.) V -;2 u ExrsNG R�C+RCur� rroN .E� M r 1 4 1 TN4 TH � �srrsr�xc � II'I x SITEPLAiv "= 0' ffinimum Building Setbacks Front 40' - Side c Rear -25, Zone Il` — Croundwater Protection Di,stric l 42, 4.96 S`rF--t EXISTING ti F-OUNDA TION x Top of Found tion EL=88.15 k 1g354F TOP of Foundation 88, 0' 4 TOP OF C. g. FND ELE-V = 84- .9' ASSOMEO DATUM) arc 0 F OII` L� K SAND '94 LOAVY SANSAY SAND 76'6' I OAMY B LOAVr -SAND 76. SND v Cf SANDY � C1 SANDY LOAM LOAM Cif SAND Co 67 MEDIUM ', ro ONE SAND VEDIUM SAND C MEDIUM SAND C LY I FINE SAND EYV A4 NO= 1..S slam is deli,gaxed as accordance witfxCotrxonwealtfi�(ss-, De t. o� 'nvaron e ttal Protection. ,3l0 L' B 15 f9o,• the State Fnvir•o�tmen al Code Tule 5- Standw-d Reguxre7nents for th S tuQ 'ortslrt�ction, Inspectaon Upgrade and ;rpansaozz of on-siie Sewage 9 •eai merat and Disposal Syste"S& " and Zhe Town of BRE1KS'TbR hee l&HOns, 2- A,o wells or water supplies- are known to exist within 100 feet of the proposed lecaoAing system. All wells known to e -st within 150 ftr of the system. are .s .owm S, par to bac,- tilling completed .system„ notify the Engineer and tko Board of Hea,1tit for P'roz�de 24 Ar (mm) notice. 4( Contractor sAall be respoaxs-iblf? ,for verif i g location of all underground tiizties pazor to excavatzon. 5 r4ny changes to this plan must be approved by toe Board of HeaU& 6' .fret served by town grater T'Izrougfxoue tits lzf0e II Smgulaar $h.cxll be under a Maintenance eyreezr mt in accordance w"dt/z the condition of D 'F's FI1,onizZ Use Approval Tank dt 17. Boz to be insiaMad on le -w4 stable base. (Afm b"' stone I#lase 0 C T N ff Not to scale G OO ,4s,5rfs- Map 3 Parcel .29-2 Not to scale WALKER POND, POND UPPER MILLPOND aarataara a ma;r mum of 36"caner over cell .system components. All companents shall confom to speczfi'catzon.s cont=ned PROPOSED SiNGULAIR & REC'IRC- PUMP art 310 "d!R 1�S �0. 14' ,� SIH 1,3 - xzs#zFaq Inv_ I 1. 1D' do FRUM WbR. P1141 # r PCYkEF FROM catvsFax Sox D� ki � !,$'� Tn1tz'" FlHISHED GRFDECVVff I — E, -T SR." . Nota, OxetZatApe ,E +s' - - l0 6e !'fatal 4"_---------LL---� ----- s C0 .Sc -1ltd P.!C• I uz�.'l. Jray.7 rev, I .o rsso ElEO0M0®V E 1. 1� I iF�I ISI ISI IF ' S ?6"6`0 DMINARGERE-OKULATM PUMP Inv. TZ p• ° a i IL�'i 1�1 �I ISS ®ISI I� 4u aast iron ' B, B P I or sshed4`0 s ' is , Pe L-_______--- PYC ptjae klnv. moi. ' O GARBAGE GRINDER 76' 1 -3� _ _ ALLOWED WfT7' THIS DSSiGN. 5111111SrMOVE 860-600 AFS ES77 x HOLD' A4 l 6�N Test Acle location 1.. Existing contou'r A LOAMY SAND .+ ,90,2 Q } F+ RIC 77-5 X7.2 7'9.9 Ae�, e a e ■ P A 6 7.9.4 LQ4kfY SAND 76.5 - LOAMY SAND6' FE C = J A b so tiorn Mw7 ber LOAMY L III uyP + a Pi P system (exist') 76.2 f - 7. ,S' Cloncrete hound ,SAND 74.8 '17,SANDY C'1 SANDY LOAM � LOA 72, 8 744 4 TOP OF C. g. FND ELE-V = 84- .9' ASSOMEO DATUM) arc 0 F OII` L� K SAND '94 LOAVY SANSAY SAND 76'6' I OAMY B LOAVr -SAND 76. SND v Cf SANDY � C1 SANDY LOAM LOAM Cif SAND Co 67 MEDIUM ', ro ONE SAND VEDIUM SAND C MEDIUM SAND C LY I FINE SAND EYV A4 NO= 1..S slam is deli,gaxed as accordance witfxCotrxonwealtfi�(ss-, De t. o� 'nvaron e ttal Protection. ,3l0 L' B 15 f9o,• the State Fnvir•o�tmen al Code Tule 5- Standw-d Reguxre7nents for th S tuQ 'ortslrt�ction, Inspectaon Upgrade and ;rpansaozz of on-siie Sewage 9 •eai merat and Disposal Syste"S& " and Zhe Town of BRE1KS'TbR hee l&HOns, 2- A,o wells or water supplies- are known to exist within 100 feet of the proposed lecaoAing system. All wells known to e -st within 150 ftr of the system. are .s .owm S, par to bac,- tilling completed .system„ notify the Engineer and tko Board of Hea,1tit for P'roz�de 24 Ar (mm) notice. 4( Contractor sAall be respoaxs-iblf? ,for verif i g location of all underground tiizties pazor to excavatzon. 5 r4ny changes to this plan must be approved by toe Board of HeaU& 6' .fret served by town grater T'Izrougfxoue tits lzf0e II Smgulaar $h.cxll be under a Maintenance eyreezr mt in accordance w"dt/z the condition of D 'F's FI1,onizZ Use Approval Tank dt 17. Boz to be insiaMad on le -w4 stable base. (Afm b"' stone I#lase 0 C T N ff Not to scale G OO ,4s,5rfs- Map 3 Parcel .29-2 Not to scale WALKER POND, POND UPPER MILLPOND aarataara a ma;r mum of 36"caner over cell .system components. All companents shall confom to speczfi'catzon.s cont=ned PROPOSED SiNGULAIR & REC'IRC- PUMP art 310 "d!R 1�S �0. 14' ,� SIH 1,3 - xzs#zFaq Inv_ I 1. 1D' do FRUM WbR. P1141 # r PCYkEF FROM catvsFax Sox D� ki � !,$'� Tn1tz'" FlHISHED GRFDECVVff I — E, -T SR." . Nota, OxetZatApe ,E +s' - - l0 6e !'fatal 4"_---------LL---� ----- s C0 .Sc -1ltd P.!C• I uz�.'l. Jray.7 rev, I .o rsso ElEO0M0®V E 1. 1� I iF�I ISI ISI IF ' S ?6"6`0 DMINARGERE-OKULATM PUMP Inv. TZ p• ° a i IL�'i 1�1 �I ISS ®ISI I� 4u aast iron ' B, B P I or sshed4`0 s ' is , Pe L-_______--- PYC ptjae klnv. moi. ' O GARBAGE GRINDER 76' 1 -3� _ _ ALLOWED WfT7' THIS DSSiGN. 5111111SrMOVE 860-600 AFS A`— Xater se :ce zVo water encountered) Dale of test.- 41f 9107 70.9 jrnsp, 6y . N -SL FRO Sr69-0 eCULL O " B 0" ABSORPTION CHfIMBFR 4Il — ��'XI5'TING1 (6-00—C,4L. 0ACVE PRECAST" UNI '.S ORgU,4Z ,Vol to scale L ESICIV P ,,Vzzmber of bedrooms"- .. $tz7nated daily ellluen f-� 0-01PIFY Total Lecaclaart.•q area as proposed , T-= ®ISM® mss' S'zdswail- .2 f Pe ° P ° y 7, r� J ° r°r Ad AJ I eaching' C`apaczIfy CSS proposed aeP r e •p !P+ L—LLQ------------- (F fluent 10adina rate � O.74 PIP S' --F---- . idewall' '?f 7.2 X O 74 160 7 ,5, 1 2 z 074 - 33,3 1 4 x �, �5" I A(aa. Fa'nal Orade -AII _ 7.1 6�N Test Acle location ,98-- Existing contou'r -38- Proposed o ll .J {. d c4`nLiI ,90,2 oc "'inxg'ul=r ffodel 960-600 -47R 7'9.9 Ae�, e a e ■ P 7.9.4 isribu on box(62istj 8 - FE C = J A b so tiorn Mw7 ber ---------------J L III uyP + a Pi P system (exist') 76.2 f - 7. ,S' Cloncrete hound A`— Xater se :ce zVo water encountered) Dale of test.- 41f 9107 70.9 jrnsp, 6y . N -SL FRO Sr69-0 eCULL O " B 0" ABSORPTION CHfIMBFR 4Il — ��'XI5'TING1 (6-00—C,4L. 0ACVE PRECAST" UNI '.S ORgU,4Z ,Vol to scale L ESICIV P ,,Vzzmber of bedrooms"- .. $tz7nated daily ellluen f-� 0-01PIFY Total Lecaclaart.•q area as proposed , T-= ®ISM® mss' S'zdswail- .2 f Pe ° P ° y 7, r� J ° r°r Ad AJ I eaching' C`apaczIfy CSS proposed aeP r e •p !P+ L—LLQ------------- (F fluent 10adina rate � O.74 PIP S' --F---- . idewall' '?f 7.2 X O 74 160 7 ,5, 1 2 z 074 - 33,3 1 4 x �, �5" I A(aa. Fa'nal Orade -AII _ 7.1 otic ' (4' .S'IDE'S) 3 11111j 4' OF SFOIVF Iff 8 ' 'ff' EFFLPOTYKE ZEArCTH=41.5' 4' - _pR 0 pOSEO OYV—SITES' #A7 CE E4 ff7 ,SP ,S4 SS-Eff MA Prepared for- CTZISYT ' , 1S C4Sff A. location: 20 ,S".' 'UC' . ,-FfFSTER" ff�4 Inc. L. S: ,dei- tl��x, iddiah hill Rai Revised Date - 1011, 107 -;i? .0. Box 3 �S'oale.• = O, bedrooms So- Orleans, N,4-,02662 Prawn 6 y A'7l:z6 Tel (508) 255-8V2 T. .Vale - April 20, 2007 'ax. 8 .240—, 1L 706 Revised Dale — June 21, 2007 Proposed o. ed be 7-oorrz dwelling , rfzeet of .2 {Ion No. u in cove -r (Ezclxad "Aa YC�I IC -51® �' aP � MIDI SI JII�. III 4Ci I ® 1 Ae�, e a e ■ P EN E2 °P°Feppfltd P 913 I e � ---------------J L III uyP + a Pi P ��}} BottoM f - 7. ,S' otic ' (4' .S'IDE'S) 3 11111j 4' OF SFOIVF Iff 8 ' 'ff' EFFLPOTYKE ZEArCTH=41.5' 4' - _pR 0 pOSEO OYV—SITES' #A7 CE E4 ff7 ,SP ,S4 SS-Eff MA Prepared for- CTZISYT ' , 1S C4Sff A. location: 20 ,S".' 'UC' . ,-FfFSTER" ff�4 Inc. L. S: ,dei- tl��x, iddiah hill Rai Revised Date - 1011, 107 -;i? .0. Box 3 �S'oale.• = O, bedrooms So- Orleans, N,4-,02662 Prawn 6 y A'7l:z6 Tel (508) 255-8V2 T. .Vale - April 20, 2007 'ax. 8 .240—, 1L 706 Revised Dale — June 21, 2007 Proposed o. ed be 7-oorrz dwelling , rfzeet of .2 {Ion No. I/A System Sample Report History 158 Jonathans Way, Brewster Barnstable County Department of Health and Environment P.O. Box 427, Barnstable, MA 02630 Effluent Sample Results Date TN Nitrate Nitrite TKN 10/21/2008 1.1 11/24/2008 11.3 06/18/2009 17.8 08/18/2010 6.7 06/25/2011 4.7 09/18/2011 3.5 07/02/2013 5 10/03/2013 20 12/12/2013 0.05 01/14/2014 1.6 07/02/2014 18.6 3.8 3.7 11.1 10/06/2014 0.05 0.066 199 11/0612014 21 1.1 770 07/07/2015 17.4 3.8 1.7 11.9 10/07/2015 43.7 28 0.5 15.2 04/13/2016 0.72 42.2 07/05/2016 1 0.45 49.2 10/1112016 0.15 0.084 808 12/06/2016 113.56 0.56 113 12/18/2016 22.92 21 0.15 1.77 07/27/2017 11.5 11.5 11.7 01/19/2018 2.1 9.4 39.3 04/02/2018 0.13 10/10/2018 48 21 2.6 24.4 09/09/2019 3.7 10/15/2019 8 12/10/2019 1.2 08/28/2020 14 01/12/2021 6 05/10/2021 16 01/05/2022 9.9 03/23/2022 17 11/17/2022 27 1.4 39.2 Median 33.31 6 0.91 39.25 BOD5 3.2 3.2 TSS 0 E WSr'' Town of Brewster O d'P of 2198 MAIN STREET Health Department BREWSTER, MASSACHUSETTS 02631-1898 Nancy Ellis Ice O _ (508) 896-3701 FAX (508) 896-8089 May 4, 2004 Hollister S. Siegmund Siegmund Environmental Services, Inc. 49 Pavillion Avenue Providence, RI 02905 Re: 158 Jonathans Way Dear Mr. Siegmund: On April 20, 2004, the Board of Health reviewed the latest inspection and maintenance report for this property. The Board voted that this installation be monitored biannually for nitrate. If you have any questions, do not hesitate to contact this office. Sincerely, Nancy Ellis Ice, CHO, RS Health Director Inspection and Testing Requirements Barnstable County Department of Health and Environment P.O. Box 427 Barnstable, MA 02630 Phone: (508) 375-6888 Fax: (508) 375-6880 Elizabeth Howes 158 Jonathans Way BREWSTER MA 2631 Massachusetts DEP Approval Level: General with Nitrogen Requirements Inspection Requirements Your system is required to be inspected Quarterly Additional system components that must be inspected: ❑ Ultraviolet Disinfection Unit - Because of the presence of this unit in your system, you maybe required to have your system effluent tested for Feca( Coliform bacteria. See "Testing Requirements" below. ❑ Pump Chambers - Testing Requirements Your system is required to be tested as follows: ❑ Annual Field Test Only Includes testing for pP1, Dissolved Oxygen (DO) and turbidity. Additionally, the effluent must be visually inspected for color, turbidity and effluent solids. Failure of any of these tests will require that a laboratory test be completed for pH, BODS, and TSS. Failure of any laboratory test requires a follow-up inspection and field test within 60 days. Q Effluent Lab Testing - Semi -Annually The effluent is to be tested for ❑ TKN ❑ Alkalinity ❑ pH 0 Nitrate ❑ Ammonia ❑ Temperature ❑ Nitrite ❑ BOD5/CBOD ❑ Water Usage ❑ Total Nitrogen ❑ TSS ❑ Conductance ❑ Fecal Coliform ❑ Influent Lab Testing - The influent is to be tested for: ❑ TKN ❑ Alkalinity ❑ pH ❑ Nitrate ❑ Ammonia ❑ Temperature ❑ Nitrite ❑ BOD5/CBOD ❑ TSS ❑ Total Nitrogen m ❑ Fecal Coliform ❑ Water Usage Please make sure that any contract you sign contains provisions for each of the above requirements. Failure to follow these requirements can result in a Board of Health hearing. Questions can be directed to the Barnstable County Department of Health and Environment or your local Health Department. DEEP OSERA Test r1ow Nurrd3ff Depth From S,kJrfNQnchim) Sa41 Horizon Soil TOS (USDA) Soil Color (Munsell) Soil Mottling Other (Structure. Stones,Consgmncy. 96Gravel} ff. - L. iLt'T ` n - iZA Ck rdr~kT 'r Date of Test.....1. �=- use 5011 Glass .I . with a Per coIction Fate ++ / '* -4 �i 'wJ- L.,�iurc. rote of less than . "r blit,./in. for o loading rate of 7f�Nitnesd bar.iPi71 t. `LOW PROFILE Tap of Foundation Elevation= 47. 1 F.sisi Grid e _- !�,a 36 1.max. FF � rjilrt. �^ fiow hne CONSTRUCTION NOTES 0 All GOnstfuCtlof? sho11 canform I the Sfafe Errrrronw4nroi Cpda, Ti Ria 5, and rhe re4UlF6MOM e of the local Roafd of H"ith. 2.1 Saptit fan# {s), grease trap tit l, dos In chamber isl, and disTnb'ution basks) shall be set on a laver stubia boss which has be#n omechaniadj y DornWed� tar on a 6 inch Cruthild stone bola, &I S.Ptir. tanklsl shall meet ASTM stan4afd to 1127-93 and shailhave at least thrras 20"4iom*ter manhole*- the rtminifrPum depth from the bortorn of septic tank to The flow line shall be 48", 4.1 Sohodule 60 PVC Inlet and outlet fees shall extend a rniaimrorn of 6" obuv# the flow line of the 15401 tank and 104311 to in>ltalled on tha Cantorrinp of the tank dirrmcrly urmdef the clsonour Mophalas. $.)Rose CQv#rS of the 58011 tank *ad distribution bog with Pro -calif concrato watef fight ffsars OueF 1nrot and oullet fess to within Cot finish grade. GA Piping 0011 consist of 40 Schedule 40 PVG or §":"Valent. Pipe shall he Joid on a minimum continuaLm grade of not last than 1 'f., 7 } Distrlbutien k, net far soil ab3orptlon systorn [as ram#'d) ■h0ll be 4' dIarr►etef Sehmxdule 40 PV laid of 0.005 fT./ft- Lin• shall be aapp#it of and or do noted - 5,) oullat pipo# from D-boK ihali remaln leve.1 fori7t least l' tenet before pitchrng to soil absorption system. Water fest 0- box to aasore sy&rl aiatributlon., 9-1 D -box shall have a minimum sump of 6*rheaturip d bedew the outlet lrmvert. 3 SYSTEM DESIGN GALCULATIONS GENERAL NOTES LEGEND A) Nelth4r drfremrial nor parking areas are allowed __ _ _ 32 Exiiptlni# Capilour I,� 6o5i� of Designnares septic s�'stern uma#em�s H-20 comQonenttare used. Nurr'1�et' of Bedr00l7rS' -- 3 2� f'rapasisd Gastaut 9} The designer will nor bio respon#ibis for Rhe sir stein 4 b rExisting Spilt Grade Other! as daiii pna6 unleu con sir ocfed as shownAny Chan4'ss Proposed Spot Grade ,)Design Daily Sewage HOW C.P_D, sholl b• apprcred in writing. - 'K- Wafer rJGF'riCe 3.)Septic Tank DOpacity Required, Gal. 0)Gontraofofshall be r#spnfmgible for verifying the - arti,-. - Overhead U611TY Unats) Provided! Goll. location of all undsfptound and overhead uiititiet I -- underground Utility Liniptsl prior to commoocement of work, — -- Gal Licks�.i5ptl Absorption System��i3�lty Requiredi TH Teel Helve andlArBering Lotatmon � j .P,�- f Provided. ..... G.D. ;�T, SepfJc Tann { D. B. Ulitribuflar+ Box } S.A.S $bit Absorption System k}fT Z. r > aZ). .. . ,C2.k ti x 4} ( r � , y../A F1 10 ✓s. eserved for System 5.)A Garbage Disposal is.4r0 wlthis design, 0 UkUlty Poi. ® Gakh Basin ' Fire Hydrant Wei I Finish Grade= "r F b � � til •� ` 41� N P 1 Distribution Box A-Zo ir.4;_ F rr1 10.] 8ars6 agora aatil for ie(Pehmrkg f*Cil ity skall Gamest of 3A" tb 1-he2o double wQshad stane tripe of Iran, fJnes and duct and shall be I wstallad from below the crown Cf The distribut ion 11ne to ft bo0om of tho soil abswrpfion sysf*m!'t Base aggragote shaiI be oov*rsd suite, 0 C160rof 410 to i/20doubie walhad stone fray of iron, finery and dust IJ-) V1101 soil absorption sy'stern whm di*fF1l6ufiofm lines cxreed 50 fear, whirrs lacatsd either in whole or in purl uAor driveways, parking, tUMI'ng areas, ref othili impervroas mat*rrol, or when dasm4- I2_i Soil absorption system shall be covered with a mfnimum of 9" of cJaon Medium nand {excludinq top Seat' ) 13.} Finish grade Shall be o maximum. of 36" over the top al oU system componrnts, Including rime septic tank, dirmrributaon box, dosing ChamMr and soil absorption sksfem SiMptic tanks shall hura a minimums corer of g *, 14.) From Tfine data of installatlon of rhe soil aborPll0n SYS TOM UnriJ F&CMipt Of o Csrlifieara of COMP Jiance, tha 06rimeIs, r of time soil pbsorpii0a system, Shoff be stakad and f logfed to prevent the use of such orsa for oil activities which mig?e dom*oa the iyefemm. 15.1 Tho 8aafd of Health shall require knspecfiorr of all C0PWtUcfi0rr by an Ogg&ckf the Board of 1 "ith (or the dasigne► if this 9y stem raquirn$ u variance) and may re quira surd Per ean F0 corTify in writiinq thot all work has b#itn Como[* 124 in aacurdapae w+th the tease of the permit and appravod p!Otmi. 4a h0jjV6 advi3ni:4 norios requegled- N Tri#rv151=i* - i � 5 } i KEY MAP no scale e Pion $oak. Page Deed Book_ .. JJ Pane_.. AssesSar9 miv. 4+ . pbrcrwl.'�'' HIS �S A REWSED PLA ,'BEV, DATE: -3, r f ' L rT l r PROJECT ,- alar€ SEWAGE DISPOSAL STEM _ r EN TT A O-REILLY,lac. II WL 11 y Engineering & Environniental rrvitrc% be _ * 1573 Mtum Saxct - Route 6A # VP P -O. BOX 1667 5064W6630 Office rCw#feS, MA 02631 509.9464697 Fax - Dx1`€ WALE. ev CHECK: I JO$ NUMBER' I/A System Sample Report History 56 McGuerty Road, Brewster Barnstable County Department of Health and Environment P.O. Box 427, Barnstable, MA 02630 Effluent Sample Results Date TN Nitrate Nitrite TKN BODS TSS pH 12/11/2009 15.2 1.2 0.6 13.4 26 14 7.1 09/03/2011 9.56 3.7 0.76 5.1 12 11 7.5 10/11/2017 78 78 100 100 7 01/24/2018 180 260 10/19/2018 14.97 8.6 0.2 6.17 17 58 10/14/2019 960 960 990 9300 10/26/2020 422.85 2.6 0.25 420 1100 8300 7.69 11/01/2021 33.8 2.4 8.4 23 51 62 6.83 10/17/2022 97.64 0.24 1.3 96.1 170 490 6.68 Median 55.9 2.5 0.68 50.5 100 100 7.05 Influent Sample Results No Influent Sample Results 06/15/2023 04:08pm Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection — Watershed Permitting Program I-: y� - TITLE 5 PROGRAM _ M.G.L. c.21 §§ 26-53, 310 CMR 15.000 ~� For Reduction in Sampling or Inspection of UA Systems JUL 2 ATTENTION: Anthon-,' & _ :_ra Rhodes M)r- _._.. General In{ormation ° '' OWNER NAME: AnthopX & Lara Rhodes DEP FACILITY ID W029848 _ OWNER ADDRESS: 56 McGuefq Road Brewster, MA 02631 _ LOCATION OF UA SYSTEM: 56 McGuerty Road, Brewster, MA 02631 Alternative On -Site S, stem Sampling and Inspection The DEP, Watershed Permitting Progr ecords indicate that the system serving your facility is a : Singulair with a F-1RemedialUse Approval Piloting Approval ❑ Provisional Use Approval ❑ Certification for General Use requiring that throughout its life, the Singulair system shall be under a maintenance agreement and inspected, ❑ Monthly (Quarterly S;TnolnNitrogen ally-seasonal and the ❑ influent and Q effluent, and shall be monitored for, p flow �H 21tOD fSS ❑ Other as specified in either the facility approval letter for your system or as required by the Department's IA Technology Approval. All facilities shall submit monitoring results to the Department. A roval/Denial o[Reduction in Sampling and Inspection. From the date of issuance of this notice, you may take the following actions: Reduce sampling Irom four times to once per year. ❑ Reduce sampling to twice per year, once two weeks after startup and once within two weeks of shutdown of system. ❑ Reduce sampling to once per year, within two weeks of shutdown ❑ No sample reduction; system is a General Use system, sampling is not required by the Department, contact your local BOH to determine their requirements. ❑ Reduced sampling denied , continue sampling per your approval, results of sampling indicate potential problems, the system is not meeting the permit limits for . parameter(s). Complete additional quarters of sampling before re -applying for reduction. ❑ Reduced sampling denied due to insufficient or non-current data, continue sampling per the Approval letter. ❑ Reduced sampling denied , this large alternative wastewater treattnent system, with a design flow of approximately 330 gallons per rby, requires ;nrection and effluent monitorin_ at least Berl -continue samplin%per the Approval letter. Continue inspections per the Approval letter. Reduce inspections to ror continue impections- twice per year, once two weeks after and once within two weeks of shutdown. The System owner (or your designated facility Operator) must submit annually the required inspection and sampling data by; ❑ January 31' for the arevious calendar ti ear, or L❑ Srutember 30'' for the :•revious twelve months. or FR7March I" for the _-revious calendar. --rear. If the concentration of BOD and TSS (and/or TN) in the annual effluent sample from your system exceeds the 30 mg/L (or 19 mg/L) limits, then within 45 days of the annual sample you must both have your system sampled again and submit the results to the Department. Provided that the second sample meets the 30mg/L (and/or 19 mg/L) limits for BOD,. TSS (and/or TN), you may resume annual monitoring of your system. However, if the second sample does not meet the 30mg/L (and/or 19 mg/L) limit for BOD, TSS (and/or TN), you must resume sampling your system four times per year. Following four consecutive samples demonstrating the system meets the 30 mg/L (and/or 19 mg/L) limits for BOD and TSS (and/or TN), the Department would favorably consider another written request to reduce monitorin, . TN limits onl%- ataolV to those s,, stems located in a Title 5 defined nitroiren sensitive area. All information shall be submitted to: DEP Boston Office, Title 5 Program, One Winter Street/6"' Floor, Boston, MA 02108 Local Corn; -liance Issues These changes are conditioned upon your compliance with the Approval and the requirements of this notice. Please be aware the change(s) does not apply to local requirements. You should discuss any changes from local requirements, if any apply to your system, with your local Board of Health. You should check with the local Board prior to reducing inspection, sampling and reporting to ensure that any reduction is consistent with any local requirements. If you have any questions please contact: Dana Hill ft at , 6171 292-5867 DATE ISSUED: {Signature {Title} CC: Brewster Board of Health and Siegmund Environmental Services, 49 Pavilion Avenue, Providence, RI 02905 Siegmund ENVIRONMENTAL SERVICES,I,vc. 49 PAVILION AVENUE PROVIDENCE, RI 02905 P/401/785/0130 F/401/785/3110 www.siegmundgroup.com HUNGARY Marlett Kft. and Profes-Aqua, Kff. Budapest RUSSIA Sesi-Krasnodar Krasnodar SLOVAK REPUBLIC Ekostor/usa spol. sr.o. Tomosov WEST INDIES Rosewater Systems, N.V. St, Maarten McAlostair, Ltd. Nevis January 7, 2004 Ms. Nancy Ice Health Director Town of Brewster C/O Brewster Town Hall 2198 Main St Brewster, MA 02631 Dear Ms. Ice, Happy New Year! Enclosed, please find the latest inspection reports and sampling results the following Singulair wastewater treatment systems installed and operating in Brewster: ADDRESS DEP ID 56 McGuerLyRd, Brewster W029848 Ll 1. ci 3 160 Old Red Top Road, Brewster W053139 U - Here are the McGuertyRoad test results to date: DATE BOD TSS pH TKN Nitrate Nitrite Total N 4/28/03 41 24 7.5 61 0 0.03 61.03 x'5/31/03 32 25 7.3 51 0 0.06 51.06 7/28/03 23 28 6.8 9.3 0.9 6 16.2 8/22/03 27 28 7.3 17 0 0.55 17.55 9/16/03 16 19 7.2 11 0 0.41 11.41 10/20/03 28 26 7 0.09 1.2 6.7 7.99 11/6/03 26 10 7.1 0.02 1.3 16 1732 "After 5/31/03 we reduced aeration from 30 min/hour to 15 and saw significant improvement in effluent quality. Here are the Old Red Top Road results to date where we started the system with reduced aeration of 15 min/hour: DATE BOD TSS pH TKN Nitrate Nitrite Total N 10/21/03 22 28 7.1 0.1 3.7 7.1 10.9 12/1/03 10 22 6.9 9.6 0 0.69 10.3 If you have anyquestions regarding the enclosed information, please do not hesitate to contact us at your convenience. Thank you, ter enc. 4 .. qM Jan. 6. 2003 11:10AM REEF REALTY LTDg� ibls� �No-3119 P- 2 69 +-1.—iib-2+ 133 oit 09 a 35 at COMMONWEALTH OF MASSACHUSETTS Boom - EXECUTIVE OFFICE OF ENV?RON-IE,4gTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE, WINTER STREET, BOSTON, MA 02108 617.292.5000 JAVE SWIFT , R C 540 DUR\M) Governor Secretary E D LAUREN A. LISS COlel Xri13Sione r 'JA/V U 6 1003 BREWS. HSTARD September 20, 2001 N William Rhodes: P.O. Box 2179 Brewster, MA 02631 d O � N Re: Application for BRP WP 64b -� APPROVAL OF A,-4 ALTERNATIVE SYSTEM FOR VOLOTING USE Proposed installation of a Norweco Singulair Model 960 DN Three Bedroom Single Family Home, Lot 16 and Lot 16A, McGuerty Road, Brewster, MA DFP Transmittal Number: W029848 OO Dear Mr. Rhodes: The Department has received your application dated July 29, 2002 and completed a review for approval of an alternative on-site sewage disposal system (System) for piloting use in accord -rice with 310 C.NIR 15.000 at the above referenced location. 0 The submittal includes a plan, prepared by Demarest-McLellan Engineering entitled "Site and �j Sewage Plan Location: Lot 16 McGuerty Road, Brewster, MA" dated 3/15/02 and most recently revised 4/22/02. Your application was approved in a letter, dated July 25, 2002, by the Brewster Health Departrnerit_ The proposed System specifies the installation of a Norweco Singulair Model 960 DN alternative on- site sewage treatment system to treat 330 gallons per day (GP D) dcsigrn :low, for a proposed three- bedroom house on two contiguous lots (Lot 16 and Lot 16A), totaling 20,014 square feet in Brewster, NIA.. 't be proposed 'home is laogated in a defined Title 5 nitrogen sensitive area (Zone 1I). An engineer`` of the Department has reviewed this application for approval in accordance with Title 5, 310 CNBC 15.000. Based on its review of the application the Departs writ has determined that uhe above referenced location with a three-bedroorn house, located within a nitrogen sensitive area, will be a suitable testing facility to evaluate nitrogen reduction to'a concentration of 19mg/L. This project is approved consistent with the RENEWAL OF PILOTING APPROV AL.for the Norweco Singulair Model 960 DN, Transmittal Number: W107694, issued August 17, 2001, to Siegmund Environmental Semces, inc. (the Company): As part of the Piloting Approval of this alternative system for nitrogen reduction,_ the Department requires the applicant and all subsequent entities to comply with the following conditions: 1. The owner shall comply with all requirements of the Department's Renewal of Filotin.z P4*roval for the Norweco Singulair Model 960 DN, issued August 17, 2001. A copy of this Approval is enclosed_ in the This information is evadable In alternate format by calling our ADA Coordinator at (617) 574-6872. UP on the World Wide Web: http://ww,w.state.rna,usidep C> Primed on Recyded Paper Jan 6. 2003 11:10AM William ,Rhodes W029848 9/20/200,2 Pagc 2 of 4 REEF REALTY LTD No -3119 P. 3/6 event of a conflict between the terms and conditions of this System Approval and the Piloting Approval, the Ietter shall be controlling. 2. The cover of the distribution box shall be installed and maintained at grade to facilitate sampling and mOnitorigg of the effluent. The owner shall have the System maintained in accordance with Section IV of the Rencwal of P2otin roval for the Norweco Singulair Model 960 DN. Additionally, the owner must submit a copy of the "DEP Approved Inspection and O&M Form for Title 5 VA Treatment and Disposal Systems" and Singulair Service checklist to the Department and the Brewster Board of Health within 45 days of each inspection. A certified operator of an appropriate grade must complete each form. Copies of these forms are enclosed- 4. nclosed 4. At least 30 days prior to System startup, the owner shall submit to the Department and the Brewster Board of Health a copy of an operation and maintenance agreement. The initial operation and maintenance agreement shall be for no less than - 18 months with the Company or its qualified subcontractor. Subsequent operation and maintenance agreements shall be for no less than one year with any person or firm qualified to provide services consistent with the System's specifications, the operation and maintenance requirements specified by the designer and those specified by the Department in this approval letter. The operation and maintenance agreement shall contain the name of the System. onerator who will operate the System, which shall be an appropriate Massachusetts certified operator, or operators as required by 257 CMR 2,00. Any time the operator is changed, the owner shall notify the Department and the Brewster Board of Health in writing within seven days of such change. . . Prior to the Brewster Board of Health's issuance of a Certificate of Compliance, the, owner shall submit to the Department and the Board of Health a copy of a sampling agreement with the Company, including a sampling schedule. Subsequent sampling agreements shall be for no less than one year and shall be with a Massachusetts certified operator of the appropriate grade. At a minimum, the following effluent grab sampling and testing schedule is requited for year round residential use by the Piloting Approval for the System for the first 18 months Parameter . Freauencv Effluent Urnits PH Monthly for the first 6 months 6-9 Quarterly thereafter Carbonaceous biochemical oxygen demand (CBOD5) Monthly for the first 6 months Quarterly thereafter < 30 mg/V Total suspended solids (TSS) Monthly for the first 6 months 5 30 mg/L Quarterly thereafter Total nitrogen (TN) Monthly for the first 6 months S 19 rng/I (TN=TKN + NO2 + NO3) Ouarterly thereafter Alkalinity Monthly for the first 6 months NA Quarterly thereafter Ploy' Monthly for the fust 6 months Water meter reading Quarterly thereafter 1. Mg/L = rwdligratns per liter MSTABLE REGISTRY Ur „frzf.L 9P. Jai. 6. 2003 11:11AM REEF REALTY LTD William Rhodes W029848 9/23/2002 Page 3 of 4 No -3119 P. 4/6 A. During the first 18 months of operation, excluding the first three months of startup operations, if the effluent concentration fxom the System exceeds the applicable TN, BOD, or TSS limit on two consecutive sampling events, the Company shall within 60 days submit a report to the Department and Board of Health explaining the reasons for • the exceedanees with recommendations for operational or design changes to prevent future violations. B. After eighteen months of monitoring, if the System; is approved as acceptable by the ]Department in accordance with Section TV item 9 and 10 of the Department's Reny—wal of Pilotin royal for the Norweco Singulair Model 960 DN, issued August 17, 2001 and at the written request of the owner, the Department may reduce the monitoring requirements. C. The owner in cooperation. with the Company shall submit all Monitoring data to tate Board of Health and the Department within 45 days of the sampling date accompanied by the DEP inspection form aad Singulair Service checklist. The Department submittal shall be to: Department of Environmental Protection Watershed.Perinitf Program One Winter Street -6 Floor Boston, MA 02108 Attn: Title 5 Program 6. The owner shall record in the appropriate registry of deeds a notice that discloses the existence of this Piloting Approved alternative system and the involvement of the Department in the approval of the System. Prior to the Brewster Board of Health's issuance of a Certificate of Compliance for the System, the owner shall both record the notice in the registry and submit a certified registry copy of said notice showing book and page number to the ,Department and the Board of Health. 7. Prior to the sale of the facility, the owner shall notify the new owner of the presence of the Alternative System and provide a copy of this approval to the new owner. 8. The owner shall submit to the Department a copy of the Certificate of Compliance for the System within 14 days of the Board of Health's issuance of the Certificate of Compliance. 9- Should the Sys�m fail or exhibit signs of imminent failure as determined by the Depa-rtment or the Brewster Board' of Health, the owner and the Company shall take, any action as deemed appropriate by the Department or the Board of Health. A, failed system is defined in Title 5 as a system that fails to protect public health and safety and the environ meat, including but not limited to, any system failing as set forth in 310 CNMI 5,303. 10. A copy of the plans must be kept onsite at all times both during and after construction_ &M MLLE REGISTRY OF Uttilb 0 Jan. 6. 2003 11:11AM REEF REALTY LTD No -3119 P 5I6 William, Rhodes W029848 9120/2002 ,Mage 4 of 4 Should you have any questions regarding this spatter, please do not hesitate to contact Ron White at (oil) 292-5790. Sin ly, Sharon M. Pe'osi, Director Watershed Permitting Program Enclosures (3) cc: DEP SERO, Brian Dudley Brewster Board of Health Thomas McLellanP.E., P.O. Box 463, West Deruais, MA 02670 Siegmund Environmental Services, Inc., 49Pavilion Avenue, Providence, 8102905 SIR STABLE REGISTRY Of UEtub FREEYANE S ASSESSORS MAP: 47 PARCEL,, 93 GyLS;LE1Y�yl fi{l+lf3Iyi�7G. {�RL+�4 BUILDIr�1V-C SETBACKS. - F: TBA{�l.K . +wry i` : 3( - 20' R.• 20 FLOOD ONE: C LOCUS LOCAVION MAP LOT 1 19,264 ± S -F. (0-44 ± AC-) LOT 750 S'F � s TOTAL AREA,20,014 SF' C,6ti N1 I DE'YAAffSr-McLFLLAN 99GINE`d'IRINC' 24 SCHOOL STREET PD. BOAC 468 WEST DENNIS, MASSACHUSETTS 02570 PHONE & FAX: (506) 398-7710 DM # 02-02 BENCHMARK AT HYD- MATER GATE ELEVATION = 85.88 SAV e, LOT A750 5F SEL 5' BDIVIS' O PLAN BY OTHERS BLrNC'2fkA-ffK .47' HOOD STAKB ELEVATION � 90-25 T.F.ST HOLE LOGS ENGINEER: EER: f HOMA eLEf LAN, P.E. WI-TYESS,' DEBRA HAWKS, Rs. DATE. -26-02 PERCCLATION RATE- < 2 MIN I _ ._ T —' 87.0 s u r s��i. ELEV. L D foyJ2 4/8 B #T0RIZ0jV SN 0 �6 i0" layR 84.5 C HORIZON ICRDIUM S}.ND 2ffT 7/8 TH-29 HORIZON BL - LO7` SAND 4" !OY R 4/3 .7 B HORISO LOAMY SAMD 24- FOYA 618 0 C MORISON MEDI JM SAND 2 6 O CROUND WATER ENCOVNTERED OADVND WA7ER TABLE' YAP OF BR" TER & HAf I H (19$T SHOW OBOE YD WATER AT ELEVATION - 3.2, APPROX. 50' DEE SEPTIC SYSTEMDESIGN_ NT's': 1. VERTICAL DATUM ASSUMED FROM qUAD (NQ7D+1-) Z. MUNICAPAL WATER IS AVAILABLE. 8- SCHEDULE 40 �-g 4" PVC PIPE /T BE USED THR HOUr SEPTIC SYSTEM. {.J 4. ALL PRECAST NITS' TO CONFORM M WITH A SHTO H-10 LOADING SPECIFICATIONS- 5- PIPE PITCH= 114" PER FOOT, (UNLESS NOTED OTHERWISE). 6. FIRST 2° OF PIPE OUT OF D -BOX TO BE SET LEVEL. 7. THE SEPTIC SYSTEM( HAS NOT BEEN DESIGNED TO ACCOMODATE THE USE OF A GARBAGE DI.S'POSAL. 8- ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE STA7`E' OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL HEALTH RECULA2"IONS, 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO CONSTRUCTION. 10- GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO EXC'E'ED 10`. -3'1, NORI ECO SINOULAIR MODEL 960 DN(500 GPD) AND TANK TO REPLACE SEPTIC TANK TO OBTAIN 3rd BEDROOM IN ZONE 2. SYSTEM TO BE PRE - ASSEMBLED BY MANUFA 'TIRER'IEGMUND ENVIRONMENTAL SERVICES, , INC,, 48 PAVILION AVE., PROV ID NCE, RI 02906)- SEE MANUFACTURERS SPECS AND DEP PIL07'IJVC APPROVAL LETTER ISSUED, AUGUST 17, 2001. FLOW TIMAT E.• E ),ROOMS AT 110 CAL DAY BE'D OM = 3-3k CAL DAY SEPTIC f'ANK WITH NOFIFECO 51NCULAIR YODEL 960 DN f 50 OPD 139- G.4L DAY 2: 2 DAYS = 660 GAL USE 300 GALLON SINCUL•AIR TANK LE'ACHI,VG AREA; USE t' INFILTRATOR CHAMBERS (MODEL . 050) WITH 3-5' 0Y STONE ALL AROUND (29-5' x 1f.2' 2' DEEP) SIDL AREA: (29.5 + 11.2)2 2 = l63 . (74) _ 121 GALI DAY BOT7 OM AREA: 29.5' x 11.2' =330 SF (74) _ ,244 GA DAY CAPACITY =365 DAY SEPTIC SYSTEM SECTION 87.0 I'OP OF FOUNDATION FRESH AIR VENT COVERS To BE ABOVE FINISHED CRA -09 FOR MAJNT,E,N ANCE AND INSPECTION ACCESS xs' MAX COVER 3' MA. 15" DIAAf- PVC COVER Ems.- - _ _ ELEV. w. 81.E D -BOX ELEV. NORWECO SINGULAIR ELEV. MODEL 960 D (500 CPD)I'" OF 81.51" Z84.0 (P J. . STONE ELEV.E'LEY, Y MANUFACTURER) (6" OF STONE UNDER OR RE -CIRCULATION PUMP ME HANICAL.Lr COMPACTED 7'0 Rd�L'IE T BACATE PORTION TANK UNLET SBEE SPECS) APPROVED BY: KEY: EXISTING CONTOUR: - PROPOSED CONTOUR EXISTING SPOT ELEVATION: 25.5 PROPOSED SPOT ELEVATION: 25 TEST HOLE: UTILITY POLL',` FENCE LINE- - HYDRANT: RETAINING WALL: � TREE: 0 OF r 77.1 C1 .`;i SSS. Y- DE JFL r = No, 36859„ _ ev % _ Nl THOMAS AfoLLYLLAN, PE, I I JOHN Z. DEM AREST JR., P.L.S K PROPOSED 24 3 BED&OM 98' DR•L'LLING CAR. fly 4' PROPOSED DWELLING 2" PEAST'ONE 314" — 1 112" DOUBLE WASHED STONE /— ELEY-- 8.2,0 �.r ---_ o�;l 79.E ELE- - 3.51 .9.5' 8 INFILTRATOR CHAJVBElRS (MODEL 3050) WITH 8,5' OF STONE ALL AROUND (29.5' x fr,2° x e DEEP) (H-20) SITE AND SEWAGE PLAN LOCA NON-- 5 to bGT--6 McGUERTY ROAD BR ' STER. MA PREPARED FOR REEF REALTY SCALE., 1" = 30' DATLO.. 3 15 O2 REFERENCE: PLAID BOOL 180 PACE 125 REVISED: 3-25-02 (LOT A) REVISED: 4-22--02 (SE'PT'IC SYSTEM LOCATION) Amy von Hone From: Amy von Hone Sent: Thursday, June 15, 2023 12:55 PM To: Bob Perry; Coastal Engineering; Craig Ferrari (craig@downcape.com); Dan Croteau; Dan Ojala (downcape@downcape.com); Danny Gonsalves (dgonsalves@downcape.com); David Coughanowr; David Mason; dbennett@NSUWater.com; Down Cape Engineering; George Reilly; Jason Ellis; JM O'Reilly, John O'Reilly; Moran Engineering Assoc; Priscilla Leclerc (priscilla@downcape.com); Rick Judd; Ryder and Wilcox; Sarah Ojala (sojala@downcape.com); Stephanie Sequin; sweetsereng@aol.com; Tom McLellan; Aattaboy Septic Services; Abb-solutely The Best Septic Service; Cape Cod Septic Inspections; Cape Cod Septic Services; Coastal Engineering; Darrell Stone; David Quinn; F.L. Quinn; Grover Septic Design; J. O'Loughlin Inc.; Jeff Wall; Joe Martins; Linda Pinto; Moran Engineering; Northeast Construction; Speakman Construction Cc: Peter Lombardi; Abigail F. Archer, Amy von Hone; Dave Bennett; John Keith; Kimberley Crocker Pearson; Mary Chaffee; Penny Holeman; Sherrie McCullough; Tammi Mason Subject: Brewster Board Of Health Pressure Dosed System Inspection Requirement Attachments: Pressure Dose Inspection Report Template 2023.pdf, Final PUBLIC OUTREACH FOR OWNERS OF PRESSURE DOSED SEPTIC SYSTEMS 5.17.23.pdf To Engineers and Septic Inspectors: The Brewster Board of Health, on June 7, 2023, approved distribution of a notification letter to all pressure dosed septic system owners in Brewster of the Title 5 inspection requirement of Pressure Dosed Systems per Massachusetts Regulation, State Environmental Code 310 CMR 15.254 (2)(d): ..... Pumps, alarms and other equipment requiring periodic or routine inspection and maintenance shall be operated, inspected and maintained in accordance with the manufacturer's and designer's specifications. In no instance shall inspection be performed less frequently than once every three months for a system serving a facility with a design flow of 2,000 gallons per day or greater and annually for any system serving a facility with a design flow of less than 2,000 gallons per day. The system owner shall submit the results of such inspections to the Approving Authority annually by January 315 of each year for the previous calendar year. This educational letter (attached) provides an explanation of the regulatory inspectional requirements, as well as the value of system maintenance to extend the longevity of the systems and to protect our valuable water resources. The Board of Health is requesting a copy of any inspection reports completed within the last year, or a copy of a new inspection report to be completed to meet the inspectional requirements as noted above. The first batch of letters will be sent to property owners starting in July, 2023. Please also find attached a copy of a Pressure Dose Inspection Report Template which can be used specifically for inspections required on pressure dosed systems. The full Title 5 Inspection Report typically used for a property transfer is an acceptable option but is not required for the pressure dose inspections. Thank you for your attention to this matter, and please do not hesitate to contact our office with any questions or comments. Thank you, Amy Amy L. von Hone, R.S., C.H.O. Brewster Health Director Brewster Health Department 2198 Main Street Brewster, MA 02631 Date: Name Address Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth-+j brewster-ma. jov WWW.BREWSTER-MA.GOV RE: Pressure Dose Septic System Inspection Requirements Dear Property Owner, Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Cape Cod has a sole source aquifer, meaning that one underground water source provides essentially all of the drinking water on Cape Cod. We drink the same water into which stormwater, grey water, industrial wastewater, and sewage is discharged. The earth has natural capacity to filter and treat wastewater to meet drinking water standards with proper separation to wells. However, data shows increased impairment in water quality as the population in our communities continues to grow. The Board of Health is responsible to ensure effective monitoring of the operation and maintenance of septic systems to protect and sustain this most valuable resource. In accordance with Mass. State Environmental Code 310 CMR 15.254 (2)(d): ..... Pumps, alarms and other equipment requiring periodic or routine inspection and maintenance shall be operated, inspected and maintained in accordance with the manufacturer's and designer's specifications. In no instance shall inspection be performed less frequently than once every three months for a system serving a facility with a design flow of 2,000 gallons per day or greater and annually for any system serving a facility with a design flow of less than 2,000 gallons per day. The system owner shall submit the results of such inspections to the Approving Authority annually by January 311t of each year for the previous calendar year. Health Department records indicate the property at this address is served by a septic system with a pressure dosed leach facility. We are writing to remind you of your obligation to ensure proper operation of your system by obtaining routine, periodic inspections as required under the State Environmental Code. If you have recently had your system inspected, please forward a copy of the report for our records. If you have not had your system inspected within the past year, we urge you to do so at this time and request that you forward a copy of the report to the Health Department. A list of licensed Septic Inspectors and Wastewater Treatment Operators has been enclosed for your convenience. Thank you for your assistance. Title 5 septic system inspections and maintenance are not only a critical part of our work together to protect our water resources but will also extend the life of your septic system. If you have questions, feel free to contact the Health Department at 508-896-3701, ext. 1120. Sincerely, David Bennett Brewster Board of Health, Chairman Encl. Title 5: 310 CMR 15.254 (2) (d) Pressure Dosing and Pressure Distribution excerpt List of Septic Inspectors/Wastewater Treatment Operators neiwpcc.or.- wp-contentfualoads• _023 04 SI-In-State-04-25-2023.pdf Public Information for Septic System Owners: httkL. LLwww. mass. rovlku id esica ri ng -for -y ou r-septic-spstem N:\Health\Waste Water Info rmation\Pressure Dosing\Final PUBLIC OUTREACH FOR OWNERS OF PRESSURE DOSED SEPTIC SYSTEMS 5.17.23.docx Site: PRESSURE DISTRIBUTION SOIL ABSORPTION SYSTEM OPERATION & MAINTENANCE CHECKLIST Inspection Requirements per Title 5 - 15.254(2)(d) less than 2,000 GPD one inspection per year, and, 2,000 GPD and greater 4 inspections per year - due to BOH by January 31 for previous calendar year. ADDRESS: OWNER: DATE: Septic Tank Baffles and Tees in place _ inlet, _ outlet Clean Effluent Filter: yes/no Comment:— Check Float Operation (if pumping provided) OK: Failure: _ Repaired,'Replaced: Check Pump Operation OPERATOR: OK/Replaced OK Failure Repaired/Replaced Soil Absorption System (pressure distribution lines) Measure Squirt Height (distal) ft OK/Failure: _ Brush. I.,aterals: yes/no Flush Laterals: yes/no Valve & valve box: ok/repaired/replaced Comment: Comments: Contractor: Date: Reference Datum: _ Elevation: Height: Pod ID _ FLaterallD #1 #2 #3 #4 #5 #6 #7 #8 #9 ngth(ft)— Lateral elevation E - Lu;ber of orifices _.. I Orifice Spacing i _ _ ____- Residual head at end __-- i Method used for estimating residual head? I certify that the pressure distribution system is operating properly and that the minimum distal design pressure is met and that there is no more than 10% variation between each line: Inspector Signature: _._ _ Certificate #10 Street If Street Name Owner Name 4Alden Drive _ PAU Par. _ Ba Plnes Srstem9(Ocean Edge) _ oQw, ra{• _ 9&11 Breakwater Road _ rm ine Tom 4lmao rrw,a,nma w.MyFn,M,Trvnee 141 Brewster Road!Brewster Senior HouslW) Frnmadaou3owakgmen] 94 Cedar Hill Road wnuama M,a. wine _ _ 19 Cedar Hill Road _ _ nm.. VIWd 4A N. 2017 rnn 102 Cedar Hill Road lwn.n noula.la a.n.ne r.lanan _ _ 40 Cranvlew Road samaao rmaam.zwen 46 Featherbed lane _ soya cHnv lnc, omPrwrmnR]m:sunonHna 121 Fiddlers Lane a+omaurlaun. M.n.0 Fiddlers Lane _ _ �wn�aa s.r.n 4urwlN _169 _ Fletcher Villale SRstem 2-1(Ocean Edge) _ orm cera 11 Frederick Court w.w,r.rxwa,u win>In 1000 Freeman's Wa. rowmweraw,]er Granite State CourthR••RawEa4s IM. 199 HamiRon Urtway swwa Hay+,maenm menw+s a.aw,x•ra•any r_n 62 Harvest lane _ un RHIW4 UAL John WfiTLane sw+rtxom,n e/amesww4 xom,_rNm•_ _54 42 KonohassettCi tway 3o..Rh car.ya p,w Pomy 1646 MainStreet La4,m uma„m� 1671 Main Street (Fire Station! ownor&ewarn 2537Maln StreetMlrlw�•xowan _ _ 2639 MainStreet e4waw M,Inswn w+MTmn _ 2639 Main Street (CF) ww.m Main StrM neaM?rest 3260 Main Street 1&21Cobies) — RPben L,4n,r,uaren, nowmaawn twit 89Main Street .Heal s,aun,n — 1990MainStreet wen..h xoWl,ea lxc _ 1993 Main Street(The Brewster Inn) n�w.wewmnv,rm.+a<i•Mai _swn Raalnrpn 2298 Maln StreettEddy Elements..School) wit of Braw.4r 3057Main Street (2005 CC Sea Cami•) town o<Brewn.r 3057 Main Street(2009CC Sea Umps) .wwwa.aw,m Pressure Distribution Systems - Brewser, MA_ Malli�Address _ PAU Par. SW X19 Ram r,N«Rwa54rliry,wa3 �_ 56 + 3Wllyn an�rawa+er.MR0M31 J xs{s !Pwm oaan Brawn wox611 57 m..r Hyaml,"o2wl 56 75-16 SBIUnu RPw AaeI,M.IMOIJS] _ _ 38 _ 39CMan man realrywn, MA 03431 38 10 e.n,vmomww ower. Bl,4 mo3o ry 38 40Ganaew Rwa&mnn, MA03633 30 •119Myrtk5mttou n. MRal33x 11 as H.rpannwaemear,,Ru 0!4x3 48 _ 9 Flmlart lalu Brrwmi, tM o2B31 48 t Wlla{n dWe Brewa[nr, 6403631 W3ambn Pon Rntl Wanon. AM0x193 ]rr.anwr—ra„nw.wnar, Ruott31 56 _ loan r,«n4mwayemWter,ku0x6.31 119 ro Box ]ce N4M Ewnwm, MR oras 1 138 lx omwastr.aa uunnm, MRax4re 93 — 911b—nwaalamwn, Rl 0- 68 BIIPHnWlryalaw9rewaur,R401631 23 Ix ltawlw�f waVBwwrtn,tM 0x63] 72 n awnn, MR 0363] 56 16]t Mnn sten[&aw+ty M1M ois11 56 _ roen.loue,nwaar, MR ox63� 78 ro Bo.3sx4s—V,m4v %-2ss4 89 _ roeoB sxlsoVmy,m�ovnb Bl,4 ozbw 89 3x3eMaln sem er.wa]. 101 n sat Br,warar, MAaZ63131 _ _ _ _ 6 Po eoa x400 1rtwa1R4as33 67 ',a9.wnwnam..ae..wrw. _ 67 amzox633 _ 77 523 Main Street meet u.wnr, r3wa3631 I6 80 Mill Pond Drive cwmlw corms a amu. wrew m srsanml<Rv<ne.awm, M140349: -1339 34 North Pond Dnve unnax,,.nMml xo,a rwr aiv. er.wner. Raozs3l 89 _119 254!Robbins Hill Road (valor M.{m4rwnw,6 .R3yul4mnyovam saga ntrw. str.nwwknPart. wo1646 38 255 -Robbins Hol Road are H.yw,rwn.. carmran noml,w Tr,m + �.w,+.r, ruazs33 38 __ _ 371 Robbim Hill Road 3>1 RPbbina Hlll Rona !1740 Robeim Hlll raeeY LL[ noew+non m.n, P.wwg.<no m.wn, MRan9s 38 242,5eawai Road —IB oelme PnHun _ W3ambn Pon Rntl Wanon. AM0x193 79 53'SheV Pond Circle ya,00nasmdor exowrt4mRa,enRlma wit. n4ozs31 73 PennF lane paW4HOPH.,a46awaN0141>.Urwwmoa 2108 W-0, Streit Phll,atlpeb, PR 393K 37 __425ix 56151%Penny Lane '�n,aarar.w 964• Pemy Wee,ewnw,.M 0x631 I 1 37 0 South Orleans Road(Whhe RockCommons) -wort. aoa nomn�nertna:amu_ 3s— Mno>n9 130 x2po!Southem Eagle Cartway aaatopHx A csntan k,wyTpr[eq NBNTrvs1 PD Bw 33 138 4685ton, Brook Road Our Lad. of the Cape Church)Rom.n – uaale aunoP.arlaey.r4_raPe_ waoB 1J99 wawa«'B4ozs31 25 842PS [Brook Road _ v<r:ow uxseonye_oa _e e,.wner, na 35 102 Susan Lane _ Sean&mitt '3035uun4wamnnp MA0M31aM 55 - 90'The Channel Way -Ercal—hnn 1, x„wv wl ReP,a,.nrmvn 90TheamnelWw Bnwslm. MA 03633 56 93 The Channel Way W4nam clynns,sn_iomerow.r_mit o-awwaJan. unroln,rnaam3 58 57 .The Channel Wa B3aa�w onmant.a3e. s4 wwenm-Mlnore, n3Ra1JSJ 58 _3 46 GPD Inspection KS Inspection #2L Inspection 03 In]omion p4 1 288.7 1` 1 356.97 I+ 3600_ ti I 444 1' 341.88 12/6/2022 11/24/2021 12/10/2020 11!26/2015 I 336.7 364 1500 y i _356_98 1 462.5 1 1 3649 1 2140 _ 1 266.4 —` 1 475.95 _ 1 503 _ I 1100 1 R t _ 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 5.254: Pressure Dosing and Pressure Distribution (1) Gravitt Distribution_. (a) Dosing systems employing gravity distribution to the soil absorption system shall be restricted to systems designed to accept less than 2,000 gpd. (b) The dosing chamber and pumps shall be designed in accordance with 310 CMR 15.231. (c) Distribution lines to the soil absorption system shall have a minimum diameter of two inches and shall otherwise be in conformance with the provisions of 310 CMR 15.25 1 (Trenches). (d) Septic tank effluent shall be dosed to the soil absorption system at a rate based on volume and number of doses that prevent the ponding of the effluent in the soil absorption system. (2) Pressure Distribution. (a) Pressure distribution of septic tank/recirculating sand filter effluent to the soil absorption system shall be required for: a system to serve a facility with a design flow of 2,000 gpd or greater; a system that is not designed to discharge by gravity either from the septic tank or to the soil absorption system; a system designed for intermittent discharge of effluent to the soil absorption system; and a system with a multiple soil absorption system, unless otherwise determined in writing by the Approving Authority. (b) The pumping chamber and pumps shall be designed in accordance with 310 CMR 15.231. (c) The pressure distribution system shall be designed in accordance with Department guidance. (d) Pumps, alarms and other equipment requiring periodic or routine inspection and maintenance shall be operated, inspected and maintained in accordance with the manufacturer's and the designer's specifications. In no instance shall inspection be performed less frequently than once every three months for a system serving a facility with a design flow of 2,000 gallons per day or greater and annually for a system serving a facility with a design flow of less than 2,000 gallons per day. The system owner shall submit the results of such inspections to the Approving Authority annually by January 31" of each year for the previous calendar year. 15.255: Construction in Fill (1) Any system where fill is required to replace topsoil, peat or other unsuitable or impervious soil layer above the requisite four feet of naturally occurring pervious material is a system constructed in fill. Any system constructed in fill which extends either wholly or partially above natural grade for the purpose of complying with 310 CMR 15.212 (depth to groundwater) is a mounded system. All soil absorption systems constructed in fill shall be sized using the soil class of the underlying naturally occurring pervious material. (2) The finished side slopes of a mounded system shall not be steeper than 3:1 (horizontal: vertical). A minimum 15 foot horizontal separation distance shall be provided between the soil absorption area and the adjacent side slope as measured from the edge of the top of the two inch layer of to %2 inch washed stone aggregate or geotextile fabric cover. The toe of the slope shall be a minimum of five feet from any property line, or a swale or other drainage system directing runoff away from the adjacent property shall be installed. Adjustments to the above horizontal separation may be allowed if a suitable impervious barrier is installed to prevent potential sewage breakout. The impervious barrier shall meet the following requirements: (a) the impervious barrier shall be designed by a Massachusetts Registered Sanitarian or a Massachusetts Registered Professional Engineer. (b) construction of the impervious barrier shall be supervised by the designer. (c) prior to issuance of a Certificate of Compliance, the applicant shall submit to the Approving Authority an as -built plan prepared and certified by the designer that the impervious barrier has been constructed in accordance with the approved design plan. (d) the elevation of the top of the impervious barrier shall be no lower than the "breakout" elevation, which is the elevation of the top of the two inch layer of/a inch to %2 inch washed stone aggregate cover. (e) the recommended distance from the impervious barrier to the edge of the soil absorption system closest to the barrier should be at least ten feet. Effective 9/9/2016 Amy von Hone From: Peter Lombardi Sent: Tuesday, June 6, 2023 11:52 AM To: Select Board; Kimberley Crocker -Pearson; Chris Miller, Amy von Hone; Paul Anderson; Jonathon Idman; Dave Bennett; John Keith; Mark Nelson Subject: FW: Emailing: PESTICIDE BYLAW INFORMATIONAL LETTER Attachments: PESTICIDE BYLAW INFORMATIONAL LETTER.pdf FYI Peter Lombardi Town Manager Town of Brewster 508-896-3701 x. 1128 Brewster Town Offices are open to the public Monday through Thursday from 8:30am to 4:OOpm, and by appointment on Fridays. -----Original Message ----- From: Charlie Sumner <csumner@town.orleans.ma.us> Sent: Tuesday, June 6, 2023 11:38 AM To: amorse@provincetown-ma.gov; dtangeman@truro-ma.gov; Richard Waldo <Richard.Waldo@wellfleet-ma.gov>; Jacqueline Beebe (InTouch) <jbeebe@eastham-ma.gov>; Jill Goldsmith <jgoldsmith@chatham-ma.gov>; Peter Lombardi <plombardi@brewster-ma.gov>; Joseph Powers <jpowers@town.harwich.ma.us>; Elizabeth Sullivan <esullivan@town.dennis.ma.us>; rwhritenour@yarouth.ma.us; mark.ells@town. barnstable.ma. us; Ron Collins <rcollins@town.orleans.ma.us>; townmanager@faImothma.gov; George Dunham <gdunham@sandwichmass.org>; mmccollem@townofbourne.com Subject: FW: Emailing: PESTICIDE BYLAW INFORMATIONAL LETTER Good afternoon, everyone, In the spirit of inclusivity and neighbors supporting neighbors in our Cape Cod regional community the Orleans Select Board would like to share with your Select Board an exciting initiative they have unanimously voted on to protect our health, waters, and environment by prohibiting the use of Pesticide A Home Rule Petition at our 2023 Fall Town Meeting. Additional information is available on our website. https:Hlinkprotect.cudasvc.com/url?a=https%3a%2f%2fwww.town.orleans.ma.us%2f1335%2fPesticide-Home-Rule- Petition-2023&c=E,1,tGVSYSasLxTLtcS1ZzP_FOWhkwtxZiDArnFvhST-Je_alb6LCfU3k12uEgH RE - W i71fod6RL1rR72RkNb_bah9SkLHdMSBF_9cwAlkDma3XEfB9wgSAq-0,&typo=l If you have any questions or would like to discuss, please contact Select Board Member Michael Herman mherman@town.orleans.ma.us Best, Charlie Charles L. Sumner Interim Town Manager Town of Orleans 19 School Road Orleans, MA 02653 March 29, 2023 TOWN OF ORLEAN'S 19 SCHOOL ROAD ORLEANS MASSACiUSEITTS 02653-3699 "Ieleph nca (508) 240-3701,) — Fax (508) 240.3703 ifflp./Amy, towlimrleasns.ma.us SE1,17CT BOARD TOWN ADIMINISTRATOR The Orleans Select Board voted unanimously on February 1, 2023 to take action to protect the health and safety of our residents, children, pets, visitors, the environment, gardeners, landscapers, waters, wildlife, property values and the economy, Please join us supporting a Home Rule Petition: An Act of Prohibiting the Application of Pesticides In the Town of Orleans, which will be an article at the Fall 2023 Town Meeting in October. Pesticides are toxic chemical poisons designed to kill. They do not just stay in the place where they are applied. Pesticides seep Into the soil and groundwater; can also become airborne, and be found many thousands of feet from the application site. They contaminate the air we breathe, the waters in which we recreate in, the aquifer from which we drink, and the soils which we grow food for humans, animals and wildlife. Many studies associate pesticides with serious negative health effects Including leukemia, non- Hodgkin's lymphoma; cancers of the brain, breast, prostate, testes and ovaries; heart disease, stroke, diabetes, Parkinson's, Alxhelmer's, ADHD, autism and other autoimmune diseases, as well as birth defects and reproductive harm. Butterflies, bees and insects are the building blocks of the 'tree of life' food chain and their numbers are declining rapidly. They pollinate 75-80% of crops and wild plants. They keep our soils healthy and are a major food source of our birds and fish. Their importance in the environment cannot be understated. Climate change is one critical example where scientific evidence indicates that pesticides contribute significantly to greenhouse gas emission, and create a vicious cycle of Increasing pollution and dependency. All are unintended consequences but unfortunately, all are deadly real. We see locally and globally how polluted environments have a drastic and negative impact on the health of communities and their economies. Individually we can have an immediate impact on protecting our family, friends and environments by volunteering to change our behavior by using safe, effective products, practices and educating our neighbors In their use. The solution Is free and costs the town and taxpayers nothing. Help preserve this special place we love by supporting this Home Rule Petition at Fall Town Meeting, so we can send a strong message to our State Legislature. I Please share and discuss this with your committee/organization and if you agree, please provide a brief letter of support by 6/15/2023 and send to mliernian.t -�towll.orleans.lna.us We have started a 'Pesticide Home Rule Petition 2023' homepage on our website www.town.orleans.ma.us where information will be continually updated. We also will be following up with further communication to coordinate advocacy and public awareness workshops. If you have questions or would like to volunteer to help with this effort, please contact us. ......(P)esticides (are) therefore of concern to us all. If we are going to live so intimately with these chemicals eating and drinking them, taking them into the very marrow of our bones — we had better know something about their nature and their power." — Rachel Carson Th•!nk�YAou, MI�hael Her an Orleans Select Board Member mlierman;@town.orleans.ma.us tw Pesticide Home Rule Petltlon 2023 Orleans, MA �•.:�.rcl��sne>tle:ms.t na.i r: 2 LiMassachusetts Department of Environmental Protection DP 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: 1567197 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1028.44K Status of Transaction: In Process Date and Time Created: 5117/2023:11:46:33 AM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. Massachusetts Department of Environmental Protection 951 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit ?.. ax identAcation Number DAILY LOG SHEET — 2023 APR DAILY 3. Sampling Month & Frequency c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2023 Apr Daily 7-1 F 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 A. Facility Information Important:When filling out forms on 1. Facility name, address: the computer, use f MAPLEWOOD AT BREWSTER only the tab key to a. Name move your cursor - 1820 HARWICH ROAD do not use the return key. b. Street Address BREWSTER MA 02631 C. City d. State e. Zip Code 2. Contact information: GJOSEPH SMITH a. Name of Facility Contact Person 7742125005 smith@nsuwater.com b. Telephone Number c. e-mail address 3. Sampling information: 4/1/2023 INOT APPLICABLE a. Date Sampled (mm/dd/yyyy) b. Laboratory Name rBEA/NSU WWTO PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2023 Apr Daily 7-1 F 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 ___ Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identfication Number DAILY LOG SHEET 2023 APR DAILY LLI 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation Turbidity Influent pH Flow GPD Flow GPD Flow GPD 1 5561 2 5561 3 5987 6.9 4 6265 6.9 5 4048 6.9 6 7176 7.0 7 4536 6.9 8 4536 9 4536 10 6225 11 5055 12 7161 6.9 13 4035 6.8 14 5252 6.8 15 5252 16 5252 17 6295 6.9 18 5070 7.0 19 4299 6.8 20 6359 7.0 21 5260 6.8 22 5260 23 5260 24 5307 6.9 25 5132 7.0 26 4251-, , 7.0 27 5036 6.8 28 5590 16.8 29 5590 30 Q5590 31 Effluent pH 7.1 7.3 7.1 6.9 7.1 7.1 7.0 7.2 7.3 7.0 7.1 7.2 7.1 7.2 7.2 7.0 7.0 7.2 7.1 7.0 Chlorine Uv Residual Intensity (mg/I) N 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. Q AM 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 2023 APR MONTHLY 3. Sampling Month & Frequency A. Facility Information 1. Facility name, address: MAPLEWOOD AT BREWSTER a. Name 820 HARWICH ROAD b. Street Address BREWSTER IMA 02631 C. City d. State e. Zip Code 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 Smith@nsuwater.com b. Telephone Number c. e-mail address 3. Sampling information: 4/13/2023 a. Date Sampled (mm/d&YM) ALPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection LPHA ANALYTICAL b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2023 Apr 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 1951 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT j2023 MONTHLY 023 APR .. 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 IOo 100 ND 2.0 MG/L TSS 44 ND 5.0 MG/L TOTAL SOLIDS 440 MG/L AMMONIA -N 171 MG/L NITRATE -N 1.4 0.10 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 2.01 00.450 MG/L OIL & GREASE ND 4.0 MG/L 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. V�_Wl) F]*WfflV___,� 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. Name 820 HARWICH ROAD b. Street Address BREWSTER C. City 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 b. Telephone Number 3. Sampling information: 4/14/2023 a. Date Sampled (mm/dd/yyyy) BEA/NSU WWTO PERSONNEL c. Analysis Performed By (Name) S. Form Selection 951 T. Permit Number 2. Tax identification Number 2023 APR MONTHLY 3. Sampling Month & Frequency MA 02631 d. State e. Zip Code jsmith@nsuwater.com c. e-mail address NOT APPLICABLE b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2023 Apr Monthly F All forms for submittal have been completed. 2. P 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 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 12. Tax identification Number MONITORING WELL DATA REPORT 2023 APR 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) • NS =Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant MW -1 MW -2 MW -3 MW -4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 PH 6.12 5.93 5.77 6.61 S.U. STATIC WATER LEVEL 34.71 33.82 33.73 33.79 FEET SPECIFIC CONDUCTANCE 171.4 202.1 310.1 194.2 UMHOS/C mwdgwp-blank.doc • rev 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program I Groundwater Permit I Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. IN Facility Information IMAPLEWOOD AT BREWSTER a. Name 820 HARWICH ROAD b. Street Address BREWSTER C. City MA d. State 951 1. Permit Number 2.: ax identification Number 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 information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that ther are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." [SAMANTHA FARRENKOPF 5/17/2023 Any person signing a. Signature b. Date (mm/dd/yyyy) a document under 314 CMR 5.14(1) or Reporting Package Comments (2) shall make the following BENNETT ENVIRONMENTAL ASSOCIATES, LLC. (BEA) HAS COMPLETED THE APRIL 2023 certification MONTHLY INFLUENT AND EFFLUENT SAMPLING OF THE BIOCLERE WASTEWATER TREATMENT SYSTEM. MONTHLY WASTEWATER SAMPLING WAS COMPLETED ON 4/13/23. If you are filing LABORATORY RESULTS REPORTED ALL PARAMETERS WITHIN DISCHARGE PERMIT LIMITS. electronic -ally and EFFLUENT PH WAS REPORTED WITHIN THE 6.5-8.5 RANGE THROUGHOUT THE MONTH. FLOW VOLUME MEASUREMENTS WERE ASSESSED DURING THE MONTH FROM THE want to attach SYSTEM'S EFFLUENT FLOW METER. DAILY FLOW REMAINED WITHIN THE 19,800 -GPD additional LIMITATION THROUGHOUT THE MONTH. THE MINIMUM, MAXIMUM AND AVERAGE GPD comments, select FLOWS REPORTED OVER THE COURSE OF THE MONTH WERE 4,035 GPD, 7,176 GPD AND the check box. 5,358 GPD, RESPECTIVELY. F. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 &PHA A N A L. Y�:r 1 Q A L ANALYTICAL REPORT Lab Number L2319744 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: Samantha Farrenkopf Phone: (508) 896-1706 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Report Date: 04/21/23 Serial No:04212316:42 The original project report/data package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH -0574), IL (200077), ME (MA00086), MD (348), NJ (MA935), NY (11148), NC (25700/666), PA (68-03671), RI (LA000065), TX (T104704476), VT (VT -0935), VA (460195), USDA (Permit #P330-17-00196). Eight Walkup Drive, Westborough, MA 01581-1019 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com Page 1 of 18 Serial No:04212316:42 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2319744 Project Number: K10842DA.S.WW.700 Report Date: 04/21/23 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L2319744-01 INFLUENT WATER BREWSTER, MA 04/13/23 12:30 04/13/23 L2319744-02 EFFLUENT WATER BREWSTER, MA 04/13/23 12:00 04/13/23 Page 2 of 18 A 74-iA Serial No:04212316:42 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2319744 Project Number: K10842DA.S.WW.700 Report Date: 04/21/23 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 method/program 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 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 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. 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. �. 'V . Tiffani Morrissey Authorized Signature: Title: Technical Director/Representative Date: 04/21/23 w SHA Page 3 of 18 "'a-- INORGANICS e� MISCELLANEOUS Page 4 of 18 Serial No:04212316:42 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Lab ID: L2319744-01 Dilution Client ID: INFLUENT Analytical Sample Location: BREWSTER, MA MDL Sample Depth: Prepared Analyzed Matrix: Water 20 Parameter Result Qualifier Units General Chemistry - Westborough Lab 121,25406 Solids, Total 440 mg/l Solids, Total Suspended 44. mg/l Nitrogen, Ammonia 17.1 mg/I BOD, 5 day 100 mg/l Page 5 of 18 SAMPLE RESULTS Serial No:04212316:42 Lab Number: L2319744 Report Date: 04/21/23 Date Collected: 04/13/23 12:30 Date Received: 04/13/23 Field Prep: Not Specified Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 20 NA 2 04/20/23 04:12 121,25406 DEW 16 NA 3.3 - 04/19/2312:17 121,2540D MMJ 0.750 -- 10 04/19/23 04:24 04/19/23 22:22 121,4500NH3-BH AVT 30 NA 15 04/13/2323:22 04/18/2318:20 121,52106 MKT Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Lab ID: L2319744-02 Date Client ID: EFFLUENT Sample Location: BREWSTER, MA Prepared Sample Depth: Method Analyst Matrix: Water - Parameter Result Qualifier Units General Chemistry - Westborough Lab - 1 Solids, Total Suspended ND mg/l Nitrogen, Ammonia 0.086 mg/I Nitrogen, Nitrite ND mg/l Nitrogen, Nitrate 1.4 mg/l Nitrogen, Total Kjeldahl 0.610 mg/I BOD, 5 day ND mg/I Oil & Grease, Hem-Grav ND mg/l Page 6 of 18 SAMPLE RESULTS Serial No:04212316:42 Lab Number: L2319744 Report Date: 04/21/23 Date Collected: 04/13/23 12:00 Date Received: 04/13/23 Field Prep: Not Specified Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 5.0 NA 1 - 04/19/2312:17 121,2540D MMJ 0.075 - 1 04/19/23 04:24 04/19/23 22:23 121,4500NH3-BH AVT 0.050 - 1 04/14/23 04:45 44,353.2 KAF 0.10 1 04/14/23 04:45 44,353.2 KAF 0.300 -- 1 04/18/23 20:54 04/19/23 21:13 121,4500NH3-H AVT 2.0 NA 1 04/13/2323:22 04/18/2318:20 121,521013 MKT 4.0 -- 1 04/20/2311:06 04120/2314:3' 140,16646 JGM Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Method Blank Analysis Batch Quality Control Serial No:04212316:42 Lab Number: L2319744 Report Date: 04/21/23 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1766529-1 BOD, 5 day ND mg/I 2.0 NA 1 04/13/23 23:22 04/18/23 18:20 121,52108 MKT General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1766571-1 Nitrogen, Nitrite ND mg/l 0.050 -- 1 - 04/14/23 02:40 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1766573-1 Nitrogen, Nitrate ND mg/I 0.10 -- 1 - 04/14/23 02:45 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1768210-1 Nitrogen, Total Kjeldahl ND mg/I 0.300 -- 1 04/18/23 20:54 04/19/23 21:07 121,4500NH3-H AVT General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1768335-1 Nitrogen, Ammonia ND mg/I 0.075 -- 1 04/19/23 04:24 04/19/23 21:51 121,4500NH3-BH AVT General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1768607-1 Solids, Total Suspended ND mg/I 5.0 NA 1 - 04/19/23 12:17 121,2540D MMJ General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1768841-1 Solids, Total ND mg/l 10 NA 1 - 04/20/23 04:12 121,25406 DEW General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1769062-1 Oil & Grease, Hem-Grav ND mg/I 4.0 -- 1 04/20/23 11:06 04/20/23 13:17 140,166413 JGM Page 7 of 18 Lab Control Sample Analysis Project Name: MAPLEWOOD AT BREWSTER Batch Quality Control Project Number: K10842DA.S.WW.700 LCS LCSD %Recovery Parameter %Recove"; Qual %Recovery {dual Limits General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG1766529-2 BOD, 5 day 85-115 General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG1766571-2 Nitrogen, Nitrite 90-110 General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG1766573-2 Nitrogen, Nitrate 100 90-110 General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG1768210-2 Nitrogen, Total Kjeldahl 78-122 General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG1768335-2 Nitrogen, Ammonia 80-120 General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG1768607-2 Solids, Total Suspended - 80-120 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG 1768841-2 Solids, Total 115 - 80-120 Page 8 of 18 Serial No:04212316:42 Lab Number: L2319744 Report Date: 04/21/23 RPD Qual RPD Limits 20 20 20 F"A Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Parameter Serial No:04212316:42 Lab Control Sample Analysis Batch Quality Control Lab Number: Report Date: L2319744 04/21/23 LCS LCSD %Recovery %Recovery %Recoverp Limits RPD RPD Limits General Chemistry -Westborough Lab Associated sample(s): 02 Batch: WG1769062-2 Oil & Grease, Hem-Grav Page 9 of 18 78-114 18 Ak'�' Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Serial No:04212316:42 Matrix Spike Analysis Batch Quality Control Lab Number: Report Date: L2319744 04/21/23 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General Chemistry -Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1766529-4 QC Sample: L2319752-02 Client ID: MS Sample BOD, 5 day ND 100 82 50-145 35 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1766571-4 QC Sample: L2319724-01 Client ID: MS Sample Nitrogen, Nitrite 0.37 4 4.7 108 80-120 20 General Chemistry Westborough Lab Associated sample(s): 02 QC Batch ID: WG1766573-4 QC Sample: L2319724-01 Client ID: MS Sample Nitrogen, Nitrate 22 4 25 75 Q 83-113 6 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1768210-4 QC Sample: L2319865-03 Client ID: MS Sample Nitrogen, Total Kjeldahl 0.308 8 7.80 94 77-111 24 General Chemistry -Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1768335-4 QC Sample: L2319677-03 Client ID: MS Sample Nitrogen, Ammonia 0.138 4 3.06 73 Q 80-120 20 General Chemistry -Westborough Lab Associated sample(s): 02 QC Batch ID: WG1769062-4 Oil & Grease, Hem-Grav ND 39.2 10 26 Q Page 10 of 18 QC Sample: L2319984-01 Client ID: MS Sample 78-114 18 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Lab Duplicate Analysis Batch Quality Control Serial No:04212316:42 Lab Number: L2319744 Report Date: 04/21/23 Parameter Native Sample Dwilicate Samiile Units RPD Qual RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1766529-3 QC Sample: L2319752-02 Client ID: DUP Sample BOD, 5 day ND ND mg/1 NC 35 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1766571-3 QC Sample: L2319724-01 Client ID: DUP Sample Nitrogen, Nitrite 0.37 0.37 mg/I 20 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1766573-3 QC Sample: L2319724-01 Client ID: DUP Sample Nitrogen, Nitrate 22 22 mg/1 6 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1768210-3 QC Sample: L2319865-03 Client ID: DUP Sample Nitrogen, Total Kjeldahl 0.308 0.472 mg/1 :' Q 24 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1768335-3 QC Sample: L2319677-03 Client ID: DUP Sample Nitrogen, Ammonia 0.138 0.152 mg/l 20 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1768607-3 QC Sample: L2319744-01 Client ID: INFLUENT Solids, Total Suspended 44 44 mg/1 32 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1768607-4 QC Sample: L2319746-01 Client ID: DUP Sample Solids, Total Suspended 70 98 mg/I I': Q 32 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1768841-3 QC Sample: L2319746-01 Client ID: DUP Sample Solids, Total 400 430 mg/1 16 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1769062-3 QC Sample: L2319984-01 Client ID: DUP Sample Oil & Grease, Hem-Grav ND ND mg/I NC 18 Page 11 of 18�` Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Were project specific reporting limits specified? Cooler Information Cooler Custody Seal A Absent B Absent Sample Receipt and Container Information YES Serial No:04212316:42 Lab Number., L2319744 Report Date: 04/21/23 Container Information Initial Final Temp Frozen Container ID Container Type Cooler pH pH deg C Pres Seal Date/Time Analysis(*) L2319744 -01A Plastic 500ml H2SO4 preserved A <2 <2 3.1 Y Absent NH3-4500(28) L2319744-01 B Plastic 950ml unpreserved A 7 7 3.1 Y Absent TSC-2540(7),BOD-5210(2) L2319744 -01C Plastic 950ml unpreserved A 7 7 3.1 Y Absent TSS -2540(7) L2319744 -02A Plastic 500ml H2SO4 preserved B <2 <2 4.1 Y Absent TKN4500(28),NH3-4500(28) L2319744 -02B Plastic 950m] unpreserved B 7 7 4.1 Y Absent NO2-353(2),BOD-5210(2),NO3-353(2) L2319744 -02C Plastic 950ml unpreserved B 7 7 4.1 Y Absent TSS -2540(7) L2319744 -02D Amber 1 000m HCl preserved B NA 4.1 Y Absent OG -1664(28) L2319744 -02E Amber 1000ml HCI preserved B NA 4.1 Y Absent OG -1664(28) Page 12 of 18 *Values in parentheses indicate holding time in days Serial No:04212316:42 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2319744 Project Number: K10842DA.S.WW.700 Report Date: 04/21/23 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 PAHs using Solid -Phase Microextraction (SPME). EMPC Estimated Maximum Possible Concentration: The concentration that results from the signal present at the retention time of an analyte when the ions meet all of the identification criteria except the ion abundance ratio criteria. An EMPC is a worst-case estimate of the concentration. EPA Environmental Protection Agency. LCS Laboratory Control Sample: A sample 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 analytes. LOD Limit of Detection: This value represents the level to which a target analyte can reliably be detected for a specific analyte in a specific matrix by a specific method. The LOD includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) LOQ Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) MDL Method Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The MDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. MS Matrix Spike Sample: A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. For Method 332.0, the spike recovery is calculated using the native concentration, including estimated values. MSD Matrix Spike Sample Duplicate: Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non -detect at the parameter's reporting 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: Tenn is utilized when'No Target Compounds Requested' is reported for the analysis of Volatile or Semivolatile Organic TIC only requests. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration. The 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 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 of a 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 method and/or program. All TICS are qualitatively identified and reported as estimated concentrations. Report Format- Data Usability Report iY343E1'r��• Page 13 of 18 Serial No:04212316:42 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2319744 Project Number: K10842DA.S.WW.700 Report Date: 04/21/23 Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method: Both the document from which the method originates and the analytical reference method. (Example: EPA 8260B is shown as 1,8260B.) 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 of chlordane isomers, other chlorinated hydrocarbons and numerous other components." (Reference: USEPA Toxicological Review of Chlordane, In Support of Summary Information on the Integrated Risk Information System (IRIS), December 1997.) 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 of container determined after adjustment at the laboratory, if applicable. If no adjustment required, value reflects Initial pH. Frozen Date/Time: With respect to Volatile Organics in soil, Frozen Date/Time reflects the date/time at which associated Reagent Water - preserved vials were initially frozen. Note: If frozen date/time is beyond 48 hours from sample collection, value will be reflected in'bold'. Gasoline Range Organics (GRO): Gasoline Range Organics (GRO) 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 'PAHs, Total' result is defined as the summation of results for all or a subset of the following compounds: Naphthalene, CI -C4 Naphthalenes, 2 -Methylnaphthalene, I -Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, C1-C3 Fluorenes, Phenanthrene, C1-C4 Phenanthrenes/Anthracenes, Anthracene, Fluoranthene, Pyrene, C1-C4 Fluoranthenes/Pyrenes, Benz(a)anthracene, Chrysene, C1-C4 Chrysenes, Benzo(b)fluoranthene, Benzoo)+(k)fluoranthene, Benzo(e)pyrene, Benzo(a)pyrene, Perylene, Indeno(1,2,3-cd)pyrene, Dibenz(ah)+(ac)anthracene, Benzo(g,h,i)perylene. If a'Total' result is requested, the results of its individual components will also be reported. PFAS Total: With respect to PFAS analyses, the'PFAS, Total (5)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA and PFOS. In addition, the'PFAS, Total (6)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA, PFDA and PFOS. For MassDEP DW compliance analysis only, the'PFAS, Total (6)' result is defined as the summation of results at or above the RL. Note: If a'Total' result is requested, the results of its individual components will also be reported. 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, 8081 and 8082. Data Qualifiers A Spectra identified as "Aldol Condensates" are byproducts of the extraction/concentration procedures when acetone is introduced in the process. B The analyte was detected above the reporting limit in the associated method blank. Flag only applies to associated field samples that have detectable concentrations of the analyte at less than ten times (10x) 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 (10x) 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 (10x) 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 above five times the reporting limit for common lab contaminants (Phthalates, Acetone, Methylene Chloride, 2-Butanone). C Co -elution: The target analyte co -elutes with a known lab standard (i.e. surrogate, internal standards, etc.) for co -extracted analyses. D Concentration of analyte was quantified from diluted analysis. Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. F The ratio of quantifier ion response to qualifier ion response falls outside of the laboratory criteria. Results are considered to be an estimated maximum concentration. G The concentration may be biased high due to matrix interferences (i.e, co -elution) with non -target compound(s). The result should be considered estimated. H The analysis of pH was performed beyond the regulatory -required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. J Estimated value. This represents an estimated concentration for Tentatively Identified Compounds (TICS). M Reporting Limit (RL) exceeds the MCP CAM Reporting Limit for this analyte. Report Format: Data Usability Report A Page 14 of 18 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Serial No:04212316:42 Lab Number: L2319744 Report Date: 04/21/23 Data Qualifers 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 recovery/RPD outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) Report Format: Data Usability Report Page 15 of 18 Serial No:04212316:42 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2319744 Project Number: K10842DA.S.WW.700 Report Date: 04/21/23 REFERENCES 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-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. �A Page 16 of 18 Alpha Analytical, Inc. Facility: Company -wide Department: Quality Assurance Title: Certificate/Approval Program Summar) - Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Serial No:04212316:42 ID No.:17873 Revision 19 Published Date: 4/2/2021 1:14:23 PM Pa.:e1of1 Westborough Facility EPA 6241624.1: m/p-xylene, o -xylene, Naphthalene EPA 625/625.1: alpha -Terpineol EPA 8260C/826OD: NPW: 1,2,4,5 -Tetra methyl benzene; 4-Ethyltoluene, Azobenzene; SCM: lodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene. EPA 8270D/8270E: NPW: Dimethyl naphthalene, 1,4-Diphenylhydrazine, alpha -Terpineol; SCM: Dimethylnaphthalene,1,4-Diphenylhydrazine. SM4500: NPW: Amenable Cyanide; SCM: Total Phosphorus, TKN, NO2, NO3. Mansfield Facility SM 254OD: TSS EPA 8082A: NPW: PCB: 1, 5, 31, 87,101, 110, 141, 151, 153, 180, 183, 187. EPA TO -15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene, 2-Methylthiophene, 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-Colllert-QT,SM9222D. Non -Potable Water SM4500H,B, EPA 120.1, SM2510B, SM2540C, SM2320B, 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, SM4500P-B, E, SM4500SO4-E, SM52201), EPA 410.4, SM5210B, SM5310C, SM4500CL-13, EPA 1664, EPA 420.1, SM4500-CN-CE, SM25401), EPA 300: Chloride, Sulfate, Nitrate. EPA 624.1: Volatile Halocarbons & Aromatics, EPA 608.3: Chlordane, Toxaphene, Aldrin, alpha -BHC, beta -BHC, gamma -BHC, delta -BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625.1: SVOC (Acid/Base/Neutral Extractables), EPA 600/4-81-045: PCB -Oil. Microbiology: SM9223B-Colllert-QT; Enterolert-QT, SM9221E, EPA 1600, EPA 1603, SM9222D. Mansfield Facility: Drinking Water EPA 200.7: Al, Ba, Cd, Cr, Cu, Fe, Mn, Ni, Na, Ag, Ca, Zn. EPA 200.8: Al, Sb, As, Ba, Be, Cd, Cr, Cu, Pb, Mn, Ni, Se, Ag, TL, Zn. EPA 245.1 Hg. EPA 522, EPA 537.1. Non -Potable Water EPA 200.7: Al, Sb, As, Be, Cd, Ca, Cr, Co, Cu, Fe, Pb, Mg, Mn, Mo, Ni, K, Se, Ag, Na, Sr, TL, Ti, V, Zn. EPA 200.8: Al, Sb, As, Be, Cd, Cr, Cu, Fe, Pb, Mn, Ni, K, Se, Ag, Na, TL, Zn. EPA 245.1 Hg. SM2340B For a complete listing of analytes and methods, please contact your Alpha Project Manager. Document Type: Form Page 17 of 18 Pre-Qualtrax Document ID: 08-113 Serial No:04212316:42 CHAIN� CUSTODY Date Reo'd irk Lair_ `'� ', ALPHA Job #: � LaL I �'"I"i PAGE a of a I LJ I IL,1 Brewster, GAA 02631 � Aup"A Cum #: I u u J alt. A - - . - . �....��. _ 13 t=,+Jt '•=' EMAlt, Q 5a slt Caierst biro PO N" tCiOsOdA.s WWMwvw$0%MA VA"I UL *A project Name: Moptaaurood at Brewster ® A©Fat � AdrJ'I l7eilveratites rte:.. 0 Standard 0 RUSh iaNLYIP PAE,APPriME—Dr _ TEL- �o SEL. 501Y-eax�e�oa i - j Fu #�93 P4•- S-1 c - . Regulatory Requ tsiReport .. �, Project Location: Brewster, MA r Sta*,Fed P*CW7#rtt_ _ •�"e Addr61s: 1573 Maur S — _ :. I!rc±ect MI®tii r, Josso Smith, L_I u I LJ Li I LJ I IL,1 Brewster, GAA 02631 � Aup"A Cum #: I u u J - Phone: 508-B96-1706 T-urri-Around Time— ANALYSIS DIDI I rte:.. 0 Standard 0 RUSh iaNLYIP PAE,APPriME—Dr _ - j SAMPLE' MDLING E•NNAddom Eri it; sfarrertkria NSUWxte+r.com I ® €7 poria fiMM* "M Ner hWft t **n Pyr--* tit 4wid by +�w ©Uts'lTatc: Tuna; I P A I Not l .W' ® Lgb to do - Project Spedfic Require>MDntSICOMrmertia/Qetection limits: ` I G H it 3 0 r ry t«rwau�rt Other t31 tsb to do 08Qaftum r RedaivedBy Daleirirtre Ourn*MW4*r*d%*WJlnot (Pleaas aP-aW •� J !left Una OV WrAAvM*5 en arbMill7tl Bra [I a4 10 l! Akira a Payman4 4N"itie CiaforrJ Z ALPktA Lab ID r Sample 10 _ Collection S"Ple W � r� (Lob Use 0*) a oam �� Matrix I Initiate � I a § M .a Y ae�pt. ar.et� z N r 4mbt �•7�,�P .,, 1 ll:yl — nttt+<nt --. Effluent ' 4.�J WWI ffF® — — TV' r 1010101DIL-FET E] _ _ II El LJ DLi — — Q - i �re-i II I �T`'TYfir•r' rsfrtu ria ar•orny+u nM 7M►.aM Page hof it U L_I u I LJ Li I LJ I IL,1 I 1—i I u u J 01-010101-0 DIDI I 1.0®r LJ IBJ ® g P P P P A P P o P b I G H it 3 0 r Pleas Print otosryr, Matb' e F d comptei>iry, Bemp%s can rlQl ba IOQ¢ad tR and 08Qaftum r RedaivedBy Daleirirtre Ourn*MW4*r*d%*WJlnot •� J !left Una OV WrAAvM*5 en arbMill7tl Bra [I a4 10 l! Akira a Payman4 4N"itie Massachusetts Department of Environmental Protection Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: EBELAIR Transaction ID: 1553321 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1314.26K Status of Transaction: submitted Date and Time Created: 5/22/2023:1:40:36 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 Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT 3. Sampling information: 4/6/2023 a. Date Sampled (mm/dd/yyyy) KRI�HELAN c. Analysis Performed By (Name) B. Form Selection 599 — 1. Permit Number 2. Tax idenfiflcation Number 2023 APR MONTHLY 3. Sampling Month & Frequency 02631 e. Zip Code Imakhter@elevationfinancialgroup.com c. e-mail address .RI ANALYTICAL b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency -IlDischarge Monitoring Report - 2023 Apr 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 A. Facility Information Important:When filling out forms on 1. Facility name, address: the computer, use SERENITY BREWSTER WWTF only the tab key to a. Name move your cursor - 873 HARWICH ROAD do not use the return key. b. Street Address BREWSTER MA C. City d. State 2. Contact information: AM C;X MAHEEN AKHTER a. Name of Facility Contact Person 6178526110 b. Telephone Number 3. Sampling information: 4/6/2023 a. Date Sampled (mm/dd/yyyy) KRI�HELAN c. Analysis Performed By (Name) B. Form Selection 599 — 1. Permit Number 2. Tax idenfiflcation Number 2023 APR MONTHLY 3. Sampling Month & Frequency 02631 e. Zip Code Imakhter@elevationfinancialgroup.com c. e-mail address .RI ANALYTICAL b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency -IlDischarge Monitoring Report - 2023 Apr 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 1599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit DISCHARGE MONITORING REPORT 2. flax identification Number I2023 APR 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 BOD 21 11 8.0 MG/L TSS 29 18.0 2.0 MG/L TOTAL SOLIDS 350 MG/L AMMONIA -N 9.4 MG/L NrrRATE-N ND 0.050 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 1.1 I 0.50 MG/L OIL & GREASE 0.99 '0.50 MG/L 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. VQ .rarer Massachusetts Department of Environmental Protection 599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT A. Facility Information 1. Facility name, address: SERENITY BREWSTER WWTF a. Name 873 HARWICH ROAD b. Street Address BREWSTER C. City 2. Contact information: 2023 QUARTERLY 2 3. Sampling Month & Frequency MA 02631 d. State e. Zip Code MAHEEN AKHTER a. Name of Facility Contact Person 6178526110 makhter@elevationfinancialgroup.com b. Telephone Number c. e-mail address 3. Sampling information: 4/3/2023 a. Date Sampled (mm/dd/yyyy) KRISTIN PHELAN c. Analysis Performed By (Name) B. Form Selection RI ANALYTICAL b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2023 Quarterly 2 F All forms for submittal have been completed. 2. r This is the last selection. 3. Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 . Massachusetts Department of Environmental Protection 599 Bureau of Resource Protection - Groundwater Discharge Program 'T -.Permit Number L] Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT [2023 QUARTERLY 2 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 MW1 MW2 Units Well #: 1 Well #: 2 NITRATE -N ND 0.10 0.79 MG/L TOTAL NITROGEN(NO3+NO2+TKI 4.4 1.8 0.79 MG/L MW3 MW4 Well #: 3 Well #: 4 Well #: 5 Well #: 6 0.34 1.16 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. WGI arta Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DAILY LOG SHEET A. Facility Information 599 1. Permit Number 2. ax ioenin.cation Number 2023 APR DAILY 3. Sampling Month & Frequency 1. Facility name, address: SERENITY BREWSTER WWTF a. Name 873 HARWICH ROAD b. Street Address BREWSTER IMA 02631 C. City d. State e. Zip Code 2. Contact information: MAHEEN AKHTER a. Name of Facility Contact Person 6178526110 Imakhter@elevationfinancialgroup.com b. Telephone Number c. e-mail address 3. Sampling information: 4/30/2023 W H ITEWATER a. Date Sampled (mm/dd/yyyy) b. Laboratory Name RICK BRULOTTE c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2023 Apr Daily F All forms for submittal have been completed. 2. This is the last selection. 3. F 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 599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Ll Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 2023 APR DAILY 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine Uv Flow GPD Flow GPD Flow GPD pH Residual Intensity (mgll) (°/,) 1 10217 2 8135 3 7448 7.2 0.6 4 6690 7 0.8 5 8177 7.1 1.4 6 7348 7.2 1 7 6884 7.2 1 8 6589 9 7821 10 6502 7.1 0.8 11 6786 7 0.8 12 6892 7 10.8 13 6917 7 10.7 14 7287 7 0.6 15 7274 16 '7364 17 7503 6.9 0.6 18 17755 1 6.8 0.6 19 7670 6.8 0.6 20 7636 6.7 0.6 21 6494 6.8 0.9 22 7093 23 8930 24 7730 6.8 0.8 25 7069 6.9 0.6 26 7081 6.8 0.7 27 6950 6.7 0.6 28 7001 6.8 0.7 29 7052 30 9795 31 gdpols.doc • rev 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 LLi Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT A. Facility Information Important:When filling out forms on 1. Facility name, address: the computer, use I SERENITY BREWSTER WWTF only the tab key to a. Name move your cursor - i� do not use the 873 HARWICH ROAD return key. b. Street Address IBREWSTER Q C. City 9A2. Contact information: am MAHEEN AKHTER a. Name of Facility Contact Person 16178526110 b. Telephone Number 3. Sampling information: 599 1. Permit Number 2. 1 ax identmcation Number 2023 APR MONTHLY 3. Sampling Month & Frequency �MA 102631 d. State e. Zip Code lmakhter@elevationfinancialgroup.com c. e-mail address 4/3/2023 0HITEWATER a. Date Sampled (mm/ddl yyy) 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 Apr Monthly 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 1599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2023 APR MONTHLY 3. Sampling Month & Frequency LL C. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "ND" < • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant MW1 MW2 MW3 MW4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 PH 5.8 6.1 5.8 6.7 S.U. STATIC WATER LEVEL 58.5 57.11 59.1 63.1 FEEr SPECIFIC CONDUCTANCE 189 390 262 715 UMHOS/C mwdgwp-blank.doc • rev 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection 599 Bureau of Resource Protection -Groundwater Discharge Program 1. Permit Number ""8711 Groundwater Permit 2. i ax identification Number Facility Information lmportant:When ISERENITY BREWSTER WWTF filling out forms on a. Name the computer, use only the tab key to 873 HARWICH ROAD move your cursor - b. Street Address do not use the BREWSTER MA 02631 return key. C. City d. State e. Zip Code Any person signing a document under 314 CMR 5.14(1) or (2) shall make the following certification If you are filing electronic -ally and want to attach additional comments, select the check box. F_ a. Signature b. Date (mm/dd/yyyy) Re�ortim-, Packgge Comments PUMPING & HAULING:OFACILITY WAS IN FULL COMPLIANCE WITH ALL PERMIT REQUIREMENTS FOR THE MONTH. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 Certification VQ "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in L AF 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 l�alA information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that ther are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." ELIZABETH BELAIR 5/22/2023 Any person signing a document under 314 CMR 5.14(1) or (2) shall make the following certification If you are filing electronic -ally and want to attach additional comments, select the check box. F_ a. Signature b. Date (mm/dd/yyyy) Re�ortim-, Packgge Comments PUMPING & HAULING:OFACILITY WAS IN FULL COMPLIANCE WITH ALL PERMIT REQUIREMENTS FOR THE MONTH. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 COASTAL engineering co. TECHNICAL SERVICES 260 Cranberry Highway Orleans, MA 02653 508.255.6511 P 508.255.6700 F Orleans I Sandwich I Nantucket coastalengineeringcompany.com TRANSMITTAL To: Jacquelyn Linehan, Property Mgr. Date: 06/06/2023 Project No. WBR007.00 King's Landing Apartments Via: ®Email 0Pick up FICertified DFed Ex 1200 South State Street Brewster, MA 02631 via email: jlinehon[Opoahcommunities.com Subject: King's Landing Apartments 3 State Street Brewster, MA Permit #934-1 Plans Copy of Letter Specifications ®Other We are sending the following items: Copies Date No. Description 1 04/2023 934-1 Daily Log Sheet 1 04/25/2023 934-1 Monthly Discharge Report w/Laboratory Test Results 1 04/03/2023 934-1 Monthly Monitoring Well Report (Field-tested Data) 1 06/06/2023 934-1 eDEP Electronic Receipt These are transmitted as checked below: Ffor approval ®for your use ®as requested Ffor review 6 comment Remarks: Enclosed are the recent reporting forms for the wastewater treatment facility at the above -referenced location. Monthly test results also indicate high levels of Total Nitrogen that exceed the upper discharge limit (10 mg/L) due to elevated levels of TKN. Test results also indicate high levels of BOD5 that exceed the upper discharge limit (30 mg/L). We will adjust the system settings and use of process control chemicals to help improve treatment of the system. The average daily flow was approximately 9,827 gpd. If you have any questions regarding this report or the WWTF, please do not hesitate to contact us. cc: Brewster Board of Health By: Chad A. Simmons, WWTPO CC Commission Joe Henderson, Horsley Witten Group, Inc. (via email) AquaPoint.3 LLC NOTE: If enclosures are not as noted, please contact us at (508) 255-6511 260 Cranberry Highway, Orleans, MA 02653 508.255.6511 I coastalengineeringcompany.com Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program 11. Permit Number ! Groundwater Permit 2. Tax identilication Number DAILY LOG SHEET 12023 APR DAILY 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine Uv Flow GPD Flow GPD Flow GPD pH Residual Intensity (mg/1) (%) 1 9,408 2 10,133 3 10,127 6.97 7.63 4 9,812 7.02 7.66 5 9,650 7.02 7.67 6 8,777 7.07 7.58 7 9,857 7.05 7.56 8 9,228 9 9,618 10 10,462 7.09 7.64 11 10,758 6.96 7.51 12 9,951 16.95 7.52 13 9,632 6.93 7.54 14 9,117 7.05 7.51 15 9,931 16 9,163 17 10,414 7.06 7.58 18 9,503 7.01 7.61 19 10,199 7.10 7.64 20 9,088 7.16 7.71 21 9,413 7.12 7.69 22 9,799 23 8,926 24 10,080 7.07 7.62 25 11,162 7.30 7.65 26 11,240 7.14 7.71 27 9,462 ' 7.19 7.67 28 10,440 7.11 7.62 29 8,913 30 10,560 31 gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 -- - Massachusetts Department of Environmental Protection 934 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT 12023 APR MONTHLY 3. Sampling Month & Frequency D. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled 1. Parameter/Contaminant Units BOD MG/L TSS MG/L TOTAL SOLIDS MG/L AMMONIA -N MG/L NITRATE -N MG/L TOTAL NITROGEN(NO3+NO2+TKN) MG/L OIL & GREASE MG/L 2. Influent 3. Effluent 4. Effluent Method Detection limit 160 41 5.0 79 14 7.0 450 13.4 3.7 0.10 18.06 0.050 'ND 4.4 infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 ALPHA ANA LY`TI CAL ANALYTICAL REPORT Lab Number: L2322176 Client: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 02653 ATTN: Chad Simmons Phone: (508) 255-6511 Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 Report Date: 05/04/23 Serial No:05042315:40 The original project report/data package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH -0574), IL (200077), ME (MA00086), MD (348), NJ (MA935), NY (11148), NC (25700/666), PA (68-03671), RI (LA000065), TX (7104704476), VT (VT -0935), VA (460195), USDA (Permit #P330-17-00196). Eight Walkup Drive, Westborough, MA 01581-1019 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com Page 1 of 20 Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 SAMPLE RESULTS Lab ID: L2322176-01 Date Date Client ID: INFLUENT (COMPOSITE) MDL Sample Location: 3 STATE ROAD BREWSTER, Analyzed MA Sample Depth: NA 1.3 Matrix: Water DEW NA Parameter Result Qualifier Units RL General Chemistry Westborough Lab - 5 Solids, Total 450 mg/l 13 Solids, Total Suspended 79. mg/I 16 Nitrogen, Ammonia 13.4 mg/I 0.375 Nitrogen, Total Kjeldahl 26.8 mg/I 0.600 BOD, 5 day 160 mg/I 30 Page 5 of 20 Serial No:05042315:40 Lab Number: L2322176 Report Date: 05/04/23 Date Collected: 04/25/23 08:00 Date Received: 04/25/23 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst NA 1.3 05/02/23 03:54 121,25406 DEW NA 3.3 04/27/2313:24 121,2540D MMJ - 5 04/27/2320:51 05/01/2313:29121,4500NH3-BH AAA 2 05/01/2316:20 05/04/2313:45 121,4500NH3-H AAA NA 15 04/25/2323:27 04/30/2317:41 121,52106 MKT Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 SAMPLE RESULTS Lab ID: L2322176-02 Date Analytical Client ID: EFFLUENT (COMPOSITE) Prepared Analyzed Sample Location: 3 STATE ROAD BREWSTER, MA Sample Depth: 04/2712313:24 121,2540D MMJ Matrix: Water 05/01/23 13:30 121,4500NH3-BH Parameter Result Qualifier Units RL General Chemistry - Westborough Lab KAF -- 1 Solids, Total Suspended 14. mg/I 7.0 Nitrogen, Ammonia 9.90 mg/l 0.150 Nitrogen, Nitrite 0.46 mg/I 0.050 Nitrogen, Nitrate 3.7 mg/l 0.10 Nitrogen, Total Kjeldahl 13.9 mg/l 0.300 BOD, 5 day 41 mg/l 5.0 Page 6 of 20 Serial No:05042315:40 Lab Number: L2322176 Report Date: 05/04/23 Date Collected: 04/25/23 08:00 Date Received: 04/25/23 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst NA 1.4 - 04/2712313:24 121,2540D MMJ 2 04/27/23 20:51 05/01/23 13:30 121,4500NH3-BH AAA 1 04/26/23 06:05 44,353.2 KAF -- 1 04/26/23 06:05 44,353.2 KAF - 1 05/01/2316:20 05/04/2313:15 121,4500NH3-H AAA NA 2.5 04/25/23 23:27 04/30/23 17:41 121,52106 MKT rA Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 SAMPLE RESULTS Lab ID: L2322176-03 Client ID: EFFLUENT (GRAB) Sample Location: 3 STATE ROAD BREWSTER, MA Sample Depth: Method Analyst Matrix: Water Parameter Result Qualifier Units RL General Chemistry - Westborough Lab Oil & Grease, Hem-Grav ND mg/1 4.4 Page 7 of 20 Serial No:05042315:40 Lab Number: L2322176 Report Date: 05/04/23 Date Collected: 04/25/23 08:00 Date Received: 04/25/23 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst 1.1 05/04/2310:18 05/04/2312:44 140,16646 JGM CHAIN OF CUSTODY PAGE t Or I F - i -. r r G�jA C _ R49Egi Wosthoro"N MA Mrneik4d,MA � Prgact Narita. Kings Landing Srewrsler TEL. 506e996.92 0 TEF_ 50542MMO Fax.r�a•��a+ FJX 5F„4;—a Client Information Project Location: 3 State Road Ekewsaster MA Client; Coastal !"n lneadruj Co. Inc, Address.- 268 Cranbarrr HiMwwraY Orleans MA02653 Pirrone: 508 255651 T Turn -Around Time Fax; $08 255-6704 0 standard d Rush 1QNLYaP PRF.,APW0VE% Small: c36mmons ptLood.conn Three aaaetlea haus bean Pxwoow ry awlynd by Alpha due Date. Time: Other Project Speciftn RequjrementsfCommentsMetection Limits: ALPHA Lab IQ (Lab Use Only) Sample ID PLEASE ANSWER QUESTIONS ASOVEI IS YOUR PROJECT MA MCP or CT RCP? haW "D.cr-erip -image 1-0 -a -0 Serial No:05042315:40 FRepo,rt I formation Data Billing Information ivr bias I [I FAX "O 0 ADEXAddl DeRversibles Regulatory RequieementslRep rt Llmits M cdkcuon _ Sample SarnolBes Date Tlrobn Matrix I INVAts O -24;25 [ 800400 WW CAS 1 Q5n3 1 0800 Aro Cf RCP-Relesanable CunWaMd PRratrruxx I F mired ,YSIS Fxrrntkm © Dorm C1 Net Weeded 13 L*todo pfflswvatron la Lab to da (Pr*ee+a,oezny M rmtaw) I in m z w h co ice- �} I cnis#in a �sdse _.7 i @- col u IN[ N[ -Mr-1❑ _❑ ! - T LA C LJ U ' 1 01 ContaiTrer i �' P - _ Rmrhkiuished By. L7atelTireuu I- R L—j!>-0 1 �—j I 1 _ _ Pima QrW 0 ady, I696Y 1 ww co"Veiely. S..M. err not De Wgoed in and Da M* twnimumd fte dock VA rlol elan u,la my eKnWguiles ars reeoivod. AA "mr1 s eubenilted are "Oa to ]�,�1 �.S AlphsY PAyrrieni Terris. Mondqy, May 1, 2023 Coastal Engineering Co. 260 Cranberry Highway Orleans, MA 02653 ProjectNante: Project Number: Sampled By: Lab Order Number: Date Received: ENVIROTECH LABORATORIES, INC. MA CERT. NO.: M -MA 063 8 Jan Sebastian Drive Sandwich, MA 02563 (508) 888-6460 1-800-339-6460 FAX (508)888-6446 Kingy Landing WBR007.00 Chari .Sinlnlons WW -230627 04125123 Comments: -- sax#0 7)pe S Sanwk Doe Efte" A 14:25 04i2W3 Parameters Units Test Results Reportable Limits DateAnalvzed Analyst Method Fecal Coliform CFU1100ml 100 100/1QOm - 04125/23 KF@1630 I SM 9222D All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met, unless otherwise noted at the end of a given sample's analytical results. We certify that the following results are true and accurate to the best of our knowledge. BRL=below reportable limits *see attached By Ronald J. Saari Laboratory Director Page 1 of 1 COASTAL engineering co. 260 Cranberry Highway Orleans, MA 02553 508.255.6511 P 508.255.6700 F Orleans I Sandwich I Nantucket coastalengineeringcompany.com Project Name: Kinds Landin� Project No.: WBR007.00 Sampled By: Chad Simmons Date/Time Sample Identification EFFLUENT Samplea/kelinquished by: (jhr� l� ✓r�•� I Si --.nature; Relinquished by: .Sit nature; Method of Shipment ❑ US Express Mail Label No. ❑ Other: CHAIN OF CUSTODY RECORD Lab Contact: Ronald J. Saari Company: Envirotech Laboratories, Inc. Address: Unit 12 8 Jan Sebastian Drive Sandwich Telephone: 508-888-6460 / 800-339-6460 Fax: 508-888-6446 Containers i — ar_ No. Size G/P 0 �j N 'u Presry Analysis Requested/Comments Lab Number 1 100 P G WW ICE Fecal Coliform 0 r M?Q Date/Time Received by: Date/Time Relinquished by: 3 f. 4 N 4P,Q Z NFb i Si.. nature kSignaturej Date/Time Received by: Date/Time Relinquished by, Date/Time tSi nature L i Si- inaturek Remarks: D: I DOC1 WI WBRIO071 WBR007.00 COC ENVIROTECH.doc Massachusetts Department of Environmental Protection 1934 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number ti Groundwater Permit 2. Tax iaenufication Number MONITORING WELL DATA REPORT .2023 APR 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) • NS =Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant HW -1 HW -2 HW -3 HWA Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 PH 6.10 5.89 5.64 DRY S.U. STATIC WATER LEVEL 23.01 20.90 20.96 DRY FEET SPECIFIC CONDUCTANCE 670 600 550 DRY UMHOS/C mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 5125/23,10:57 AM MassDEP's Online Filing System i eDEP - MassDEP's OnlineFiling System MassDEP Home I Contact I Privacy Policy [Receipt Forms Signature Receipt Summary/Receipt print receipt FExTtl 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: 1572185 Date and Time Submitted: 5/25/2023 10:55:54 AM Other Email : DEP Transaction ID: 1572185 Date and Time Submitted: 5/25/2023 10:55:54 AM Other Email : DEP Transaction ID: 1572185 Date and Time Submitted: 5/25/2023 10:55:54 AM Other Email: DEP Transaction ID: 1572185 Date and Time Submitted: 5/25/2023 10:55:54 AM Other Email : Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 Discharge Monitoring Report(1 - 2023 Apr Monthly) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 Monitoring Well Data Report(1 - 2023 Apr Monthly) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 https://edep.dep.mass.gov/eDEP/Pages/PdntReceipt.aspx 1/2 5/25/23,10:57 AM eDEP - MassDEP's OnlineFiling System location: 3 STATE STREET Address: BREWSTER ZIP: 02631 Daily Log Sheet(2023 APR DAILY) Form Name: Comments My eDEP MassDEP Home I Contact I Privacy Policy MassDEP's Online Filing System ver.16.4.11 1© 2019 MassDEP https://edep.dep.mass.gov/eDEP/Pages/PrintReceipt.aspx 2/2 Ll Massachusetts Department of Environmental Protection DEP 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: 1579777 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1027.21K Status of Transaction: in Process Date and Time Created: 6/13/2023:1:42:56 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 Bureau of Resource Protection - Groundwater Discharge Program Li Groundwater Permit DAILY LOG SHEET Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. to l�6 ".K A. Facility Information 1. Facility name, address: PLEASANT BAY HEALTH CTR a. Name 383 SOUTH ORLEANS ROAD b. Street Address 'BREWSTER IMA C. City d. State 2. Contact information: 746 1. Permit Number 2. Tax identification Number 2023 MAY DAILY 3. Sampling Month & Frequency 102631 e. Zip Code JOSEPH SMITH a. Name of Facility Contact Person 7742125005 smith@nsuwater.com b. Telephone Number c. e-mail address 3. Sampling information: 15/1/2023 a. Date Sampled (mm/dd/yyyy) 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 May Daily F All forms for submittal have been completed. 2.- This is the last selection. 3. r Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 n Massachusetts Department of Environmental Protection 6 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 12023 MAY DAILY 3. Sampling Month -& Frequency C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine IN Flow GPD Flow GPD Flow GPD pH Residual Intensity (mg/1) N 1 16503 6.8 66.6 2 18116 6.8 66.8 3 15030 16.9 66.6 4 11791 6.8 66.6 5 10550 6.8 66.6 6 10550 7 10550 8 12808 6.9 69.1 9 10917 °6.9 69.1 10 15734 6.9 66.2 11 11338 6.8 66.7 12 14072 6.8 66.6 13 14072 14 14072 15 10607 6.9 66.6 16 19967 6.8 66.8 17 14607 7.0 71.7 18 115322 1 6.9 66.6 19 11257 6.9 66.7 20 11257 21 11257 [6�66�d 22 9942 7.0 23 12147 6.9 66.7 24 14641 7.0 66.7 25 10578 7.0 66.6 26 12479 6.7 74.2 27 12479 28 12479 29 12479 30 14564 6.6 69.1 31 11982 6.6 I 66.5 gdpols.doc • rev. 09/15115 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. Q Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT A. Facility Information 746 1.Permit Number 2. . ax iaenm.cauon ;.umber 2023 MAY MONTHLY 3. Sampling Month & Frequency 1. Facility name, address: PLEASANT BAY HEALTH CTR a. Name .383 SOUTH ORLEANS ROAD b. Street Address BREWSTER 1MA 102631 C. City d. State e. Zip Code 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 b. Telephone Number 3. Sampling information: 15/9/2023 a. Date Sampled (mm/dd/yyyy) ALPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection ,smith@nsuwater.com c. e-mail address •.I PHA ANALYTICAL b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2023 May Monthly - All forms for submittal have been completed. 2. This is the last selection. 3. r Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection F746 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT I 12023 MAY 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 Boo 150 ND 2.0 MG/L TSS �63 ND 5.0 MG/L TOTAL SOLIDS 340 230 13 MG/L AMMONIA -N 15.3 MG/L NITRATE -N 3.2 10.10 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 4.48 0.450 MG/L OIL & GREASE ND 4.0 MG/L. FECAL COLIFORM ND 2.0 /100 ML CHLORIDE 40 1.0 MG/L 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. pfdC AM;X! Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT A. Facility Information 746 T. Permit Number 2. Tax iaentification Number 2023 MAY MONTHLY 3. Sampling Month & Frequency 1. Facility name, address: PLEASANT BAY HEALTH CTR a. Name 383 SOUTH ORLEANS ROAD b. Street Address BREWSTER MA 02631 C. City d. State e. Zip Code 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person F7742125005 b. Telephone Number 3. Sampling information: smith@nsuwater.com c. e-mail address 15/15/2023 NOT APPLICABLE a. Date Sampled (mm/dd/yyyy) 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 May Monthly All forms for submittal have been completed. 2. This is the last selection. 3. F_ 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 146 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 12023 MAY MONTHLY L11. 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 DG -1 DG -2 DG -4 UG -1 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 PH 6.02 6.45 6.91 6.51 S.U. STATIC WATER LEVEL 12.47 12.54 12.47 12.77 FEET SPECIFIC CONDUCTANCE 201 397 388 142 UMHOS/C 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 Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit Facility Information PLEASANT BAY HEALTH CTR a. Name 383 SOUTH ORLEANS ROAD b. Street Address BREWSTER C. City 746 1. PermitNumber ax mentincation Number MA 02631 d. State e. Zip Code Certification "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that ther are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." SAMANTHA FARRENKOPF 6/13/2023 a. Signature to ortin Package Comments b. Date (mm/dd/yyyy) BENNETT ENVIRONMENTAL ASSOCIATES, LLC. (BEA) HAS COMPLETED THE MAY 2023 MONTHLY INFLUENT AND EFFLUENT SAMPLING OF THE AMPHIDROME WASTEWATER TREATMENT SYSTEM. MONTHLY WASTEWATER SAMPLING WAS COMPLETED ON 5/9/23. LABORATORY RESULTS REPORTED ALL PARAMETERS WITHIN DISCHARGE PERMIT LIMITATIONS. 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 26,500 -GPD LIMITATION THROUGHOUT THE MONTH. THE MINIMUM, MAXIMUM AND AVERAGE GPD FLOWS REPORTED OVER THE COURSE OF THE MONTH WERE 8,116 GPD, 19,967 GPD AND 12,714 GPD, RESPECTIVELY. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 AU=HA A N A L. Y1'T 1 C A L ANALYTICAL REPORT Lab Number- L2325567 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: Joseph Smith Phone: (508) 896-1706 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Report Date: 05/23/23 Serial No:05232314:01 The original project report/data package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH -0826), IL (200077), IN (C -MA -03), KY (KY98045), ME (MA00086), MD (348), NJ (MA935), NY (11148), NC (25700/666), OH (CL108), OR (MA -1316), PA (68-03671), RI (LA000065), TX (T104704476), VT (VT -0935), VA (460195), USDA (Permit #525-23-122-91930). Eight Walkup Drive, Westborough, MA 01581-1019 508-898-9220 (Fax) 508-898-9193 800-624-9220 - www.alphalab.com Page 1 of 21 Serial No:05232314:01 Project Name: PLEASANT BAY Lab Number: L2325567 Project Number: K47810DA.S.WW.700 Report Date: 05/23/23 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L2325567-01 INFLUENT WATER BREWSTER, MA 05/09/23 14:30 05/09/23 L2325567-02 EFFLUENT WATER BREWSTER, MA 05/09/23 14:10 05/09/23 L2325567-03 EFFLUENT WATER BREWSTER, MA 05/09/23 14:10 05/09/23 Page 2 of 21 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Case Narrative Serial No:05232314:01 Lab Number: L2325567 Report Date: 05/23/23 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. 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 method/program 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 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 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. p� Page 3 of 21 `"` Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Case Narrative (continued) Serial No:05232314:01 Lab Number: L2325567 Report Date: 05/23/23 Coliform, Fecal (MF) L2325567-03: The sample has an elevated detection limit due to the dilution required by the method. I, the undersigned, attest under the pains and penalties of perjury that, to the best of my knowledge and belief and based upon my personal inquiry of those responsible for providing the information contained in this analytical report, such information is accurate and complete. This certificate of analysis is not complete unless this page accompanies any and all pages of this report. Authorized Signature: Cristin Walker Title: Technical Director/Representative Page 4 of 21 Date: 05/23/23 INORGANICS 11 MISCELLANEOUS Page 5 of 21 Serial No:05232314:01 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Lab ID: L2325567-01 Dilution Client ID: INFLUENT Analytical Sample Location: BREWSTER, MA MDL Sample Depth: Prepared Analyzed Matrix: Water 13 Parameter Result Qualifier Units General Chemistry - Westborough Lab 121,25406 Solids, Total 340 mg/l Solids, Total Suspended 63. mg/l Nitrogen, Ammonia 15.3 mg/I BOD, 5 day 150 mg/l Page 6 of 21 SAMPLE RESULTS Serial No:05232314:01 Lab Number: L2325567 Report Date: 05/23/23 Date Collected: 05/09/23 14:30 Date Received: 05/09/23 Field Prep: Not Specified Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 13 NA 1.3 05/10/2314:59 121,25406 SMD 16 NA 3.2 - 05/1112317:19 121,2540D DRV 0.375 5 05/17/23 13:55 05/17/23 21:34 121,4500NH3-13H AVT 30 NA 15 05/10/2311:55 05/15/2311:20 121,521013 MKT Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Lab ID-. L2325567-02 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 121,254013 Solids, Total 230 mg/I Solids, Total Suspended ND mg/I Chloride 40. mg/I Nitrogen, Nitrite 0.076 mg/I Nitrogen, Nitrate 3.2 mg/l Nitrogen, Total Kjeldahl 1.20 mg/I BOD, 5 day ND mg/I Oil & Grease, Hem-Grav ND mg/I Page 7 of 21 SAMPLE RESULTS Serial No:05232314:01 Lab Number: L2325567 Report Date: 05/23/23 Date Collected: 05/09/23 14:10 Date Received: 05/09/23 Field Prep: Not Specified Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 13 NA 1.3 - 05/10/2314:59 121,254013 SMD 5.0 NA 1 - 05/11/2317:19 121,2540D DRV 1.0 1 - 05/19/2312:34 121,4500CL-E JER 0.050 1 - 05/10/23 03:59 44,353.2 KAF 0.10 1 - 05/10/23 03:59 44,353.2 KAF 0.300 1 05/18/2322:44 05/19/2313:52 121,4500NH3-H AAA 2.0 NA 1 05/11/2300:23 05/15/2318:45 121,52106 JRG 4.0 -- 1 05/22/2313:25 05/22/2316:17 140,166413 JGM Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 SAMPLE RESULTS Lab ID: L2325567-03 Client ID: EFFLUENT Sample Location: BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units RL Microbiological Analysis - Westborough Lab Coliform, Fecal (MF) ND c011100ml 2.0 Page 8 of 21 Serial No:05232314:01 Lab Number: L2325567 Report Date: 05/23/23 Date Collected: 05/09/23 14:10 Date Received: 05/09/23 Field Prep: Not Specified Dilution Date MDL Factor Prepared NA 2 Date Analytical Analyzed Method Analyst 05/09/23 20:29 121,9222D MTO Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Method Blank Analysis Batch Quality Control Serial No:05232314:01 Lab Number: L2325567 Report Date: 05/23/23 General Chemistry -Westborough Lab for sample(s): 01 Batch: WG1779857-1 Nitrogen, Ammonia ND mg/I 0.075 1 Dilution Date Date Analytical Batch: Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst Microbiological Analysis - Westborough Lab for sample(s): 03 Batch: WG1776920-1 Batch: WG1780989-1 Coliform, Fecal (MF) ND col/100ml 1.0 NA 1 - 05/09/23 20:29 121,9222D MTO General Chemistry -Westborough Lab for sample(s): 02 Batch: WG1776947-1 Oil & Grease, Hem-Grav ND mg/I 4.0 Nitrogen, Nitrite ND mg/I 05/22/23 13:25 05/22/23 15:43 0.050 05/10/23 02:22 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1776951-1 Nitrogen, Nitrate ND mg/l 0.10 1 - 05/10/23 02:25 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1777192-1 BOD, 5 day ND mg/I 2.0 NA 1 05/10/23 11:55 05/15/23 11:20 121,5210B MKT General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1777298-1 Solids, Total ND mg/l 10 NA 1 - 05/10/23 14:59 121,25406 SMD General Chemistry Westborough Lab for sample(s): 02 Batch: WG1777410-1 BOD, 5 day ND mg/I 2.0 NA 1 05/11/23 00:23 05/15/23 18:45 121,5210B JRG General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1777929-1 Solids, Total Suspended ND mgll 5.0 NA 1 - 05/11/23 17:19 121,2540D DRV General Chemistry -Westborough Lab for sample(s): 01 Batch: WG1779857-1 Nitrogen, Ammonia ND mg/I 0.075 1 05/17/23 13:55 05/17/23 21:28 121,4500NH3-BH AVT General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1780709-1 Nitrogen, Total Kjeldahl ND mg/I 0.300 1 05/18/23 22:44 05/19/23 13:35 121,4500NH3-H AAA General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1780989-1 Chloride ND mg/I 1.0 1 - 05/19/2312:11 121,4500CL-E JER General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1781910-1 Oil & Grease, Hem-Grav ND mg/I 4.0 1 05/22/23 13:25 05/22/23 15:43 140,16646 JGM Page 9 of 21 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Serial No:05232314:01 Lab Control Sample Analysis Batch Quality Control Lab Number: L2325567 Report Date: 05/23/23 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery Cual Limits RPD Qua[ RPD Limits General Chemistry -Westborough Lab Associated sample(s): 02 Batch: WG1776947-2 Nitrogen, Nitrite - 90-110 20 General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG 1776951-2 Nitrogen, Nitrate - 90-110 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1777192-2 BOD, 5 day 85-115 20 General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG1777298-2 Solids, Total 100 80-120 General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG1777410-2 BOD, 5 day 85 85-115 20 General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG1777929-2 Solids, Total Suspended 80-120 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1779857-2 Nitrogen, Ammonia 80-120 20 Page 10 of 21 46�. Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Lab Control Sample Analysis Batch Quality Control LCS LCSD Parameter %Recovery %Recovery General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG 1780709-2 Nitrogen, Total Kjeldahl 102 - General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG 1780989-2 Chloride General Chemistry -Westborough Lab Associated sample(s): 02 Batch: WG1781910-2 Oil & Grease, Hem-Grav Page 11 of 21 Serial No:05232314:01 Lab Number: L2325567 Report Date: 05/23/23 %Recovery Limits RPD RPD Limits 78-122 90-110 78-114 18 lk. Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Serial No:05232314:01 Matrix Spike Analysis Batch Quality Control Lab Number: L2325567 Report Date: 05/23/23 Native IMS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found %Recovery Qual Limits RPD Qual Limits General Chemistry -Westborough Lab Associated sample(s): 02 QC Batch ID: WG1776947-4 QC Sample: L2325370-01 Client ID: MS Sample Nitrogen, Nitrite 0.62 4 4.8 104 80-120 20 General Chemistry -Westborough Lab Associated sample(s): 02 QC Batch ID: WG1776951-4 QC Sample: L2325370-01 Client ID: MS Sample Nitrogen, Nitrate 0.53 4 4.7 104 83-113 6 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1777192-4 QC Sample: L2325606-01 Client ID: MS Sample BOD, 5 day ND 100 93 93 50-145 35 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1777410-4 QC Sample: L2325567-02 Client ID: EFFLUENT BOD, 5 day ND 100 88 50-145 35 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1779857-4 QC Sample: L2325605-02 Client ID: MS Sample Nitrogen, Ammonia 1.08 8 9.11 100 80-120 20 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1780709-4 QC Sample: L2324592-02 Client ID: MS Sample Nitrogen, Total Kjeldahl ND 8 1.82 23 Q 77-111 24 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1780989-4 QC Sample: L2326008-01 Client ID: MS Sample Chloride 7.5 20 27 98 58-140 7 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1781910-4 QC Sample: L2325521-02 Client ID: MS Sample Oil & Grease, Hem-Grav ND 39.6 34 78-114 18 Page 12 of 21 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Lab Duplicate Analysis Batch Quality Control Serial No:05232314:01 Lab Number: L2325567 Report Date: 05/23/23 Parameter Native Saml:le DuLlicate Saml le Units RPD Qual RPD Limits General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1776947-3 QC Sample: L2325370-01 Client ID: DUP Sample Nitrogen, Nitrite 0.62 0.62 mg/I 20 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1776951-3 QC Sample: L2325370-01 Client ID: DUP Sample Nitrogen, Nitrate 0.53 0.55 mg/l 6 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1777192-3 QC Sample: L2325606-01 Client ID: DUP Sample BOD, 5 day ND ND mg/I • • 35 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1777298-3 QC Sample: L2324904-01 Client ID: DUP Sample Solids, Total 540 530 mg/l 16 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1777410-3 QC Sample: L2325567-02 Client ID: EFFLUENT BOD, 5 day ND ND mg/l NC 35 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1777929-3 QC Sample: L2325397-02 Client ID: DUP Sample Solids, Total Suspended 150 160 mg/l 32 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1777929-4 QC Sample: L2325567-01 Client ID: INFLUENT Solids, Total Suspended 63 65 mgll 32 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1779857-3 QC Sample: L2325605-02 Client ID: DUP Sample Nitrogen, Ammonia 1.08 1.06 mg/l 20 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1780709-3 QC Sample: L2324592-02 Client ID: DUP Sample Nitrogen, Total Kjeldahl ND ND mg/l 24 Page 13 of 21 f '� 1,�4"e9��.,_, o w i Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Lab Duplicate Analysis Batch Quality Control Serial No:05232314:01 Lab Number: L2325567 Report Date: 05/23/23 Parameter Native Sam;ile Dwilicate Sam. Oe Units RPD RPD Limits General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1780989-3 QC Sample: L2326008-01 Client ID: DUP Sample Chloride 7.5 7.5 mg/I 7 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1781910-3 QC Sample: L2325521-01 Client ID: DUP Sample Oil & Grease, Hem-Grav ND ND mg/l NC 18 Page 14 of 21� Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Were project specific reporting limits specified? Cooler Information Cooler Custody Seal B Absent Sample Receipt and Container Information YES Container Information Initial Final Temp Container ID Container Type Cooler pH pH deg C Pres Seal L2325567 -01A Plastic 500ml H2SO4 preserved B <2 <2 4.7 Y Absent L2325567-01 B Plastic 950ml unpreserved B 7 7 4.7 Y Absent L2325567 -01C Plastic 950ml unpreserved B 7 7 4.7 Y Absent L2325567 -02A Plastic 250ml H2SO4 preserved B <2 <2 4.7 Y Absent L2325567 -02B Plastic 950ml unpreserved B 7 7 4.7 Y Absent L2325567 -02C Plastic 950ml unpreserved B 7 7 4.7 Y Absent L2325567 -02D Amber 1000ml HCl preserved B NA 4.7 Y Absent L2325567 -02E Amber 1000ml HCI preserved B NA 4.7 Y Absent L2325567 -03A Bacteria Cup Na2S203 preserved B NA 4.7 Y Absent L2325567 -03B Bacteria Cup Na2S203 preserved B NA 4.7 Y Absent Frozen DateMme Page 15 of 21 *Values in parentheses indicate holding time in days Serial No:05232314:01 Lab Number., L2325567 Report Date: 05/23/23 Analysis(*) NH3-4500(28) TSC -2540(7), BOD -5210(2) TSS -2540(7) TKN-4500(28) TSC -2540(7), CL -4500(28), NO2-353(2), NO3- 353(2),BOD-5210(2) TSS -2540(7) OG -1664(28) OG -1664(28) F-COLI-MF(.33) F-COLI-MF(.33) Serial No:05232314:01 Project Name: PLEASANT BAY Lab Number: L2325567 Project Number: K47810DA.S.WW.700 Report Date: 05/23/23 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 PAHs using Solid -Phase Microextraction (SPME). EMPC Estimated Maximum Possible Concentration: The concentration that results from the signal present at the retention time of an analyte when the ions meet all of the identification criteria except the ion abundance ratio criteria. An EMPC is a worst-case estimate of the concentration. EPA Environmental Protection Agency. LCS Laboratory Control Sample: A sample 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 analytes. LOD Limit of Detection: This value represents the level to which a target analyte can reliably be detected for a specific analyte in a specific matrix by a specific method. The LOD includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) LOQ Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) MDL Method Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The MDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. MS Matrix Spike Sample: A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. For Method 332.0, the spike recovery is calculated using the native concentration, including estimated values. MSD Matrix Spike Sample Duplicate: Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non -detect at the parameter's reporting 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 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 of analytical results in a given matrix and are expressed as relative percent difference (RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. 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 of a 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 method and/or program. All TICs are qualitatively identified and reported as estimated concentrations. Report Format. Data Usability Report Page 16 of 21 Serial No:05232314:01 Project Name: PLEASANT BAY Lab Number: L2325567 Project Number: K47810DA.S.WW.700 Report Date: 05/23/23 Footnotes ] The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. 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 of chlordane isomers, other chlorinated hydrocarbons and numerous other components." (Reference: USEPA Toxicological Review of Chlordane, In Support of Summary Information on the Integrated Risk Information System (IRIS), December 1997.) 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 of container determined after adjustment at the laboratory, if applicable. If no adjustment required, value reflects Initial pH. Frozen Date/Time: With respect to Volatile Organics in soil, Frozen Date/Time reflects the date/time at which associated Reagent Water - preserved vials were initially frozen. Note: If frozen date/time is beyond 48 hours from sample collection, value will be reflected in'bold'. Gasoline Range Organics (GRO): Gasoline Range Organics (GRO) 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 'PAHs, Total' result is defined as the summation of results for all or a subset of the following compounds: Naphthalene, C1-C4 Naphthalenes, 2 -Methylnaphthalene, 1 -Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, Cl -C3 Fluorenes, Phenanthrene, C1-C4 Phenanthrenes/Anthracenes, Anthracene, Fluoranthene, Pyrene, C1-C4 Fluoranthenes/Pyrenes, Benz(a)anthracene, Chrysene, CI -C4 Chrysenes, Benzo(b)fluoranthene, Benzo(i)+(k)fluoranthene, Benzo(e)pyrene, Benzo(a)pyrene, Perylene, Indeno(1,2,3-cd)pyrene, Dibenz(ah)+(ac)anthracene, Benzo(g,h,i)perylene. If a'Total' result is requested, the results of its individual components will also be reported. PFAS Total: With respect to PFAS analyses, the'PFAS, Total (5)' result is defined as the summation ofresults for: PFHpA, PFHxS, PFOA, PFNA and PFOS. In addition, the'PFAS, Total (6)' result is defined as the summation of results for: PFHpA, PFHxS, PFOA, PFNA, PFDA and PFOS. For MassDEP DW compliance analysis only, the'PFAS, Total (6)' result is defined as the summation of results at or above the RL. Note: If a'Total' result is requested, the results of its individual components will also be reported. 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, 8081 and 8082. Data Qualifiers A Spectra identified as "Aldol Condensates" are byproducts of the extractioniconcentration 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 (10x) 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 (10x) 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 (10x) 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 above five times the reporting limit for common lab contaminants (Phthalates, Acetone, Methylene Chloride, 2-Butanone). C Co -elution: The target analyte co -elutes with a known lab standard (i.e. surrogate, internal standards, etc.) for co -extracted analyses. D Concentration of analyte was quantified from diluted analysis. Flag only applies to field samples that have detectable concentrations of the analyte. E Concentration of analyte exceeds the range of the calibration curve and/or linear range of the instrument. F -The ratio of quantifier ion response to qualifier ion response falls outside of the laboratory criteria. Results are considered to be an estimated maximum concentration. G The concentration may be biased high due to matrix interferences (i.e, co -elution) with non -target compound(s). The result should be considered estimated. H The analysis of pH was performed beyond the regulatory -required holding time of 15 minutes from the time of sample collection. I The lower value for the two columns has been reported due to obvious interference. J Estimated value. This represents an estimated concentration for Tentatively Identified Compounds (TLCs). M Reporting Limit (RL) exceeds the MCP CAM Reporting Limit for this analyte. Report Format: Data Usability Report Page 17 of 21 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Serial No:05232314:01 Lab Number: L2325567 Report Date: 05/23/23 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 recovery/RPD outside the QC acceptance limits. (Applicable to MassDEP DW Compliance samples only.) Report Format: Data Usability Report Page 18 of 21 Serial No:05232314:01 Project Name: PLEASANT BAY Lab Number: L2325567 Project Number: K47810DA.S.WW.700 Report Date: 05/23/23 REFERENCES 44 Methods for the Determination of Inorganic Substances in Environmental Samples, EPA/600/R-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. ;A Page 19 of 21 Alpha Analytical, Inc. Facility: Company -wide Department: Quality Assurance Title: Certificate/Apjaroval Pro ram Summary Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Serial_No:05232314:01 ID No.:17873 Revision 19 Published Date: 4/2/2021 1:14:23 PM Page 1 of 1 Westborough Facility EPA 624/624.1: m/p-xylene, o -xylene, Naphthalene EPA 625/625.1: alpha -Terpineol EPA 8260C/826OD: NPW: 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene, Azobenzene; SCM: lodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene. EPA 8270D/8270E: 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 254OD: TSS EPA 8082A: NPW: PCB: 1, 5, 31, 87,101, 110, 141, 151, 153, 180, 183, 187. EPA TO -15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene, 2-Methylthiophene, 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-13, SM2320B, SM2540C, SM4500H-B, SM450ONO2-B EPA 332: Perchlorate; EPA 524.2: THMs and VOCs; EPA 504.1: EDB, DBCP. Microbiology: SM9215B; SM9223-P/A, SM9223B-Colilert-QT,SM9222D. Non -Potable Water SM4500H,B, EPA 120.1, SM2510B, SM2540C, SM2320B, 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, SM4500P-B, E, SM4500SO4-E, SM5220D, EPA 410.4, SM5210B, SM5310C, SM4500CL-13, EPA 1664, EPA 420.1, SM4500-CN-CE, SM2540D, EPA 300: Chloride, Sulfate, Nitrate. EPA 624.1: Volatile Halocarbons & Aromatics, EPA 608.3: Chlordane, Toxaphene, Aldrin, alpha -BHC, beta -BHC, gamma -BHC, delta -BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan Il, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625.1: SVOC (Acid/Base/Neutral Extractables), EPA 600/4-81-045: PCB -Oil. Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9221 E, EPA 1600, EPA 1603, SM922213. Mansfield Facility: Drinking Water EPA 200.7: Al, Ba, Cd, Cr, Cu, Fe, Mn, Ni, Na, Ag, Ca, Zn. EPA 200.8: Al, Sb, As, Ba, Be, Cd, Cr, Cu, Pb, Mn, Ni, Se, Ag, TL, Zn. EPA 245.1 Hg. EPA 522, EPA 537.1. Non -Potable Water EPA 200.7: Al, Sb, As, Be, Cd, Ca, Cr, Co, Cu, Fe, Pb, Mg, Mn, Mo, Ni, K, Se, Ag, Na, Sr, TL, Ti, V, Zn. EPA 200.8: Al, Sb, As, Be, Cd, Cr, Cu, Fe, Pb, Mn, Ni, K, Se, Ag, Na, TL, Zn. EPA 245.1 Hg. SM2340B For a complete listing of analytes and methods, please contact your Alpha Project Manager. Document Type: Form Page 20 of 21 Pre-Qualtrax Document ID: 08-113 AA a aar n_e•,ew e. w4vtbnreugh, SAA Biaerailald, MA Tei,: WS-111WIM TEL; 5011-MV-SM0 Client. Bennett Environmental Address: 1573 Potain Street Brewster MA 02631 Serial No:05232314:01 Project • • Report• ■ Deliverables Billing Information Q FAX t h1AOt some as client kft PO 0: 47alnOA.S Project Mame: Pleasant Day ® , DEX Add'l DvO eraVes - — Regulatory • . guirementsiReport Limits Pm'vet kocatbon° Brewsler. MA 5laf&Fed ",yam LlyN. Jra _ Pax: 508-awstos Standard ) Rusty tob0.y IF PRE-APPROVEnr ! U 1 U ! U Errii�il, sfarrenka�P�htSWJater,com Ti � I ` P to A © these eampieseoexe bevnPwW* ww*zWby Alpha Dile Data'. T me: Q Other Pmject Specific Requirements Cornmer6ts/Cletection LiMits: 0 L a 0 Ci o H - - Pl— pr d daarly. %9wPreservatitre end earnplftlp. Saam*o cam RelincItAshed $ Y: 2 ; NMYo�S�tiW Y' _ datafrIme 4i Sample 10 CnUeciion Sample Sampler's C ALPHA Lair 1DT I Matrix Indibls wad until am embvtAies *a : •acab.•ad AM s+mphs 9) 12(Lab Use OMy) Date Tffna n 1 ' m z- m h C EiFluetil raeoe+an Ma pw a.x. s■+reou Page 21 of 21 I a t:; :C5 Wr ■ ■ a �■ r OM SAMPLE HANIXING FiVS0pn © Deem Not "Stdw 0 Labiodo Prea«wm*m Cl Lab to da (6 1py b smm■enu a ! U 1 U ! U M U . 1__I 1 LI • LI ' L■ I LI LJ �o ContainerTVFe ` P to A P a 0 a 0 Ci o H - - Pl— pr d daarly. %9wPreservatitre end earnplftlp. Saam*o cam RelincItAshed $ Y: Ti 0211 me ; NMYo�S�tiW Y' _ datafrIme nx 6. byMO mrgeu en and .dink ..A hoe _ .0. • wad until am embvtAies *a : •acab.•ad AM s+mphs •.,�_ *oaaneeuhjactla "or* Twms May 12, 2023 Bryan Webb (via email) Ocean Edge Resort 2907 Main Street Brewster, MA 02631 RE: Ocean Edge Resort Wastewater Treatment Facility Monthly Operations Report — April 2023 Dear Mr. Webb: WestonQSampson 55 Walkers Brook Drive, Suite 100, Reading, MA 01867 Tel: 978.532.1900 Enclosed please find the Monthly Operations Reporting Package for the Ocean Edge Resort wastewater treatment facility (WWTF) located at 832 Village Drive in Brewster, MA. Weston & Sampson Services, Inc. would like to note the following: • All regulated effluent parameters of samples collected throughout the month were reported to be within their respective permissible limits. • Data was filed with MassDEP electronically, via eDEP. A copy of the transaction is included in this package. If you have any questions or concerns regarding this report, or the wastewater treatment facility, please feel free to contact me at wsscompliance@wseinc.com. Regards, WESTON & SAMPSON SERVICES, INC. r` James R. Tringale Compliance Coordinator cc: Brewster Board of Health (via email) FR Mahony Associates (via email) w esto n a n d s a m p so n. co m Offices in: MA, CT, NH, VT, NY, NJ, PA, SC & FL Massachusetts Department of Environmental Protection r_ eDE P Transaction Copy : —T Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: WSSINC Transaction ID: 1564448 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1025.65K Status of Transaction: submitted Date and Time Created: 6/112023:10:32:18 AM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. 1Massachusetts Department of Environmental Protection 633 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number I Groundwater Permit 2. rax identi'ication Number DAILY LOG SHEET 2023 APR _DAILY 3. Sampling Month &Frequency 3. Sampling information: 4/1/2023 IONSITE MEASUREMENTS a. Date Sampled (mm/dd/yyyy) b. Laboratory Name CHRIS VIGNEAU c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2023 Apr Daily �! r All forms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 A. Facility Information Important:When filling out forms on 1. Facility name, address: the computer, use OCEAN EDGE CONFERENCE CTR only the tab key to a. Name move your cursor - ROUTE 6A do not use the return key. b. Street Address BREWSTER MA 102631 C. City d. State e. Zip Code 2. Contact information: ' JAMES R. TRINGALE a. Name of Facility Contact Person 9785321900 WSSCompliance@wseinc.com b. Telephone Number c. e-mail address 3. Sampling information: 4/1/2023 IONSITE MEASUREMENTS a. Date Sampled (mm/dd/yyyy) b. Laboratory Name CHRIS VIGNEAU c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2023 Apr Daily �! r All forms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection `,633 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit LL ' 2. Tax identification Number DAILY LOG SHEET 1.2023 APR DAILY 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation 7.14 Flow GPD Flow GPD Flow GPD 1 9337 2 19337 3 9337 4 9920 5 8615 6 8407 7 9703 8 7570 9 7570 10 7570 11 8900 12 ;8296 13 ; 2301 14 3430 15 i6034 16 6034 17 18879 18 8024 19 ( 8024 20 4165 21 7712 22 9421 23 9421 24 9421 25 5836 26 6224 27 199 28 142 29 70 30 70 31 Turbidity Influent pH Effluent Chlorine UV pH Residual Intensity (mg/1) (%) 7.12 7.44 7.14 7.49 7.09 7.41 7.11 '7.38 7.07 7.42 7.10 7.37 7.13 7.44 7.09 7.48 7.15 7.42 7.12 7.38 7.08 7.44 7.04 7.53 7.07 7.49 7.11 7.41 7.09 7.37 7.06 17.39 7.08 7.36 7.11 7.43 7.13 7.41 1-7.10 7.39 7.1 4 7.36 gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Ll Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. VQ 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: OCEAN EDGE CONFERENCE CTR a. Name ROUTE '6A b. Street Address BREWSTER C. City 2. Contact information: JAMES R. TRINGALE a. Name of Facility Contact Person 9785321900 b. Telephone Number 3. Sampling information: 14/26/2023 633 1. Permit Number 2. Tax -dentUication Number 2023 APR MONTHLY 3. Sampling Month &-Frequency MA 02631 d. State e. Zip Code rWSSCompliance@wseinc.com c. e-mail address JONSITE MEASUREMENTS a. Date Sampled (mm/ddlyyyy) b. Laboratory Name CHRIS VIGNEAU c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2023 Apr Monthly - r— All forms for submittal have been completed. 2. 1 This is the last selection. 3. t_ Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 PH 6.70 I 16.90 6.70 6.90 1:6.80 S.U. sTATIC WATER LEVEL146.4 [45.2 `42.5 147.3 40.7 FEET SPECIFIC CONDUCTANCE 11290 I L560 480 315 410 UMHOS/C mwdgwp-blank.doc • rev 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection 633 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identiRaeiFon Number MONITORING WELL DATA REPORT X2023 APR 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) • NS =Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant DG2 DG3 DG4 DG5 UGI Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 PH 6.70 I 16.90 6.70 6.90 1:6.80 S.U. sTATIC WATER LEVEL146.4 [45.2 `42.5 147.3 40.7 FEET SPECIFIC CONDUCTANCE 11290 I L560 480 315 410 UMHOS/C 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. - at" rarm r Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT A. Facility Information 1. Facility name, address: OCEAN EDGE CONFERENCE CTR a. Name ROUTE 6A b. Street Address BREWSTER MA C. City d. State 2. Contact information: JAMES R. TRINGALE a. Name of Facility Contact Person 9785321900 b. Telephone Number 633 1. Permit Number 2. Tax identification Number 2023 APR MONTHLY 3. Sampling Month & Frequency 02631 e. Zip Code WSSCompliance@wseinc.com c. e-mail address 3. Sampling information: 44/26/ IRI ANALYTICAL a. Date Sampled (mm/dd/yyyy) b. Laboratory Name VARIOUS ANALYSTS c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency I Discharge Monitoring Report - 2023 Apr Monthly F_ All forms for submittal have been completed. 2. This is the last selection. 3. Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection 1633 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. t ax idenVication Number DISCHARGE MONITORING REPORT X2023 APR 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 BOD 73 24 10 MG/L TSS 120 29 2.0 MG/L TOTAL SOLIDS 430 MG/L AMMONIA -N 4.5 MG/L NITRATE -N ND 10.050 MG/L TOTAL NrrROGEN(NO3+NO2+TKN) 12.5 MG/L OIL & GREASE -0.82 0.50 MG/L infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection 633 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number L-1 Groundwater Permit 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. A Facility Information OCEAN EDGE CONFERENCE CTR a. Name ROUTE 6A 2. Tax identification Number b. Street Address BREWSTER IMA 02631 C. City d. State e. Zip Code Certification "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that ther are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." MARIANNA COOMBS 5/16/2023 a. Signature b. Date (mm/ddlyyyy) gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 Page 1 of 2 R.1 -ANALYTICAL Specialists In Envir inmentel ieridees LABORATORY REPORT WSS Inc.dba Weston & Sampson Date Received: Attn: Chris Vigneau Date Reported: 55 Walkers Brook Drive P.O. Number Suite 100 Reading, MA 01867 Work Order #: 2304-06672 Project Name: PROJECT# 25364 OCEAN EDGE RESORT - MONTHLY 4/26/2023 5/8/2023 Enclosed are the analytical results and Chain of Custody for your project referenced above. The sample(s) were analyzed by our Warwick, RI laboratory unless noted otherwise. When applicable subcontracted results are noted and subcontracted reports are enclosed in their entirety. All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met, unless otherwise noted at the end of a given sample's analytical results or in a case narrative. The Detection Limit is defined as the lowest level that can be reliably achieved during routine laboratory conditions. These results only pertain to the samples submitted for this Work Order # and this report shall not be reproduced except in its entirety. We certify that the following results are true and accurate to the best of our knowledge. If you have questions or need further assistance, please contact our Customer Service Department. Approved by: Kristin Phelan Data Reporting Manager Laboratory Certification Numbers (as applicable to sample's origin state): Warwick RI * RI LAI00033, MA M -R1015, CT PH -0508 R.I. Analytical Laboratories, Inc. Laboratory Report WSS Inc.dba Weston & Sampson Work Order #: 2304-06672 Project Name: PROJECT# 25364 OCEAN EDGE RESORT - MONTHLY Sample Number: 001 Sample Description: INFLUENT Sample Type: COMPOSITE Sample Date / Time: 4/26/2023 @ 05:45 SAMPLE DET. PARAMETER RESULTS LIMIT UNITS BOD 5 73 30 mg/L Total Suspended Solids 120 2.0 mg/L Total Solids 430 10 mg/L Ammonia (as N) 4.5 0.40 mg/L Total Suspended Soilds - Sample analyzed outside of recommended hold time due to laboratory error Sample Number: Sample Description: Sample Type : Sample Date / Time PARAMETER BOD5 Total Suspended Solids Nitrite (as N) Nitrate (as N) TKN (as N) Sample Number: Sample Description: Sample Type: Sample Date / Time: PARAMETER Oil & Grease Gravimetric 002 EFFLUENT COMPOSITE 4/26/2023 @ 06:00 SAMPLE RESULTS 24 29 <0.050 <0.050 2.5 003 EFFLUENT GRAB 4/26/2023 @ 06:15 SAMPLE RESULTS 0.82 DET. LIMIT UNITS 10 mg/L 2.0 mg/L 0.050 mg/L 0.050 mg/L 0.50 mg/L METHOD SM5210B 21ed SM2540D 2011 SM2540B 18-2led EPA 350.1 METHOD SM5210B 2led SM2540D 2011 EPA 300.0 EPA 300.0 SM4500NOrg-D 18-2led Page 2 of 2 DATE/TIME ANALYZED 4/26/2023 21:38 5/4/2023 12:09 5/1/2023 23:19 5/4/2023 15:19 DATE/TIME ANALYZED 4/26/2023 21:38 5/2/2023 15:53 4/27/2023 6:52 4/27/2023 6:52 5/2/2023 8:50 ANALYST FB VC JMF KPG ANALYST FB VC JW JW RPK DET. DATE/TIME LIMIT UNITS METHOD ANALYZED ANALYST 0.50 mg/L EPA 1664A 5/1/2023 13:00 ZAC MI. A0%rV J4 L.V ' r 1 C A, L. 8raeelalieea In Environments[ 3arvlaee CHAIN OF CUSTODY RECORD 41 Illinois Avenue 131 Coolidge St., Suite 105 Warwick, RI 02888-3007 Hudson, MA 01749-1331 800-937-2580 • Fax: 401-738-1970 800-937-2580 - Fax: 978-5682 Date Time Field Sample Identification o ec Collected _ r c S' 7 nl 1 �` n z zo m y � cp v W Z O + C ' o C Zjg m z $' e o m _ L z !9 E I I co z Z c H Q 4 m R H l— a z z Circle if aipplicable; GW -1, GW -2, GW -3, S-1, 8-2, S-3 MCP Data Enhancement QC Packaae? No Sample Pick Up Only Ar I I RIAL Sampled; attach field hours shipped on ice Temp. Upon Receipt °C WorkorderNo: 1364-0�p(rp�� Containers: P=Poly, G=Glass, AG=Amber Glass, V=Vial, St=Sterile Preservatives: A=Ascorbic Acid, NH4=NH4CI, H=HCI, M=MeOH, N=HNOs. NP=None, S=112SO4. SB=NaHSO4, SH=NaOH, T=Na2S203. Z=ZnOAc Matrix Codes: GW=Groundwater, SW=Surface Water, WW Wastewater, DW=Drinking Water, S=Soil, SL=Sludge, A=Alr, B=Bulk/Solld, 0= Page 1 of 1 Client Information Project Information Company Name: WSS Inc., dba Weston $ Sam son Services PmjeetName: d c O li0 i wa o I k It v H O 0> � m m I 0 ,g U LL Circle if aipplicable; GW -1, GW -2, GW -3, S-1, 8-2, S-3 MCP Data Enhancement QC Packaae? No Sample Pick Up Only Ar I I RIAL Sampled; attach field hours shipped on ice Temp. Upon Receipt °C WorkorderNo: 1364-0�p(rp�� Containers: P=Poly, G=Glass, AG=Amber Glass, V=Vial, St=Sterile Preservatives: A=Ascorbic Acid, NH4=NH4CI, H=HCI, M=MeOH, N=HNOs. NP=None, S=112SO4. SB=NaHSO4, SH=NaOH, T=Na2S203. Z=ZnOAc Matrix Codes: GW=Groundwater, SW=Surface Water, WW Wastewater, DW=Drinking Water, S=Soil, SL=Sludge, A=Alr, B=Bulk/Solld, 0= Page 1 of 1 Client Information Project Information Company Name: WSS Inc., dba Weston $ Sam son Services PmjeetName: Ocean Ede Resort — t i I Address: 55 Walkers Brook Drive Suite 100 P.O. Number: Project Number. 25364 city/ state 1zip: Reading, MA 01867 Report To: Chris VI neau Phone: 978-818-9946 Fax: Telephone: 978-532-1900 Fax: 978-977-0100 Sampled by: 00 /�,_ Email address ' vigneauc@wseinc.com Contact Person: Christopher Vigneau Quote No: list: wsscompliance@wseinc.com Tura Around Time Reli [shed By Date Time Received By Do" Time • ' 7 �, ,�J / 2 Normal X _EMAIL Report �(� 5_7 Business days. f _ - — Rush — Date Due: 1 ! Project Comments Lab Use Only Circle if aipplicable; GW -1, GW -2, GW -3, S-1, 8-2, S-3 MCP Data Enhancement QC Packaae? No Sample Pick Up Only Ar I I RIAL Sampled; attach field hours shipped on ice Temp. Upon Receipt °C WorkorderNo: 1364-0�p(rp�� Containers: P=Poly, G=Glass, AG=Amber Glass, V=Vial, St=Sterile Preservatives: A=Ascorbic Acid, NH4=NH4CI, H=HCI, M=MeOH, N=HNOs. NP=None, S=112SO4. SB=NaHSO4, SH=NaOH, T=Na2S203. Z=ZnOAc Matrix Codes: GW=Groundwater, SW=Surface Water, WW Wastewater, DW=Drinking Water, S=Soil, SL=Sludge, A=Alr, B=Bulk/Solld, 0= Page 1 of 1