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HomeMy Public PortalAboutBOH 10.4.23 meeting packetBoard of Health Penny Holeman Kimberley Crocker Pearson David Bennett John Keith Abigail Archer Health Director Amy von Hone Assistant Health Director Sherrie McCullough Senior Department Assistant Tammi Mason Town of Brewster Board of Health 2198 Main St., Brewster, MA 02631 brhealth@brewster-ma.gov (508)896-3701 BOARD OF HEALTH MEETING AGENDA 2198 Main Street October 4, 2023 at 6:30PM 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 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, unless otherwise required by law. Members of the public with particular interest in any speck item on this agenda, which includes an applicant and its representatives, should make plans for in-person vs. virtual attendance accordingly. Members of the public who wish to access the meeting may do so in the following manner: Phone: Call (301)715-8592 or (312)626-6799. Webinar ID: 820 4394 4509 Passcode: 979174 To request to speak: Press "9 and wait to be recognized. Zoom Webinar. s:"usO2Web.zoom.us/i/82043944509?-pwd=MylLiM2kvUExKbUlRSOhmMOIZb3dCVt0° 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) 1. Call to Order 2. Declaration of a Quorum 3. Recording Statement 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 minutes at the Chair's discretion. Under Open Meeting Law, the Board of Health is unable to reply but may add items presented to a future agenda 6. Septic variance — 20 Captain Elijah Cobb Road — 300' setback to pond variance for building addition and septic system 7. Septic variance — 283 Hamilton Cartway — 300' setback to ponds variance for building additions and septic system 8. Health Department staff report: complaint investigation on mini donkeys at 6 Seamans Lane 9. Pressure Dose systems update 10. Presentation and discussion on MA Water Resources Authority (MWRC) and EPA's plan for removal of science advisory board of wastewater discharge 11. Liaison Reports 12. Matters not reasonably anticipated by the Chair 13. Items for next agenda 14. Next meeting: October 18, 2023 15. Informational items: a. I/A non-compliance letters b. Dispatch newsletter C. Monthly report for Serenity of Brewster d. Monthly report for Pleasant Bay Health & Living Center e. Monthly report for Maplewood at Brewster f. Annual report for 320 Satucket Road f. Annual report for 17 Russell's Path 16. Adjournment i Date Posted: Date Revised: Received by Town Clerk: 9/28/23 \\fileserverl6\rdocumentss\tmason\Desktop\BOH new agenda.docx k-YkiicoX SURVEYING • ENGINEERING HOME PLANNING & DESIGN September 20, 2023 Board of Health 2198 Main Street Brewster, MA 02631 RECEIVED SEP:2 0 2023 DIAH HILL RO_ D P.O. BOX 439 Ba'MIbt�ANC�HUSi ' S 02662-0439 i?f : 508.240.2306 EMAIL: info@ryder-wilcox.com Re: Householter property, 20 Captain Elijah Cobb Road (Assn's. Map 58 Pcl. 4) Dear Board Members: On behalf of Karen and David Householter, owners of the property at 20 Captain Elijah Cobb Road, I would like to request you reserve time on the agenda of the Board of Health meeting on October 4, 2023 to hear a request for variances from 310 CMR 15.00 The State Environmental Code and Brewster Board of Health Regulations. The variances are being requested to allow the installation of a new sewage disposal system ("SDS") to replace an existing SDS serving an existing dwelling. The 54,644 SF lot abuts Cobbs Pond to the north. The existing five -bedroom dwelling is located on the southerly side of the property. The entire property lies within 300' of the pond. The existing SDS was installed in 1985 and consists of a 1000 -gallon septic tank, distribution box, and a leaching pit. The approved capacity is six bedrooms/660 GPD. The existing leaching pit is approximately 134' from the pond. The Applicants wish to expand the existing kitchen by building a small addition to the north of the existing building. There will be no change to the number of bedrooms or increase in flow. The Applicants also wish to build an in -ground swimming pool. These proposed structures encroach on the existing SDS, therefore, a new SDS must be installed. In order to maximize the distance between the pond and the proposed soil absorption system "(SAS"), the proposed SDS is located on the south side of the building. The proposed SAS is located as far away from the pond as possible without encroaching on the 10' minimum property line setback. Soil testing in this area shows medium sand with a percolation rate less than two minutes per inch. No groundwater was encountered. In order to maximize the removal of phosphorous, shallow leaching trenches positioned perpendicular to the groundwater flow are proposed. The existing waste pipes will be re -plumbed to exit the front of the building. Maintaining gravity flow from the proposed waste pipe invert elevation at the foundation to the end of the proposed leaching trenches results in the tops of the leaching trenches at a depth of approximately four feet (4') below finish grade. The proposed SDS, as shown on the accompanying plan, complies with all State and local requirements with the following exceptions: 1. The proposed soil absorption system is approximately 4' below finish grade. (1' variance from 310 CMR 15.221(7) 2. The proposed soil absorption system is located approximately 238' from Cobbs Pond. (62' variance from Brewster Board of Health Regulations) 3. The proposed Reserve area is located approximately 236' from Cobbs Pond. (64' variance from Brewster Board of Health Regulations) Since the entire property, with the exception of a very small area in the southeast corner, is within the 300' Buffer to the pond, there is no way to locate a new SAS without the need for a variance. The proposed SDS is a significant improvement over the existing SDS, as the proposed SAS is further from the pond and provides increased vertical separation to the groundwater. The proposed addition will not result in an increase in sewage flow, therefore I believe the proposed sewage disposal system provides the same level of environmental protection that would be provided under Title 5 and the Brewster Board of Health regulations. I have included an Application for Board of Health Variances, 6 sets of Site Plans and floor plans, copies of the Public Hearing Notice and Certified List of Abutters, and a check for $75.00. Please feel free to contact me if you have any questions or require any additional information. Sincerely, i-_-" Stephanie J. Sequin, P. E. cc: Householter 5605 tr7,1f Rews TOWN OF BREWSTER OFFICE OF 1;W3 O``. •: FD 2198 MAIN STREET HEALTH DEPARTMENT BREWSTER, MA 02631 ,°, a ; a PHONE: (508) 896-3701 ExT 1120 - 4 FAx: (508) 896-4538 •;; BRHEALTH aBREWSTER-MA.GOV W W W.BREWSTER-MA.GOV Received: q D Paid: s d6 Application for Board of Health Variances Abutter Deadli e: OIn-House Local Upgrade Approval RPublic Hearing l01 3+ �Lr� SM. Date: 9-20-2-2023 SUBJECT PROPERTY ADDRESS: 20 Captain Elijah Cobb Road Map: 58 Parcel: 4Book: 30564 Page: 72 LC Certificate: LC Plan: Lot: � Name of Applicant: Karen and David Blair Householter Mailing Address: 452 32nd Street - Manhattan Beach, CA 90266 Telephone # 310-406-5544 Email: kare6householter@mac.com _ Owner(s) of Record : Same as Applicant Mailing Address: Design Engineer/Sanitarian: Stephanie J. Sequin, P.E. _ Firm/Company Name: Ryder & Wilcox, Inc. Mailing Address: Box 439 S. Orleans, MA 02662 _ Telephone #: 508-255-8312 Email address: stephanie@ryder-wilcox.com Signature:�r�- Applicant or Engi eer New Construction ❑ Voluntary Upgrade ❑Addition/Alteration I0 Failed system ❑Real Estate Transfer ❑ Design flow of existing system: 660 GPD Reason for failure: Proposed addition and pool encroach Design flow of proposed system: 550 GPD Total sewage flow of site: 550 GPD Total lot size (sf): 54,644 +/- SF Conservation Commission approval required: yes ❑ no Order of Conditions/Det. Of Applicability attached F71Date of ConCom hearing: List of all Variances from State and Local codes ;add sheets if needed. TITLE 5 Sec. #: Description of Varian s — 310 CMR 15.221(7) Proposed soil absorption system is located approximately 4' below finish grade where 36" maximum is allowed. (1' variance) Brewster R #: Descri#tion of Variances _ — Proposed soil absorption system and Reserve to be 238' +l- and 236' +1-, respectively, from a pond where 300' minimum is required. (62' and 64' variances, respectively) Approved by: Date:_ —_ Health Department MHealth\BOli regsUnHouse Septic Local Upgrade Approval 2019\Varianceapplication FINAL NONFiLLABLE FORM 12.18.19.docx CERTIFIED MAIL RETURN RECIEPT REQUESTED BREWSTER BOARD OF HEALTH PUBLIC HEARING NOTICE Date: September 20, 2023 Re: 20 Captain Elijah Cobb Road Map: 58 Lot: 4 Subject Address Dear Abutter: A public hearing has been scheduled for the Brewster Board of Health to take action on an application for variances from the regulations of the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Brewster Regulations for Subsurface Disposal of Sewage_ The following variances are requested: List of all variances from State and Town Codes Title .� Sec. # 310 CMR 15.221(7) Brewster Reg. # r ition of wwhi ~ Proposed soil absorption system is located approximately 4' below finish 36" maximum is allowed. (1' variance) a soil absorption_ system and Reserve to be 238'+/- and 236'+/-, id where 300' minimum is required. (62' and 64' variances, re: where Said hearing will be held at the Brewster Town Offices, 2198 Main Street, Brewster. on October 4, 2023 at 7:00 p.m. The application and plans are available for review at the Brewster Health Department, Brewster Town Offices, 2198 Main Street, Brewster, MA, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:00 p.m. Sincerely, .Applicant/Repre tativeL CC: Brewster Health Department N.-\Health\BOH regs\InHouse Septic Local Upgrade Approval 2019\Publichearingabutternotification NONFILLABLE FORM 12.11.19.docx �mmmumn�uaia4��. Selo o � "��' �1Gi11nIMIQ�N�' TOWN OF BREWSTER, MA BOARD OF ASSESSORS 2198 Main Street Brewster, MA 02631 Abutters List Within 65 feet of Parcel 58/4/0 ? 58!510 'f i,")'HE CHAMP 40 CAPTAIW LZJAH 60T10 *RQ �. Lxr,$il .e ELIJAH Certified by: lanes M. Gaily giver, MAA D"nft Assessor 9/11/2023 Page 1 Owner Location Mailin7 Stregj =Mailing City ST ZLLCd/Coun t Key _Parcel ID 41 CAPTAIN ELIJAH COBE ROAD 348 GREEN HILL ROAD D LONGMEADOW MA 01106 1938 57-21-0-R COLLINS DENISE B (17-17) GORDIAN CARMELO M & 40 CAPTAIN ELIJAH COBB ROAD 3203 FLEECE FLOWER COVE AUSTIN TX 78735 1925 58-2-0-R (17-1) GORDIAN SHERRY LYNN — DAVID 8120 CAPTAIN ELIJAH COBB ROAD 452 32ND STREET MANHATTAN BEACH CA 90266 1927 58-0-0-R SNOW KAREN & HOUSEHOLTER (17-6) DUNBAR MARTHA C TRUSTEE 57 THE CHANNEL WAY 54 HAVEN STREET MILFORD MA -- 01757 1928 58-5-0-R (17-7) MCD REALTY TRUST _ _ 1937 58-78-0-R' SOUGARIDES PETER & ELAINE 23 CAPTAIN ELIJAH COBB ROAD 8 STARLIGHT DRIVE WALPOLE MA 02081 (17-16) 9/11/2023 Page 1 Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealthh Brewster -ma. � ov WWW.BREWSTER-MA.GOV AGENDA ACTION ITEM FORM BOH Variance Agenda Item In -House Local Upgrade Approval ❑ Other: ❑ Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R. S. Assistant Director Tammi Mason Senior Department Assistant Board of Health Meeting Date: October 4, 2023 Project Location: 20 Captain Elijah Cobb Road Map & Parcel: 58/4 Owner's Name & Address: Karen & David Blair Householter 45232 nd Street Manhattan Beach, CA 90266 Applicant: Karen & David Blair Householter Date Requested: September 20, 2023 Title 5 Variance Request: Yes® No F-1 Board of Health Variance Request: Yes® No❑Pond Setback — Inland Bank 100'/Pond 300' Other: Yes ❑ No ❑ 1. Outside Zone II/DCPC and lies within the Cape Cod Bay Embayment 2. In ESA— Site within 300' of a Wetland (Cobbs Pond) 3. Groundwater Flow North Westerly Assistant Health Director's Comments: 1. The property consists of an existing five -bedroom dwelling serviced by town water and a 1985 Title 5 septic system consisting of a 1000 -gallon septic tank, d -box, and leach pit designed and approved for six bedrooms. The owners are proposing to expand the existing kitchen and to install an in -ground pool. There is no increase in flow, however, the proposed structures will encroach on the existing sewage disposal system (SDS), therefore a new SDS must be installed. 2. The lot is subject to septic flow restrictions per the Brewster Environmentally Sensitive Areas (ESA): 1 bedroom per 10,000 sf of land area. The existing lot is 54,644+/- sf which is grandfathered for the existing five -bedroom dwelling but may be undersized for any additional flow. Per Title 5 Regulations, the existing 1985 Title 5 septic system is grandfathered for 5 N:\Health\BOH Meeting Notes\BOH Hearing Notes\20 Captain Elijah Cobb Road M58P4 Agenda.Variance Action Item Form 0926.23.doex bedrooms per existing documents on file (1985 Title 5 Disposal Works Construction Permit and 1985 approved septic plan). Per the engineered site and sewage plan dated September 14, 2023, by Stephanie J. Sequin, PE, Ryder & Wilcox, Inc. the proposed soil absorption system and Reserve Area is approximately 238' and 236'respectfully from the edge of Cobbs Pond/Inland Bank. 4. Map References: - Water Resource Atlas Fresh Water Ponds, Brewster MA: the proposed septic system and lot is located almost entirely within the proposed 300' septic system setback delineated buffer which is upgradient to Cobbs Pond. - Water -Table Map of Brewster and Harwich, 1987 (Map referenced in approved BOH Regulation Regarding Variance Requests for On -Site Sewage Disposal System Applications): groundwater is flowing Northwesterly, and the proposed septic system is located upgradient of Cobbs Pond. 5. The following variances are requested: Title 5: a. 15.221(7): 1' variance, proposed 4' cover over the soil absorption system. Town of Brewster: a. Reg. 19 Sect. 4: Leach Facility Setback Regulation: 62' variance, proposed 238' separation between the SAS facility and Cobbs Pond/Inland Bank. b. Reg. 19 Sect. 4: Leach Facility Setback Regulation: 64' variance, proposed 236' separation between the Reserve Area and Cobbs Pond/Inland Bank. 6. Discussion Points: a. Groundwater Flow — Northwesterly, upgradient of Cobbs Pond. b. Existing challenges of lot for siting the new sewage disposal system — Entire property except a very small area in the southeast corner is within the 300' Buffer to Cobbs Pond c. Existing waste pipes will be re -plumbed maintaining gravity flow. Due to waste pipe elevation at the foundation to the end of the proposed leaching trenches four feet of cover will be necessary. d. Ground water was not encountered during soil testing; excavated down to 192". e. Proposed shallow leaching trenches to be located parallel to the pond boundary. f. The existing leaching pit is approximately 134' from Cobbs Pond. The proposed SDS will be much far away from the pond and will increase vertical separation to ground water. g. The new SDS will be located as far away from the pond without encroaching on the 10' minimum property line setback. 7. Minimum Recommended Conditions: a. Maximum five bedrooms, no additional bedrooms allowed without further BOH review. A copy of the BOH Approval Letter to be recorded at the Barnstable County Registry of Deeds prior to issuance of the Certificate of Compliance upon completion of the septic system installation. A copy of the recorded letter to be placed on file at the BOH. b. Variance will expire one (1) year from the date of the BOH Approval. N:\Health\BOH Meeting Notes\BOH Hearing Notes\20 Captain Elijah Cobb Road M58P4 Agenda.Variance Action Item Form 09.26.23.docx Tho data ah—n on this site are provided for Informational and planning purposes unly. Tho Town and Its cont-hartts are not responsible for the misuse or misrepresentation of the data. wtad �A No � F 1 �r6*10 23 5 L� 1 0 190 380 ft Printed on 09/26/2023 at 11:14 AM s Q L 9 X 'WqY� Els of Pavement Buildings Parcels 1 MapsOnline by PeodeGIS D bpm+. Plow, a.d� I /j � r COBBS POND--- / WATER ELEV. = 9.7f ?0a0 I (10/29/22) s f" s I EXISTING SEPTIC NO WORK SHALL OCCUR WITHIN O f COMPONENTS SHALL BE 100' OF THE WETLAND WITHOUT m I ( PUMPED DRY AND EITHER � PRIOR APPROVAL OF THE � FILLED WITH CLEAN SAND CONSERVATION COMMISSION O OR REMOVED 100' FROM--\ O`�+�'/,/r_i ; WETLAND \\y\00 12 "DE US CJS 012' )EC1D 0 rn. 1NYC O 12'PINE O Of EXCAVATE FOR 5' AROUNDTRENC SAS S- DESIGN DA1,4 ___ - SITE PLAN Number of bedrooms_ 5 _ '„- 20, Estimated daily efjiuezt: 550 GPD AND (6). NOTIFY Total leaching area as pnposed- D�TU� Sidewall: 3(40'*2) z 2' X 2 = 504 S.F 24-HOUR (MIN.) Bottom- 40' x 9 X 3 = 240 S. F. NA YD 88 leaching Capacity as proposed.- TO BE (EfJiuent loading rate = 0.74 GPD/SF) r Sidewalk 504 x 0.74 = 3730 CPD APPROXIMATELY 4' BELOW GRADE (1' Bottom.- 240 x 0.7"4 = 177..6 ^PD s TOTAL 6!t_ - y) I EXISTING SEPTIC NO WORK SHALL OCCUR WITHIN O f COMPONENTS SHALL BE 100' OF THE WETLAND WITHOUT m I ( PUMPED DRY AND EITHER � PRIOR APPROVAL OF THE � FILLED WITH CLEAN SAND CONSERVATION COMMISSION O OR REMOVED 100' FROM--\ O`�+�'/,/r_i ; WETLAND \\y\00 12 "DE US CJS 012' )EC1D 0 rn. 1NYC O 12'PINE O Of EXCAVATE FOR 5' AROUNDTRENC SAS S- TO REMOVE ALL LOAM A VE ALL THE MEDIUM SAND (C2) LAYER. BA FILL WITH MATERIALS MEETING THE SPECIFICATIONS OF 310 CMR 15.255 3) AND (6). NOTIFY VARIANCES ARE REQUIRED TO ALLOW: BACKFILLING. PROVIDE ENGINEER 24-HOUR (MIN.) EDGE-OfPROPOSED r SOIL ABSORPTION SYSTEM TO BE , r TEST HOLE LOCATION APPROXIMATELY 4' BELOW GRADE (1' VARIANCE) s PROPOSED CONTOUR o® PROPOSED SOIL ABSORPTION SYSTEM TO BE DISTRIBUTION BOX (H2O RATED) ` ` APPROXIMATELY 236' FROM A POND (64' VARIANCE) (3 REQ'D.) ■ FBD .�--" � Y ,,,,., .•'-' ..... ........--� r' q �� 1� � -W- EXISTING WATER SERVICE � � � - � ,� -•d_ � � � � � UNDERGROUND UTILITY SERVICE ..- •-dam ,� O1 I E *.� CLEANOUT TO GRADE O 1 INE i �P:IAG) LOT AREA 14 "PINE 54,644 S.F.± r 1.25 AC.f,rtr,r�r` 12'PINE C� Q 50' FROM 00,00 / ox" �r� �• O, -' WETLAND 0000 O, J M I EXISTING SEPTIC NO WORK SHALL OCCUR WITHIN O f COMPONENTS SHALL BE 100' OF THE WETLAND WITHOUT m I ( PUMPED DRY AND EITHER � PRIOR APPROVAL OF THE � FILLED WITH CLEAN SAND CONSERVATION COMMISSION O OR REMOVED 100' FROM--\ O`�+�'/,/r_i ; WETLAND \\y\00 12 "DE US CJS 012' )EC1D 0 rn. 1NYC O 12'PINE O Of EXCAVATE FOR 5' AROUNDTRENC SAS S- TO REMOVE ALL LOAM A VE ALL THE MEDIUM SAND (C2) LAYER. BA FILL WITH MATERIALS MEETING THE SPECIFICATIONS OF 310 CMR 15.255 3) AND (6). NOTIFY ENGINEER FOR INSPECTION OF EXCAVATION PRIOR TO BACKFILLING. PROVIDE ENGINEER 24-HOUR (MIN.) NOTICE FOR INSPECTIO SANDY LOAM LEGEND 144 , SILT LOAM SANDY LOAM POCKETS TEST HOLE LOCATION 6,61- EXISTING CONTOUR MEDIUM SAND PROPOSED CONTOUR o® SEP77C TANK - 1500 GAL. -a DISTRIBUTION BOX (H2O RATED) 40' X 2' X 2' 0 ABSORPTION TRENCH (3 REQ'D.) ■ FBD CONCRETE BOUND -W- EXISTING WATER SERVICE EXIS77NG - U- UNDERGROUND UTILITY SERVICE QC.O. CLEANOUT TO GRADE 4'DECID. O 12'DECID. �'®AKBULKHEAD TO OE � REMOVED 14 "PINE PAVED DRIVE �G VA G� O14'DECIDUDtf f l - O10'CH Ry / • / PROPOSED 12'x12' ADDITION TEST HOLB DATA `)ATE OF TES HOLES: 11/8/2022 n� WATER ENCCINTERED INSP. BY: D. QUINT: (R&W), S. McCULLOUGH (HEALTH DEPT) No. 1 DEPTH SOIL SOIL ELEVATION (IN.) HORIZON TEXTURE (FT.) 0 - 2 0 FlBRIC 27.1 - 26.9 2 - 13 ASANDY LOAM 26.9 - 26.0 13 - 30 B SANDY LOAM 26.0 - 24.6 144 C1 SILT LOAM SANDY LOAM POCKETS 24.6 - 15.1 L144-192 C2 MEDIUM SAND 15.1 - 11.1 r No. 2 DEPTH SOIL SOIL ELEVATION (IN.) HORIZON TEXTURE (FT.) 0 - 2 0 FIBRIC 26.8 - 26.6 2 - 18 A SANDY LOAM 26.6 - 25.3 18 - 35 B SANDY LOAM 25.3 - 23.9 35 - 144 C1 SILT LOAM SANDY LOAM POCKETS 23.9 - 14.8 144 - 192 C2 MEDIUM SAND 14.8- 10.8 TOP OF PERC AT 144' (C2 -LAYER) <2MIN./IN. LOCATION IAP Not to Scale O7 LOCUS COBBS POND REFERENCE ASSR'S MAP 58 PCL. 4 TYPICAL SYSTEff PROFILE P.B. 79 PG. 5 (1947) SOIL TYPE. PLYMOUTH LOAMY Top of Not to scale COARSE SAND Foundation Maintain a maximum of 36"cover over Eley.=26.45 Tank & D.Box to be installed on a all system components All components level, stable base (min.6" stone base) shall con,Ibrm to specillcations contained in 3>O C&SR 15.00. zo" olx cover to yhi 6 i��ra Max. CJsaaie Over 23' of s4sT A ae `� Trenches = 26.6 fo' Lira t k a 11• (variance required) - - cover � y it I I •°o � - „l .a. "- I - _.--_� TO EXIT AS SHOWN / \• Y • ` I. ' ' Elijafb Cobb Road-4Vster Inv.El. 29.95" 7 SEP 20 2023 �; /yrny tine 1500 car ors, ,e jn P. Y.C. pipe scale• r' Catt(on, tbparc� y (I►atar tig9 TTisaainf ooncf Inv. El. So. Orleans, AlA.,02662 Drawn by - SIS 23.50 No garbage grinder Date - September 14, 2023 altouvd with this design 11 Ol "CHERRYGtlt(Ll� 1-26-- t �` � I` f BENCH�rARIr Z' TOP OF C, B. FND Q ELEV.='16.10 ' 1NAVD,'88) v, C.O. �CO U LL Il , { ER 1LLJ iia 1 �, PP I0,0000 o I 0, \ J f :. _ \ o 150,9 PPVEM � 2 b> E tnGI` 0 N70 3 " ,D TILITY �:;,A • #1 � i ( O,.STEPHANIE t oa� JA�1 a Ntt VENT 00, f1 + ,l / No. 37113 2f E 1 /�0 3212 „ CAP 7'AlN Qo SQL / . FRG V,• z,z vi AU tees shall be cast iron 40'--►� or sched 40 P. Y.C. pipe or d fj'4ctizw length cast -in-place concrste. Provide gas baffle an outlet tee. ABSORPTION TRENCH DETAIL Not to scale INSPECTION PORTS 2' MIN. 118"112- 4' DIA. SCH.40 WITHIN 3' OF GRADE DOUBLE WASHED PERFORATED STONE (TYP.) P.V.C. (TYP.) 10, = 20.6 1.5' GENERAL NOTES: / SYSTEM IS DESIGNED IN ACCORDANCE WITH 'COMMONWEALTH OF MASS., DEPT. OF ENVIRONMENTAL PROTECTION, 310 CMR 15.00; THE STATE ENVIRONMENTAL CODE, TITLE 5: STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE AND R%G EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS' AND THE TOWN OF BREWSTER REGULATIONS, EXCEPT AS NOTED. 2. NO WELLS OR WATER SUPPLIES ARE KNOWN TO EXIST WITHIN 100 FEET OF THE PROPOSED SOIL ABSORPTION SYSTEM. 3. PRIOR TO BACKFILLING COMPLETED SYSTEM, NOTIFY THE ENGINEER AND THE HEALTH DEPARTMENT FOR INSPECTION. PROVIDE 24 HOURS (MIN.) NOTICE. 4. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO EXCAVATION. 5. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH. 6. AREA SERVED BY TOWN WATER. PROPOSED ON-SITE' SEX,46W TRL'AT1LlENT AND DISPOSAL A ASTL'111 Prepared for.- Karen and David Householter Location: 20 Captain Elijafb Cobb Road-4Vster Ryder & IFilcox, Inc., P..F& P.DS. SEP 20 2023 3 Ciddiah Hill Rd fib. Box 439 scale• r' = 20' 6REWSTER HEALTH So. Orleans, AlA.,02662 Drawn by - SIS _ DEPARTMENT Tel. (508) 255-8312 Date - September 14, 2023 Fax. (508) 240-2306 fob No. 5605 J.M. OREILLY & ASSOCIATES, INC. PROFESSIONAL ENGINEERING, LAND SURVEYING & ENVIRONMENTAL SERVICES Site Development - Property Line - Subdivision • Sanitary' Land Court • Environmental Permitting September 20, 2023 Brewster Board of Health 2198 Main Street Brewster, MA 02631 RE: 300 Foot Pond Setback Variance Request 283 Hamilton Cartway, Brewster, MA Dear Board Members, JMO-9351 R E C E 1 E [SEP 2 0 2023 BREWSTER FIEALTH _DEP/\RTA,1EN'r On behalf of our clients, Frank and Laura Kolb, J.M. O'REILLY & ASSOCIATES, INC. is requesting the Board of Health to review and approve a variance from the 300 foot setback from a pond to the proposed leaching facility to serve the existing the dwelling with proposed additions. The existing dwelling was built around 1986 to 1987 and was shown to be a three bedroom dwelling per the disposal works permit (Permit #201-86). The existing dwelling currently has 1 bedroom on the first floor with a large sleeping loft on the second floor. The proposal is to construct two additions and formally layout the three bedrooms within the expanded structure. Although the existing system was originally designed for the 3 bedrooms, the Applicant is taking the extra step and installing a new sewage system to maximize the distances to the ponds and to the groundwater. The proposed sewage system includes a large two compartment tank, a pump chamber and a drip -dispersal system. The leaching system is proposed to be a Perc-Rite Drip System and will be positioned about 5.5 feet above the estimated high groundwater. The proposed leching facility is about 165 feet downgradient from Greenland Pond and approximately 125 feet upgradient from Long Pond. Our variances area as follows: 300 foot Pond Setback for Soil Absorption Svstems ;SAS;: 125 feet provided (upgradient) to Long Pond, 175 foot variance requested. 165 feet provided (down gradient) to Greenland Pond, 135 variance requested. In addition to the new sewage system, the proposal calls for the relocation of the drinking water well. Please refer to the plan for the location of the newly proposed well. The total nitrogen load from the parcel, with the 3 bedrooms and the proposed additions has been calculated to be 1573 MAIN STREET, P.O. BOX 1773, BREWSTER, MA 02631 ' PHONE: (So8) 896-66oI ' FAX: (508) 896-66o2 WWW.JMOREILLYASSOC.COM about 3.25 ppm, please refer to the Town of Brewster Nitrogen Loading Calculation Sheet (2- 2022). A representative will be present at your public hearing on October 4, 2023 so as to further review the request and to answer any questions. Very truly yours, J.M. O'REILLY & ASSOCIATES, INC. ,::: -- �i': 5 -John M. O'Reilly, P.E., P.L. . Principal Encl: Site & Sewage Disposal Plan Associated BOH Filing Package CC: Client ?,2,0 171 Apl-llt� beapE speU�, TOWN OF BREWSTER OFFICE OF 219$ MAIN STREET HEALTH DEPARTMENT �+ BREWSTER, MA 02631 �. PHONE: (508) 896-3701 EXT 1120 FAx: (508) 896-4538 manuinuw�" � BRHEALTHnBREWSTER-MA.GOV W W W.BREWSTER—MA.GOV _ Application for Board of Health Variances Received: Paid: Abutter Deadline: ❑In -House Local Upgrade Approval WPublic Hearing Date: September 20, 2023 SUBJECT PROPERTY ADDRESS: 283 Hamilton Cartway Map: 81 Parcel: 1 Book: Page: LC Certificate: 203864 LC Plan: 18389-C Lot: 1 Name of Applicant: Frank and Laura Kolb Mailing Address: 925 Highway AIA #705, Satellite Beach, FL 32937 Telephone # 321-258-1645 Email: fkolb2@gmail.com Owner(s) of Record : Kelly Mobley, Trustee, Kolb P_ ro2erties Realty Trust Mailing Address: 1611 Whitman Drive, West Melbourne, Fl .9� _ufef" Design Engineer/Sanitarian: John M. O'Reilly, P.E., P.L.S. Firm/Company Name: J.M. O'Reilly & Associates Inc. Mailing Address: P.O. Box 1773, Brewster, MA 02631 Telephone #: 508-896-6601 Email address: joreilly@jmoreillyassoc.com M or Engineer New Construction ❑ Voluntary Upgrade [OAddition/Alteration ❑ Failed system ❑Real Estate Transfer ❑ Design flow of existing system: 330 gpd Design flow of proposed system: 330 gpd Total sewage flow of site: 330 gpd Conservation Commission approval required: yes 17 no ❑ Order of Conditions/Det. Of Applicability attached ❑ Reason for failure: not applicable Total lot size (SO: 77,970 sf Date of ConCom hearing: 9/12/2023 & 9/26/2023 List of all Variances from State and Local codes dadd sheets if needed/ TITLE 5, Sec. #: Descripton of Varia ncecs� Brewster Re . #: Description of Variance(s) Pond Regulation SAS within 300 feet of a Pond. 175 foot variance to Long Pond & 135 foot variance to Greenland Pond Approved by: Date: _ Health Department N:\Health\BOH regs\InHouse Septic Local Upgrade Approval 2019\Varianceapplication FINAL NONFfLLABLE FORM 12.18.19.docx CERTIFIED MAIL RETURN RECIEPT REQUESTED BREWSTER BOARD OF HEALTH PUBLIC HEARING NOTICE Date: September 20, 2023 Re: 283 Hamilton Cartway ' Map: 81 Lot: 1 Subject Address Dear Abutter: A public hearing has been scheduled for the Brewster Board of Health to take action on an application for variances from the regulations of the Massachusetts Department of Environmental Protection, Title 5, and/or the Town of Brewster Regulations for Subsurface Disposal of Sewage. The following variances are requested: List of all variances from State and Town Codes Title 5, Sec. # Description of variances) Brewster Rag. #_ Description of vnce(s) Pond Regulation, SAS is not 300' from Pond: 125 feet held to Long Pond & 165 feet held to Greenland Pond --4 Said hearing will be held at the Brewster Town Offices, 2198 Main Street, Brewster, on October 4, 2023 at 6:30 p.m. The application and plans are available for review at the Brewster Health Department, Brewster Town Offices, 2198 Main Street, Brewster, MA, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:00 p.m. Sincerely, John M. O'Reilly, P.E., P.L.S. ab fil Applicant/Representative CC: Brewster Health Department N:\Health\BOH regs\InHouse Septic Local Upgrade Approval 2019\Publichearingabutternotification NONFILLABLE FORM 12.11.19.docx 11F e E TF9� TOWN OF BREWSTER, MA �a BOARD OF ASSESSORS 81-1-0-R 2198 Main Street Brewster, MA 02631 �Y (47-83-2) 4�'�uuiumniiimaam�Q 8281 81-2-0-R MANZI MELISSA R & EDWARD F JR TRUST Abutters List Within 65 feet of Parcel 81!110 CertiW by: lames M, Ge{lsgher, MAA Deputy Assessor 82165/0 93/1/0 0 HAMILTON CART"0 HAMI LTON. CARTWAY, l (HAMILTON _ 199 HAMILTON. CA (HAMILTON x Key Parcel ID Owner _ 8280 81-1-0-R MOBLEY KELLY TRUSTEE (47-83-2) KOLB PROPERTIES REALTY TRUST 8281 81-2-0-R MANZI MELISSA R & EDWARD F JR TRUST (47-83-3) THE MELISSA R MANZI 2017 TRUST 8282 82-65-0-E BREWSTER CONSERVATION TRUST (47-83-4) TRUSTEES 8283 93-1-0-R NAYAK P R & SANDRA T TRUSTEES OF (47-83-5) THE NAYAK BREWSTER REALTY TRUST 8279 93-3-0-R NAYAK P R & SANDRA T TRUSTEES (47-83-1) C/O NAYAK P R TRUSTEE Location Mailing Street 283 HAMILTON CARTWAY 925 HIGHWAY AIA#705 323 HAMILTON CARTWAY 27 BLACKSMITH ROW 0 HAMILTON CARTWAY 36 RED TOP ROAD 0 HAMILTON CARTWAY 12 ORCHARD STREET 199 HAMILTON CARTWAY 12 ORCHARD STREET N100 0 100 ft Mailing City ST Zi Cd/CounV SATELLITE BEACH FL 32937 GROTON MA 01450 BREWSTER MA 02631 BELMONT MA 02478 BELMONT MA 02478 9/1/2023 Page 81-1-0-R 81-2-0-R 82-65-0-E MOBLEY KELLY TRUSTEE KOLB PROPERTIES REALTY TRUST 925 HIGHWAY A1A #705 SATELLITE BEACH, FL 32937 93-1-0-R NAYAK P R & SANDRA T TRUSTEES OF THE NAYAK BREWSTER REALTY TRUST 12 ORCHARD STREET BELMONT, MA 02478 MANZI MELISSA R & EDWARD F JR TRUSTE THE MELISSA R MANZI 2017 TRUST 27 BLACKSMITH ROW GROTON, MA 01450 93-3-0-R NAYAK P R & SANDRA T TRUSTEES C/O NAYAK P R TRUSTEE 12 ORCHARD STREET BELMONT, MA 02478 BREWSTER CONSERVATION TRUST TRUSTEES 36 RED TOP ROAD BREWSTER, MA 02631 Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth-&-brewster-ma.v oy W W W.BREW STER-MA.GOV AGENDA ACTION ITEM FORM BOH Variance Agenda Item ❑ Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant In -House Local Upgrade Approval Other: ® BOH review of I/A Perc-Rite Drip Dispersal System Board of Health Meeting Date: October 4, 2023 Project Location: 283 Hamilton Cartway Map & Parcel: 81/1 Owner's Name & Address: Kolb Properties Realty Trust Kelly Mobley, Trustee 1611 Whitman Drive West Melbourne, FL 32904 Applicant: Frank and Laura Kolb Date Requested: September 20, 2023 Title 5 Variance Request: Yes❑ No® Board of Health Variance Request: Yes® No❑ Pond Setback Other: Yes N No ❑ 1. Property lies within ESA and the Herring River Impaired Embayment Watershed 2. Existing and proposed private well 3. Proposed I/A Perc-Rite Drip Dispersal System Health Director's Suggested Discussion Points: The existing developed lot consists of 77,970 sf total with 48,450 sf of upland and is bordered by Greenland Pond to the north and Long Pond to the south and their associated wetlands. The lot currently is improved with an existing dwelling (circa 1986) containing 1 bedroom and a sleeping loft. The property is grandfathered for a 3 Bedroom capacity 1986 Title 5 septic system (located approximately 108' from Long Pond). The applicant proposes constructing two additions to the existing structure that will expand the kitchen and loft space and create 2 new bedrooms and bathrooms. The existing potable well is being relocated, and a new Title 5 compliant septic system is being installed with an I/A Perc-Rite Drip Dispersal leach field with a maximum capacity of 3 Bedrooms. N:\Health\BOH Meeting Notes\BOH Hearing Notes\283 Hamilton Cartway M81 P1 Agenda.Variance IA Installation Action Item Form 10.04.2023.doex 2. No Title 5 variances are requested. 3. Town of Brewster Variances: 300' Pond Setback to Leach Facility a. 175' variance requested, 125' separation proposed to Long Pond (septic upgradient) b. 135'variance requested, 165' separation proposed to Greenland Pond (septic downgradient) 4. Discussion Points: a. The lot is located in Zone II (private well) (Title 5 restriction of 1 bedroom/l 0,000 sf of land area for new construction). b. The lot is located in an ESA per Brewster Variance Requests for Sewage Regulations (property located within 300'of freshwater ponds). Septic setback variance restriction of 1 bedroom/10,000 sf of Buildable Upland. c. The lot is located in the Herring River Impaired Embayment Watershed. d. Grandfathered flow vs. new construction — existing 1986 Title 5 septic system grandfathered for 3 -bedroom capacity. e. Nitrogen loading calculations indicate 3.23 ppm of Total Nitrogen with a maximum of 3 bedrooms and 1000 sf of lawn area. f. The Perc-Rite Drip Dispersal unit is approved for General Use per DEP Approval Letter # X250379 with the following operation and monitoring requirements: i. O & M agreement with a licensed operator (for a minimum of 1 year) for the life of the system. ii. Annual inspections and service required for systems <2000 gpd. iii. Access ports for inspection must be readily removable. System control panel and alarm must be accessible to the system operator. iv. Notification of system installation to be recorded at Registry of Deeds. g. A copy of the BOH Approval Letter identifying the installation of an I/A system must be recorded at the Barnstable County Registry of Deeds prior to issuance of the Certificate of Compliance upon completion of the septic system installation. A copy of the recorded letter to be placed on file at the BOH. h. I/A system must be registered with the Barnstable County I/A Database for monitoring and data collection. i. Engineer certification and I/A system start-up required prior to issuance of Certificate of Compliance. j. Property is restricted to a maximum of 3 bedrooms with the I/A installation. N:\Health\BOH Meeting Notes\BOH Hearing Notes\283 Hamilton Cartway M81 PI Agenda.Variance IA Installation Action Item Form 10.04.2023.docx Brewster Board of Health Residential Nitrogen Loading Calculations Spreadsheet KOLB PROJECT- 283 HAMILTON CARTWAY Complete the highlighted cells as applicable. Land Use/Nitrogen Area I 'Volume I Nitrogen Load Source (square feet) ,Nitrogen Loading Input (units) Recharge Rate (units) (L/day) (mg/day) KOLB PROJECT Lot size (total) 77970 1359 0.75'mg/L I 40 inches/year 1 351.41 263.6 Building Roof Area Total footprint of al/ buildings on the property 0 2507 1.5 mg/L i 40 inches/year I 648.3 972.5 a Road/Driveway/ - - - — — =3 Footprint of paved/impervious areas including driveways, parking areas, buildings and impervous patios. Impervious � Impervious Area areas include gravel, shell, and crushed stone pathways or driveways or parking areas 3 lbs N/1,000 sq ft - 25% leaching +� 1000 rate 17 inches/year 109.9 932.9 a Lawn Size — - - N Lawn areas defined as ground covered with grass or other vegetation that is mowed more than twice a year. The _ minimum lawn size for nitrogen loading calculations is 1,000 sq. ft. Other/Miscellaneous 0 0 mg/L 17 inches/year 0.0 0.0� I — For any other potential_ sources of nitrogen on the property. Inputs must be approved by the health agent. Natural/Undisturbed 731041 0.05 mg/L I 17 inches/year 1 8034.51 401.7 Areas Calcualted by subtracting roof, road/impervous areas, and lawn areas from total lot size. Subtotal: Runoff 9144.2 2570.•? Do you have an Innovative/Alternative Septic System (Yes/No)? v 4� ra N Number of 4- Title 5 Design Flow Bedrooms? cn Average Wastewater If "Yes", what is the nitrogen concentraion of the system (in units of mg/L), based on the No DEP Alternative System Approval Letter? (See https://www.mass.gov/guides/innovative- technology-and-title-5-systems) Based on Title 5 (310 CMR 15.203): Each bedroom is assumed to have associated with it 110 Rallons Der day of flow. Flow The average wastewater flow method assumes 2.3 people and an average flow of 55 gallons per day per person Total nitrogen load (including Title 5 runoff and wastewater) Average Version 2/07/2022 Nitrogen Load ume (L/day) (mg/day) 1249.11 43716.81 478.81 16758.1 Volume (L/day) Nitrogen Load (mg/day) Load (ppm) 10393.2 46287.4 4.5 9623.0 19328.7 2.0 Average Nitrogen Load 3.23 ppm Sup'' q� Iv � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1t.... -- ....OF ........................... Nppliration for I4_q rn,9a1 WorkrTouBtrurtion Prrntit V Applicatiori is hereby made for a Permit to Construct () or Repair ( ) an Individual Sewage Disposal System at: J IUB .............. .................. ,_. Location - Addr- a g e n t f o r: or Lot No. ..�i�1 .. L 3l t�T.. Tp7?iS,a..._J.aae...&... Kax_x__y.. S_im p sQ rL,-__3.7.4 b C az dir�a� .,-..Ila y..o na-__Banc h Ru-ssel... Crosb....... q Joone� O.Box 799, Orleans, Mass. 02653daresg Fla., 32019 Installer Address Type of Building Size Lot_.. 71.9 Z_ZSq. feet Dwelling — No. of Bedrooms ................... .........._..__....__...Expansion Attic { } Garbage Grinder ( ) Other — Type of Building ......... ___________________ No. of persons__---___„____..-_________-, Showers ( ) — Cafeteria ( ) Otherfixtures........................................................... --•--•---.._._....._....--•--•--..._._......_.....•-•-•-•--•-.................._......-••- Design Flow ............. U .a.___ -.___-_,_-,___-_gallons per person per day. Total daily flow --- _.......... � �' ........... gallons. t ,� Septic Tank —Liquid capacity__iallons Length__ C..... Width:.. 4._lQ._ Diameter..-...—.... __ Depth____"-__ Disposal Trench — No . .................... Width .................... Total Length ............. j...... Total leaching area .................... sq. ft. SeepagePit No._CJ �__. Diameter ....... 1.C'2__-___ Depth below inlet _._...%_-....... Total leaching area_.'ZQ4t__1sq. ft. Other Distribution box (,�) Dosing tank( ) Percolation Test Results Performed by.. late_ ........... -_!_.:01 C...._...-. Test Pit No. 1.... ___minutes per inch Depth of Test Pit .... 1 da_15___, Depth to ground water...:. ``–' ,t,-,,-_. Test Pit No. 2__,_. - !�Z_-_minutes per inch Depth of Test Pit ...... L _'..... Depth to ground water .... N,.,/A........ ----------------------------•......------------•-------•----••---.._.._....---•---------....._--•_.._...••----•---•---------.._................_......._..... in of Soil e: �-a ---------------------•--••------------------------------------------------------------------------------------------ Nature of Repairs or Alterations — Answer when applicable_.._._. : v Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLi,: 5 of the State Sanitary Code — The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been.�Ss%ed by the oar f health. Application Approved By Application Disapproved f Permit No, Date Issued._..................................................... Date BOARD OF HEALTH Certificate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (X) or Repaired ( ) by .. ............ ... ,Russell Crosby .. .... . ....... . Z3.8• Installer ' ' at Map ........ Lot 2 Hamilton . Cartway. ......... . . ...Owned by.. Jane &, Harry -Simpson _ Street ' has been installed in accordance with the provisions of Title 5 State Environmental Code described in the application for Disposal Works Construction Permit No ........ 201-8.6 .......... . ...... dated .... $.:86- 8.6 .................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE - THAT THE SYSTEM WPLL FUNCTION SATISFACTORILY DATE ...� '.'. ..................... Inspector �6 / 4 *wyJr I 4L Ck Iwaft 1 - 0 it v � t PeopleGIS FIND ZOOM FOLLOW w N.IVGo 1 . r it '15 .... Nei m State Plane. NAD 8 1000 ft 1051586-2727182 L y • r 2D P dF vr - r {'C� F _ _ - t z i a �' � � r �• ' 14 _ `. - •� J ` A r j * +r- t a + r� 1{ 4•. L 1 f � H! � 1 F a 1 r y, �} CaboOJI Pb ITS _ I. L r3 r7g Pond ■ e it —4W �J,l��; U11 Harwich .t• RL 2- 24P- . ■ %k6.,� g ` e . . . � � .�� � ■ ._ � ■ , - ` �� � ,� .«% ■ , . ■ � � � - � e � � • � -� % . ,�� �� �� � ■ � . .= _ / ■ . � / # ` ® ■ %� � f � , -, � ` � ` ■ / . a � . � � ■ ` � � � % , _ 2�� «■ \� � e �% , ��% � -■ 4P A . _op41V*■ lc� y_ ■ - 2 or dip • � , , �� i.. -_ k, Horwich B.REWSTER BOARD OF HEALTH REGULATION REGARDING VARIANCE REQUESTS FOR ON-SITE SEWAGE DISPOSAL SYSTEMS APPLICATIONS The following regulation is promulgated under the authority of Chapter 111, Section 31, of the Massachusetts General. Laws: Section I — Purpose: 1.1 Brewster draws its groundwater from a single source aquifer which is integrally connected with. and flows into, the surface waters, ponds, streams, coastal estuaries and embayments. These water bodies constitute significant recreational and economic resources of the town, used for bathing and other water -related recreation, including shellfishing and fishing for human consumption. Inadequately treated wastewater effluent presents serious threats to the water quality of the sole source aquifer, posing potential public health and safety hazards and threatening economic losses to the affected communities. Additional and more stringent preventative measures than those set forth in Title 5 of the State Environmental Code, 310 C.M.R. 15.000, et seq., are necessary to protect the public health from potential and present sources of pollution from sewage disposal systems in Brewster. Thus, these regulations shall apply to all applications for variances from the provisions of Title 5 of the State Environmental Code, 310 C.M.R. 15.000, et seq., as well as, applications seeking variances from local Brewster Board of Health Regulations governing the siting, construction, inspection, upgrade and expansion of on-site sewage treatment and disposal systems. Section II — Definitions: 2.1 Environmentally Sensitive Area means the following: A. Land area that borders on or is within. 300 feet of the following .Resource Areas, as defined in the Brewster Wetlands Protection Regulations, Section 1.04: beach, dune, flat, bank (coastal and inland), freshwater wetland, coastal wetland, marsh, meadow, bog, swamp, lake, pond, river, stream, estuary, land subject to coastal flowage, and the ocean. B. Land with groundwater six (6) feet or less below natural ground surface elevation, as defined by the USGS 1992, 2' Water Table Contour Map, as the same may be amended; C. Land within Zone Il of an existing or proposed .municipal well, as Zone lI is the Massachusetts public Drinking Water Regulations set forth at 310 C.M.R. 22.00, et seq., as the same may be amended; D. Land in a protective private drinking well zone as defined by the Brewster Board. of Health Private Well Regulations, effective June 29, 2007, as the same may be amended; E. Land in freshwater pond recharge areas as those areas are shown on the Cape Cod Commission Map, entitled Cape Cod Water Resources Classification Map 1 dated January 16, 2009, as the same may be amended; F. Land in critical environmental habitats, as those habitats are mapped and depicted on the Cape Cod Critical Habitat (Association for the Preservation of Cape Cod) Atlas, dated August 1990, as the same may be amended. 2.2 New Construction shall have the same meaning as defined in Title 5 of the State Environmental. Code, 310 C.M.R. 15.002. 2.3 Bedroom shall have the same meaning as defined in the Brewster Local Regulation to Supplement Title 5 of the State Environmental Code, effective May 22, 2015, as the same may be amended. 2.4 Buildable Ualand means the total area of a lot as measured in square feet, but excluding that portion of the lot located within beach, dune, flat, bank (coastal and inland), freshwater wetland, coastal wetland, marsh, meadow, bog, swamp, lake, pond, river, stream, estuary, land subject to coastal storm flowage, and the ocean, as those areas are defined under the Brewster Wetlands Protection Regulations. Section iii — Grantine of a Variance: 3.1 All Variances. The Board of Health may vary the provisions of any state or local regulation pertaining to the design, inspection and installation of septic systems in Brewster only when, in the opinion of the Board of Health, the person requesting a variance has demonstrated by a preponderance of credible evidence that: (A) enforcement of the provision from which a variance is sought would be manifestly unjust, considering all the relevant facts and circumstances of the individual case; and, (B) a level of environmental protection that is at least equivalent to that provided under the unvaried regulation can be achieved without strict application of the provision from which a variance is sought. 3.2 Environmentally Sensitive Areas. (A) Variances for projects in Environmentally Sensitive Areas shall only be permitted for the following systems: i) Failed Systems as defined in Title 5, 21.0 C.M. R. 15.002; ii) New Construction. With regard to variances for New Construction, in order to meet the manifestly unjust requirement of the Variance standard set forth in Section 3.1 above, the applicant must demonstrate that: (a) enforcement of the provision from which a variance is sought will deprive the applicant of substantially all beneficial use of the subject property; and, b) when compliance to the provisions of the Brewster Board of Regulation Regarding Leaching Facility Setbacks cannot be met for New Construction of residential dwellings, in addition to meeting the requirements of Section 3.2(a) above, the design flow of the system shall be equal to or less than one Bedroom per 10,000 square feet of Buildable Upland calculated at l 10 gallons per day per Bedroom; provided, however., an application for New Construction of a two (2) bedroom house on previously undeveloped land may be permitted under this provision where the applicant can meet the requirements of 310 C.M.R. 15.216 (aggregate flows) or 15.217 (enhanced nitrogen removal), and agrees to execute and record at the.Barnstable County Registry of Deeds to run with the title to the property a deed restriction limiting the number of bedrooms permitted on the property to two (2) bedrooms. 31i) Upgrade of existing residential systems provided no additional design flow is proposed; and, iv) All other structures, provided the project does not trigger an increase in design or actual flow above the existing approved capacity of the system. (B) In order to meet the manifestly unjust requirement of the Variance standard set forth in Section 3.1 above, applicants seeking variances for projects in Environmentally Sensitive Areas must: i) demonstrate that enforcement of the provision from which a variance is s sought will deprive the applicant of substantially all beneficial. use of the subject property; ii) in addition to meeting the requirements of Section 3.2 (a) above, agree to install water saving devices on all fixtures. If the Brewster Board of Health determines that it is necessary to protect public health and the environment, it may require a deed restriction. limiting the number of bedrooms permitted on the property to a number equal to or less than one bedroom per 10,000 square feet of buildable upland or a number determined by the Board of Health. Such deed restriction must be recorded at the Barnstable County Registry of Deeds to run with the title of the property. Section IV - Certificates of Granting Of Variance 4.1 Once granted by the Board of Health, a written Certificate of Granting of Variance will be issued by the Board of Health, approved by the Department of Environmental Protection pursuant to the provisions of Title 5 of the State Environmental Code, and posted conspicuously in Brewster Town Hall for 30 days following its issuance. Thereafter, the Certificate of Granting of Variance shall be recorded against the title to the property by the property owner at the Barnstable County Registry of Deeds. Section V -.Expiration of Variance 5.1 A Variance approved by the Brewster Board of Health hereunder shall expire if the work permitted under the Variance is not complete within one (1) year from the date of the issuance of the Certificate of Granting of Variance. Section VI - Severability 6.1 If any provision of these regulations is declared invalid or unenforceable, the other provisions shall not be affected thereby but shall continue in full force and effect. ADOPTED: December 19, 1989 EFFECTIVE: January 1, 1990 AMENDED: May 1. 8, 1993 AMENDED: June 1, 1993 AMENDED: June 15, 1993 EFFECTIVE: July 13, 1993 AMENDED: February 20, 2001 EFFECTIVE: Upon. Publication. AMENDED: August 12, 2010 EFFECTIVE: Upon Publication AMENDED: September 7, 2010 EFFECTIVE: Upon Publication AMENDED: November 7, 2012 EFFECTIVE: November 23, 2012 AMENDED: May 27, 2014 EFFECTIVE: June 6, 2014 AMENDED: July 7, 2015 EFFECTIVE: July 17, 2015 4 BOARD OF HEALTH Lemuel Skidmore, MS, MPH Chairman Carmen Scherzo, DVM, Vice Chairman Mary Chaffee, RN, PHD Joe Ford Annie .Dugan, RN Town Clerk 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 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 SUBPART A: GENERAL PROVISIONS AND ENFORCEMENT 15.001: Purpose, Authority and Related Provisions 15.002: Definitions 15.003: Coordination with Local Approving Authorities 15.004: Applicability 15.006: Facilities with a Design Flow of 10,000 gpd or Greater but Less than 15,000 gpd 15.007: Campgrounds 15.010: Division and Aggregation of Facilities 15.011: Criteria to Assess Whether Facilities are in Separate Ownership or Control 15.017: Approval of Soil Evaluators 15.018: Function of Soil Evaluators 15.019: Disposal System Installer's Permit 15.020: Disposal System Construction Permits 15.021: Certificates of Compliance 15.022: Duty of Compliance 15.023: Approving Authority Access 15.024: Violations of 310 CMR 15.000 15.025: Enforcement by Approving Authorities 15.026: Orders 15.027: Prohibition of Septic System Additives 15.028: Soil Absorption System Restoration 15.029: Construction of Wells Near Existing Systems 15.030: Records 15.040: Advisory Committee 15.050: Severability SUBPART B: SITING OF SYSTEMS 15.100: General Provisions 15.101: Site Evaluation Criteria 15.102: Deep Observation Hole Test 15.103: Soil Profile 15.104: Percolation Testing 15.105: Procedure for Performing a Percolation Test 15.106: Landscape Position 15.107: Hydrogeologic Properties SUBPART C: DESIGN, CONSTRUCTION, REPAIR, AND REPLACEMENT OF ON-SITE SEWAGE DISPOSAL SYSTEMS 15.201: Type of System 15.202: Use of Recirculating Sand Filters 15.203: System Sewage Flow Design Criteria 15.204: Increases in Design Flow to System 15.211: Minimum Setback Distances 15.212: Depth to Groundwater 15.213: Construction in Velocity Zones and Floodways 15.214: Designation of Nitrogen Sensitive Areas 15.215: Nitrogen Loading Limitations 15.216: Aggregate Determinations of Flows and Nitrogen Loadings 15.217: Systems with Enhanced Nitrogen Removal 15.220: Preparation of Plans and Specifications (Mass. Register #1501, 8/4/2023) 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.002: continued Naturally Occurring Pervious Material - Naturally occurring soil exhibiting a percolation rate of 60 minutes or less per inch which was deposited on a site by natural causes and not by human action. New Constriction - The construction of a new building for which an occupancy permit is required or an increase in the actual or design flow to any system or an increase in the actual or design flow to any nonconforming system or an increase in the design flow to any system above the existing approved capacity. New construction shall not include replacement or repair of a building in existence as of March 31, 1995 that has been totally or partially destroyed or demolished, provided there is no increase in design flow, no increase in design flow above the existing approved capacity to any system, no increase in the number of dwellings or dwelling units or no increase in the number of bedrooms in any dwelling or dwelling unit. Nitrogen Sensitive Area - An area of land and/or natural resource area so designated by the Department in accordance with 310 CMR 15.214. Nonconforming. System - Any system which is not in full compliance with the standards and requirements of 310 CMR 15.000 and for which a variance or local upgrade approval has not been obtained. Nonconforming systems include, but are not limited to, cesspools, privies, failed systems, and systems with a design flow above 10,000 gpd. Notice of Intent and Application Period - The two-year period that begins on the effective date of a Nitrogen Sensitive Area designation pursuant to 310 CMR 15.214(1)(b). Observed Ground -Water Elevation - That elevation below the ground surface at which water is observed weeping, flowing from the walls of, or standing in a deep observation hole. On-site S stem or Disposal S stem or On-site Subsurface SewafLe Disposal System or System - A system or series of systems for the treatment and disposal of sanitary sewage below the ground surface on a facility. (a) The standard components of a system are: a building sewer; aseptic tank to retain solids and scum; a distribution system; a soil absorption system containing effluent distribution lines to distribute and treat septic tank effluent prior to discharge to appropriate subsurface soils; and a reserve area. (b) These terms also include tight tanks, shared systems and alternative systems. Unless the text of 310 CMR 15.000 indicates otherwise, these terms also include nonconforming systems. Open Drain -Any uncovered ditch or culvert used for the conveyance of surface water runoff or groundwater. A culvert that carries a water course or intermittent stream is not a surface drain. Operate - To use or occupy a facility served by an on-site system or to own a facility where such use or occupation exists. Operator - A person who alone or together with other persons has charge or control of any system. Owner - A person who, alone or together with other persons, has legal title to any facility served by a system or control of the facility, including but not limited to any agent, executor, administrator, trustee, lessee, or guardian of the estate for the holder of legal title. Percolation Test - A field test to assess the suitability of soils in a defined area for the subsurface disposal of sewage as described at 310 CMR 15.104 and 15.105. Person - Any individual, partnership, corporation, firm, association, authority, trust or group, including, but not limited to, a city, town, county, the Commonwealth and its agencies, and the federal government. Pervious Soil - Soil with a percolation rate of 60 minutes per inch or less found in the B and C horizons. GENERAL NOTES: A) NEITHER DRIVEWAYS NOR PARKING AREAS ARE ALLOWED OVER SEPTIC SYSTEM UNLESS H-20 COMPONENTS ARE USED. B.) THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UN- LESS CONSTRUCTED AS SHOWN. ANY CHANGES SHALL BE APPROVED IN WRITING. C.) CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. CONSTRUCTION NOTES: 1.) ALL CONSTRUCTION SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, TITLE 5, AND THE REQUIREMENTS OF THE LOCAL BOARD OF HEALTH. 2.) SEPTIC TANK(S), GREASE TRAP(S), DOSING CHAMBER(S) AND DISTRIBUTION BOX(ES) SHALL BE SET ON A LEVEL STABLE BASE WHICH HAS BEEN MECHANICALLY COMPACTED, OR ON A 61NCH CRUSHED STONE BASE. 3.) SEPTICTANK(S) SHALL MEET ASTM STANDARD C1127-93 AND SHALL HAVE AT LEASTTHREE 20" DIAMETER MANHOLES. THE MINIMUM DEPTH FROM THE BOT- TOM OF THE SEPTIC TANK TO THE FLOW LINE SHALL BE 48". 4.) SCHEDULE 40 PVC INLETAND OUTLET TEES SHALL EXTEND A MINIMUM OF 6" ABOVE THE FLOW LINE OF THE SEPTIC TANK AND SHALL BE INSTALLED ON THE CENTERLINE OF THE TANK DIRECTLY UNDER THE CLEANOUT MANHOLE. 5.) RAISE COVERS OF THE SEPTIC TANK AND DISTRIBUTION BOX WITH PRECAST CONCRETE WATERTIGHT RISERS OVER INLET AND OUTLET TEES TO WITHIN 6" OF FINISH GRADE, OR AS APPROVED BY THE LOCAL BOARD OF HEALTH AGENT, 6.) PIPING SHALL CONSIST OF 4" SCHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL BE LAID ON A MINIMUM CONTINUOUS GRADE OF NOT LESS THAN 1%. 7.) DISTRIBUTION LINES FOR SOIL ABSORPTION SYSTEM (AS REQUIRED) SHALL BE 4" DIAMETER SCHEDULE 40 PVC LAID AT 0.005 FT/FT LINE SHALL BE CAPPED AT END OR AS NOTED. 8.) OUTLET PIPES FROM DISTRIBUTION BOX SHALL REMAIN LEVEL FOR AT LEAST 2'BEFORE PITCHING TO SOIL ABSORPTION SYSTEM. WATER TEST DISTRIBUTION BOX TO ASSURE EVEN DISTRIBUTION. 9.) DISTRIBUTION BOX SHALL HAVE A MINIMUM SUMP OF 6" MEASURED BELOW THE OUTLET INVERT. 10.) BASE AGGREGATE FOR THE LEACHING FACILITY SHALL CONSIST OF 3/4" TO 1-1/2" DOUBLE WASHED STONE FREE OF IRON, FINES AND DUST AND SHALL BE INSTALLED BELOW THE CROWN OF THE DISTRIBUTION LINE TO THE BOTTOM OF THE SOIL ABSORPTION SYSTEM. BASE AGGREGATE SHALL BE COVERED WITH A 2" LAYER OF 1/8" TO 1/2" DOUBLE WASHED STONE FREE OF IRON, FINES AND DUST. 11.) VENT SOIL ABSORPTION SYSTEM WHEN DISTRIBUTION LINES EXCEED 50 FEET; WHEN LOCATED EITHER IN WHOLE OR IN PART UNDER DRIVEWAYS, PARKING AREAS, TURNING AREAS OR OTHER IMPERVIOUS MATERIAL; OR WHEN PRESSURE DOSED. 12.) SOIL ABSORPTION SYSTEM SHALL BE COVERED WITH A MINIMUM OF 9" OF CLEAN MEDIUM SAND (EXCLUDING TOPSOIL). 13.) FINISH GRADE SHALL BE A MAXIMUM OF 36" OVER THE TOP OF ALL SYSTEM COMPONENTS, INCLUDING THE SEPTIC TANK, DISTRIBUTION BOX, DOSING CHAMBER AND SOIL ABSORPTION SYSTEM. SEPTIC TANKS SHALL HAVE A MINIMUM COVER OF 9". 14.) FROM THE DATE OF INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL RECEIPT OF ACERTIFICATE OF COMPLIANCE, THE PERIMETER OF THE SOIL ABSORP- TION SYSTEM SHALL BE STAKED AND FLAGGED TO PREVENT THE USE OF SUCH AREA FOR ALLACTIVITIES THAT MIGHT DAMAGE THE SYSTEM. 15.) THE BOARD OF HEALTH SHALL REQUIRE INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THE BOARD OF HEALTH (OR THE DESIGNER IF THIS SYSTEM I QUIRES AVARIANCE) AND MAY REQUIRE SUCH PERSON TO CERTIFY IN WRITING THAT ALL WORK HAS BEEN COMPLETED IN ACCORDANCE WITH THE TERMS OF THE PERMIT AND APPROVED PLANS. 48 HOURS ADVANCE NOTICE IS REQUESTED. 16.) EXISTING SEPTIC SYSTEM TO BE REMOVED. ANY CONTAMINATED SOIL WITHIN 5' OF THE PROPOSED SOIL ABSORPTION SYSTEM SHALL BE REMOVED AND REPLACED WITH CLEAN SAND, AREA TO BE COMPACTED TO MINIMIZE SETTLING. 17.) INSTALLER SHALL VERIFY INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY SEPTIC SYSTEM COMPONENTS. 18.) SOIL REMOVAL: EXISTING TOPSOIL (A -HORIZON), ENCOUNTERED BELOW THE FOOTPRINT OF THE PERC-RITE DISPERSAL SYSTEM SHALL BE REMOVED DOWN TO THE LOAMY FINE SAND (B -HORIZON). THE 5 FOOT REMOVAL IS NOT REQUIRED WHEN USING THE PERC-RITE SYSTEM, PER DEP REMEDIAL APPROVAL. AREA TO BE BACKFILLED WITH CLEAN SAND AND COMPACTED TO MINIMIZE SETTLING. 19.) DESIGN ENGINEER SHALL INSPECT THE SOIL REMOVAL PRIOR TO PLACEMENT OF THE PERK -RITE SYSTEM. 20.) 40 MIL HDPE LINER SHALL BE INSTALLED ALONG THE SOIL REMOVAL EXCAVATION. TOP OF LINER EL=40.3±, BOTTOM OF LINER EL=36.3±; LENGTH = 118't 21.)ALL4" PVC CLEANOUTS (C/O) SHALL BE BROUGHT TO FINISH GRADE, CLEANOUTS SHALL BE MARKED WITH A PIECE OF #5 REBAR FOR FUTURE LOCATION. I- - - - - - - - - - - - - - - - - - - - - - I o I --------------- ----- TUBING LAYOUT - Z124: 8 RUNS 15" OC RIP TUBING PERC RITE INFORMATION: RETURN LINES Rob Sarmanian Sales & Service Manager 6 Sargent St. Gloucester, MA 01930 978.282.1322 office 978.282.1318 fax rsarmanian@oaksoninc.com www.oaksoninc.com FLOW PROFILE: NOT TO SCALE TOP OF FOUNDATION EL = 42.1± ~ w (3)24"DIA CONCRETE ACCESS COVERS RAISED TO WITHIN 6" OF FINISH GRADE (OR AS NOTED) (SEE NOTE #5) / -- Existing EL= 41.5± Ll I 1u" SOIL HORIZON 14" 3" SOIL MOTTLING T 4'0" A GAS BAFFLE 1,500 GAL, NONE 500 GAL. 9IRST J- 6 SECOND -MXAPART_ COMPART. NONE PERC AT 38" PROPOSED�3='0 2,000 GALLON -MONO SEPTIC TANK H-10 RATED SOIL TEST LOGS: TEST HOLE 1: EL=43.5± DEPTH FROM SURFACE (INCHES) SOIL HORIZON SOIL TEXTURE (USDA) SOIL COLOR (MUNSELL) SOIL MOTTLING OTHER 0-18 A FINE LOAMY SAND 10YR 312 NONE Z 18-42 6 LOAMY SAND 10YR 6/8 NONE PERC AT 38" 42-132 C1 MEDIUM TO CORSE SAND 10YR 7/6 NONE LOOSE DISTRIBUTION BOX SAS SOIL ABSORPTION SYSTEM X 43.9 RESERVED FOR FUTURE NO WATER ENCOUNTERED. TEST HOLE 2: EL=43.5± DEPTH FROM SURFACE (INCHES) SOIL HORIZON SOIL TEXTURE (USDA) SOIL COLOR (MUNSELL) SOIL MOTTLING OTHER 0-17 A FINE LOAMY SAND 10YR 3/2 NONE Z 17-41 B LOA Y SAND 10YR 08 NONE PERC AT 38" 41-132 Cl MEDIUM TO COARSE SAND 10YR 7/6 NONE LOOSE DISTRIBUTION BOX SAS SOIL ABSORPTION SYSTEM X 43.9 RESERVED FOR FUTURE NO WATER ENCOUNTERED TEST HOLE 3: EL=35.2± SYSTEM DESIGN CALCULATIONS: SEWAGE DESIGN FLOW) BEDROOM OWE=@110GPD=330 GPD Gr6eniand Pond LEACHING CAPACITY REQUIREDI BEDR O PD= 0 GPD REQUIRED I (A Great Pond) SEPTIC TANK CAPACITY REQUIREDI DAILY F = 330 GPD = 660 GAL. REQUIRED SEPTIC TANK CAPACITYPROVIDEDI 2,000 GALLON ETI -T COMPARTMENT TANK Greenland Pond LEACHING CAPACITY PROVIDED) ONE - 45'x PERC-RITE DRIP DISPERSAL) LEACH FIELD: Vt=[(45 x 10)] X 0.74 GPD/SF = 333 GPD 333 GPD> 330 GPD REQUIRED I �� ��', �� NOTE: A GARBAGE DISPOSAL IS NOT PERMITTED WITH THIS DESIGN. / •,oss ` zo 3 NSTALU I 0 3 V \ I w ONE (1)- 2,000 GALLON SEPTIC TANK; 2 -COMPARTMENT TANK 1,500 1500 GALLON G = / B \ (f, Betatea I'I'eryanot w = LLON PUMP CHAMBERo ONE (1)- 45'x 10' 10APERC RITE DISPERSAL FIELD W1 PUMP, HYDRAULIC UNIT, I CONTROL PANEL, AND TUBING p / / p w U` ej dFa x iso I /ryao" 17BCoano'Ba oponC 3 z 00 3 z ro DEPTH FROM SURFACE (INCHES) SOIL HORIZON SOIL TEXTURE (USDA) SOIL COLOR (MUNSELL) SOIL MOTTLING OTHER 0-16 A FINE LOAMY SAND 10Y 312 NONE Z 16-24 B LOAMY SAND 10YR 6/8 NONE - G- 24-76 Cl MEDIUM TO COARSE SAND 10YR 7/6 NONE LOOSE DISTRIBUTION BOX SAS SOIL ABSORPTION SYSTEM X 43.9 RESERVED FOR FUTURE GROUNDWATER AT 56" TEST HOLE 4: EL=35.2± DEPTH FROM SURFACE (INCHES) SOIL HORIZON SOIL TEXTURE (USDA) SOIL COLOR (MUNSELL) SOIL MOTTLING OTHER 0-17 A FINE LOAMY SAND 10YR 3 2 NONE Z 17-24 B LOAMY SAND 10YR 6/8 NONE - G- 24-76 Cl MEDIUM TO COARSE SAND 10YR 7/6 NONE LOOSE DISTRIBUTION BOX SAS SOIL ABSORPTION SYSTEM X 43.9 RESERVED FOR FUTURE GROUNDWATER AT 56" UTILITY POLE ® CATCH BASIN � FIRE HYDRANT SHED DATE OF TESTING: 8-8-2023 PERCOLATION RATE: LESS THAN 5 MIN INCH IN B HORIZON R TE / N & C1 LAYER. WITNESSED BY: R. REEDY, P.E., J.M. O'REILLY & ASSOCIATES, INC. S. MCCULLOUGH, HEALTH AGENT, BREWSTER HEALTH DEPARTMENT USE A LOADING RATE OF 0.74 GPD/SF FOR SIZING OF SOIL ABSORPTION SYSTEM. GROUNDWATER ENCOUNTERED IN TEST HOLES 3 AND 4: x 42'7 WATER ENCOUNTERED AT ELEVATION = 30.53 INDEX WELL, PER CCC, IS BMW -21R, ZONE B ESTIMATED RISE FOR 8-8-23 IS 4.0 FEET ESTIMATED HIGH GROUNDWATER EL= 34.5± INSPECTION NOTE: PRIOR TO FINAL INSPECTION BY THE ENGINEER, SYSTEM NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS. BUOYANCY CALCULATIONS: 2000 GALLON CONCRETE SEPTIC TANK (H-10) F =(12.0'X 6.5' X 5.67) 62.4 L6/CF = 27,597lbs F III TANK WEIGHT +SOIL COVER -20,000 Ibs. (Per. Spec) +(12.0' X 6.5' X2.8')100 LB/CF = 41,8401bs F 1=41,8401bs>FL(=27,597 Its OK 1000 GALLON CONCRETE PUMP CHAMBER (H-10) F=(8.Z5'X 5.42' X 5.67') 62.4 LB/CF -15,820 Its F Il�TAN K WEIGHT +SOIL COVER =15,820 lbs. (Per. Spec) + (12.0'X 6.5'X 1') 100 LB/CF = 23,6201bs F 1=23,620 lbs >FNI=15,820 Ibs OK SUBMITTALS SHALL BE REVIEWED & APPROVED BY DESIGN ENGINEER PRIOR TO DELIVERY. RELEASE POINTS ')SEE PLAN FOR �ATIONS PROPOSED 45'x 10' PERC-RITE DRIP DISPERSAL LEACHING FIELD 330 GPD CAPACITY PROVIDED LEACH FIELD AT ELEV = 39.2± MINIMUM FINISH GRADE ELEV=40.Ot WATERTIGHT 32" DIA. CON C. COVER RAISED TO 3" BELOW GRADE SPLICE LOCATED FINISHED WITH BARKMULCH OR OT:1ER OUTSIDE TANK LANDSCAPE MATERIAL AND RISER I 37.25 I ALARM ON 0 30" - - 37.00 LI PEAK ENABLE 0 24"- - 5 DRIP ENABLE 0 IB"- =--2==PUMrrrF014'� - SUMP 0 0" 2' 32.5± PROPOSED 1000 GALLON CONCRETE MONOPOUR PUMP CHAMBER H-10 RATED / \ s Existing Trees In Area TO BE PROTECTED DURING CONSTRUCTION -- I PROP�SFD RELOCATED -WELL \ \ x 36,3 \ \I -< 33.; - \ 1 PROPOSE LIMIT OF WORK ZO e,8 - �- 20 Be uryer oy\ ... / ix \ \ R237. 50' 3\ Edge of Dirt Roa / \ `6.1 T ON 37B / I \ 2S,-\ Approximate Location of the Existing oy ��� I `' �• PR/(r. Cl \ Well, Per 80H Records. \„\ 6" 8e4C I Treece '71 I 38.3 qTF �\ ` PROPOSED LIMIT OF WORK 4' WELL IS TO BE RELOCATED oy\\ f \\ ! LINE, SEE NOTE x 38.4 x 36.2 I "31.9 12" Beech Tree • \`°y\+ 3e.6 `» \`\._.� �f ` x 37.7 X 34.8 SS03J, 36.8 8" Beech Tree oy `x �* 1 LOT 2 64 1p F >zl ( Three Trunk 24" Oak ree 6" Beech Tree 37.6 Total Area= 77,970 SF± '.. 10" Beech Tree • \ Upland Area= SF±` ,�`� x 36.1 \� PROPOSED 12'x 8.25' x 3 Beech Tree � .\�\ I DRYWELL FOR ROOF AREAS . - i 36 10" Beech Tree' Dirt/Gravel Driveway " '1 4 4 Two Trunk 1 " Beech Tree • x 40Do- EFTFROMRO x 34.9 20" Beech TTIE,qFg 12" Beech Tree ' v ) TH3 35.1 F��Z' 24" Beech Tree - Step �'' r pOSfD?VFLL PROPOSED LIMIT OF WROK RFq\i X 37.1 /� - x 40,81 LINE, SEE NOTE 20" Beec Tree 039,o 1 ���TH4 - I RELOCATED UTILITY PADS 20" Beech Tr x 352j2 Qy k 36.4 -PROPOSEDy x 35.6 16' Beech Tree• "-)., \'`\ x�"/ 2-24"BeechT I ADDITOAI o c / / 20" Beech Tree �I0 6 4p +,� \ 1 ON Existing H SECOIYDF Dwelling 29.01t ROp '-,� _ _ L DECK Top of F N oz g w -ree _ 1 g �� OSFOAF l�+8' Beech Tree "\., -� EL= -42.11 c� ¢ D°, PROPOSED 40 MIL LINER , t AROUNDTHE PROPOSED S.A.S. x \+\ �� RCR/TFSy Wo Trunk 4" Beech Tree ST _%O' x 3a.7 TOP OF LINER 40.3 8" Beech Tree 43.4 '\ STFiyj ` 47 37. PC 40 BOTTOM OF LINER 36.3- 24" Beech ree - .I tep 20" Beech Tree \, 16" ech Tree I ST ! 6" DIA. ADS PIPE FOR ROOF 96 4" Beech Tree • 0 10' Beech Tree •+� �, a ' N / 7 , ,' - Deck e / 14' Beech Tree 9 i 0' Beech Tree`/ ' Step RUNOFF (TYP) 10" Beech Tree TH2\`' +��y DB / 10" Beech Tree • 45.4 TH1 '�" 5eech Tree 0 41,o r"-'- / } ,`� r� _�+ \. r. ' x 34.5 43.3 � "JL TWO 12" Beech Trees � ` - x 39s / * 33.8 10" Beech Tree 41463 - 10" Be ch re e �-4z;g'' _ / � 40 J Wetland x 39.7 o 10 Zone - -- LP / ` 46 X 46.2 \ 38.0 x 41.7 \ / x 38.3 Ot :c 31.7 rry katEdBry n OExisting 3 Bedroom Sewage System Per B.O.H. BENCH MARKT / _--AcL251'To � V\\snag PERMIT # 201-86 Top o Concrete Foundation X 36.0 Pond 1,000 Gal. Septic Tank, D -Box and 10'x 4' Leach Pit EL=42.1(NAVD88 Datum) I x 36.5 Wetland Flagging Completed by IMO 9-20-2022. ONE (1)- 6" DIA H.D.P.E. 9" MINIMUM PIPE FROM ROOF, 1% - PITCH MINIMUM I o 0 o e o I o e 7.93'- SC -740 Unit 2.0�� ROOF RUNOFF STORMWATER FACILITY NOT TO SCALE ONE (1)-STORMTECH SC -740 UNITS TO BE PLACED ON A 6 INCH LAYER OF NATIVE STONE. TWO (2) FEET OF STONE ON SIDESAND ENDS. ONE OBSERVATION PORTTO FINISH GRADE IS TO BE PROVIDED UNION (APPRO)() BH 40 BOTTOM OF VA -VE �CESMAIN "iRLE V SANG SUPPLY UNE RNSULT PER COLD CLIMATE XOTES) MAIN SUPPLY R COMMON RETURN FLUSH RETURN LINES LOCATED TO SEPTIC TANK Sam FROST UNE pJan nr w a epenyenek �e/w by7 \ Q m O a Wetland Flagging Reviewed by Paul Shea of 3 / wet/and "a OS \ X1234 - oBO er 3 F O 20.70 Z WATER SERVICE LINE ne \ Z o %nt%eaOf27, 0 0 v - G- / X 36.7 �'� LDo N 2 \ X 41.8 DISTRIBUTION BOX SAS SOIL ABSORPTION SYSTEM X 43.9 / \ s Existing Trees In Area TO BE PROTECTED DURING CONSTRUCTION -- I PROP�SFD RELOCATED -WELL \ \ x 36,3 \ \I -< 33.; - \ 1 PROPOSE LIMIT OF WORK ZO e,8 - �- 20 Be uryer oy\ ... / ix \ \ R237. 50' 3\ Edge of Dirt Roa / \ `6.1 T ON 37B / I \ 2S,-\ Approximate Location of the Existing oy ��� I `' �• PR/(r. Cl \ Well, Per 80H Records. \„\ 6" 8e4C I Treece '71 I 38.3 qTF �\ ` PROPOSED LIMIT OF WORK 4' WELL IS TO BE RELOCATED oy\\ f \\ ! LINE, SEE NOTE x 38.4 x 36.2 I "31.9 12" Beech Tree • \`°y\+ 3e.6 `» \`\._.� �f ` x 37.7 X 34.8 SS03J, 36.8 8" Beech Tree oy `x �* 1 LOT 2 64 1p F >zl ( Three Trunk 24" Oak ree 6" Beech Tree 37.6 Total Area= 77,970 SF± '.. 10" Beech Tree • \ Upland Area= SF±` ,�`� x 36.1 \� PROPOSED 12'x 8.25' x 3 Beech Tree � .\�\ I DRYWELL FOR ROOF AREAS . - i 36 10" Beech Tree' Dirt/Gravel Driveway " '1 4 4 Two Trunk 1 " Beech Tree • x 40Do- EFTFROMRO x 34.9 20" Beech TTIE,qFg 12" Beech Tree ' v ) TH3 35.1 F��Z' 24" Beech Tree - Step �'' r pOSfD?VFLL PROPOSED LIMIT OF WROK RFq\i X 37.1 /� - x 40,81 LINE, SEE NOTE 20" Beec Tree 039,o 1 ���TH4 - I RELOCATED UTILITY PADS 20" Beech Tr x 352j2 Qy k 36.4 -PROPOSEDy x 35.6 16' Beech Tree• "-)., \'`\ x�"/ 2-24"BeechT I ADDITOAI o c / / 20" Beech Tree �I0 6 4p +,� \ 1 ON Existing H SECOIYDF Dwelling 29.01t ROp '-,� _ _ L DECK Top of F N oz g w -ree _ 1 g �� OSFOAF l�+8' Beech Tree "\., -� EL= -42.11 c� ¢ D°, PROPOSED 40 MIL LINER , t AROUNDTHE PROPOSED S.A.S. x \+\ �� RCR/TFSy Wo Trunk 4" Beech Tree ST _%O' x 3a.7 TOP OF LINER 40.3 8" Beech Tree 43.4 '\ STFiyj ` 47 37. PC 40 BOTTOM OF LINER 36.3- 24" Beech ree - .I tep 20" Beech Tree \, 16" ech Tree I ST ! 6" DIA. ADS PIPE FOR ROOF 96 4" Beech Tree • 0 10' Beech Tree •+� �, a ' N / 7 , ,' - Deck e / 14' Beech Tree 9 i 0' Beech Tree`/ ' Step RUNOFF (TYP) 10" Beech Tree TH2\`' +��y DB / 10" Beech Tree • 45.4 TH1 '�" 5eech Tree 0 41,o r"-'- / } ,`� r� _�+ \. r. ' x 34.5 43.3 � "JL TWO 12" Beech Trees � ` - x 39s / * 33.8 10" Beech Tree 41463 - 10" Be ch re e �-4z;g'' _ / � 40 J Wetland x 39.7 o 10 Zone - -- LP / ` 46 X 46.2 \ 38.0 x 41.7 \ / x 38.3 Ot :c 31.7 rry katEdBry n OExisting 3 Bedroom Sewage System Per B.O.H. BENCH MARKT / _--AcL251'To � V\\snag PERMIT # 201-86 Top o Concrete Foundation X 36.0 Pond 1,000 Gal. Septic Tank, D -Box and 10'x 4' Leach Pit EL=42.1(NAVD88 Datum) I x 36.5 Wetland Flagging Completed by IMO 9-20-2022. ONE (1)- 6" DIA H.D.P.E. 9" MINIMUM PIPE FROM ROOF, 1% - PITCH MINIMUM I o 0 o e o I o e 7.93'- SC -740 Unit 2.0�� ROOF RUNOFF STORMWATER FACILITY NOT TO SCALE ONE (1)-STORMTECH SC -740 UNITS TO BE PLACED ON A 6 INCH LAYER OF NATIVE STONE. TWO (2) FEET OF STONE ON SIDESAND ENDS. ONE OBSERVATION PORTTO FINISH GRADE IS TO BE PROVIDED UNION (APPRO)() BH 40 BOTTOM OF VA -VE �CESMAIN "iRLE V SANG SUPPLY UNE RNSULT PER COLD CLIMATE XOTES) MAIN SUPPLY R COMMON RETURN FLUSH RETURN LINES LOCATED TO SEPTIC TANK Sam FROST UNE pJan nr Z" (MIN) -LOAM LAYER SEEDED WriH GRASS B" TO Is (MIN}T(TLE5 SAND DRIP INVERT EL=40.0 RETURN UNE ONSUTATED PER COLO CUMATE NOTES) 16oWnview) PERC-RITE DRIP DISPERSAL 112' (MIN.) LEACH FIELD 450 SF± LEACHING AREA SUPPLY LINE PUMP STORAGE CAPACITY: SOW FROST 16" FROM ALARM ON TO INLET INVERT LINE PROVIDES 334 GALLONS OF STORAGE Inland Bank Along Shoreline Edge of Wetland Sandy Shore Edge of Pond (9-15-22) --°9 �- A[R REUASE VALVE W]7N COVERS TO GRADE 2" RETURN MANIFOLD 5.5't EL=34.5±EST. HIGH GROUNDWATER x 32.2 I 31.5 Approximate Location of Seasonal Dock, License # 14185 (MA DEP # SE 9-1686) Long Pond (A Great Pond) Water EL=29.41 Located 9/15/22 VARIANCE REQUESTED LOCAL SANITARY REGULATIONS VARIANCES: 300 FOOT POND SETBACK 1.) Soil Absorption System not 300' from Pond 125PROVIDED 175VARIANCE CONSERVATION NOTES: 1.) LIMIT OF WORK SHALL BE AS SHOWN. A ROW OF 9 -INCH DIAMETER STRAW WATTLES SHALL BE STAKED ALONG THE LIMIT OF WORK LINE PRIOR TO THE COMMENCEMENT OF OF ANY WORK. 2.) ROOF RUN-OFF FROM DWELLING SHALL BE CONTROLLED BY GUTTERS, DOWNSPOUTS AND DRYWELLS OR STONETRENCHES UNDER DRIP LINES. SEE ROOF RUNOFF NOTES. 3.) ALL DISTURBED AREAS WITHIN THE OPEN AREAS SHALL BE RETURNED TO PRE -CONSTRUCTION CONDITION (GRASS). THE AREA OF THE S.A.S. SHALL BE FINISHED WITH 2 INCHES LOAM OVER THE DISTURBED AREAS AND SEEDED WITH A WOODLAND (SHADE) SEED MIX, AS APPROVED BY AGENT. 4.) CONTRACTOR, BUILDER AND OWNER SHALL REVIEW THE ORDER OF CONDITIONS PRIOR TO AND DURING CONSTRUCTION. Long Pond 01, BREWSTER, K'0 M A o� A ,aid 90 G to 13i Smalls Pond NOT TO SCALE LAND COURT PLAN #18389-C CERTIFICATE 4203864 ASSESSORS' MAP 81 PARCEL 1 0-50' EXISTING LEGEND - Wetland Flagging Reviewed by Paul Shea of 32 PROPOSED CONTOUR X1234 - Independent Wetland Consultant. PROPOSED SPOT GRADE - W-- WATER SERVICE LINE -O- OVERHEAD UTILITYC SERVICE +1 v - G- / X 36.7 �'� 34.6 - N 2 +1 X 41.8 DISTRIBUTION BOX SAS SOIL ABSORPTION SYSTEM X 43.9 RESERVED FOR FUTURE CM UTILITY POLE ® CATCH BASIN � FIRE HYDRANT SHED WELL ® DRAINAGE MANHOLE +531 SF ADDED 50' Buffer - y - P OF BANK - -•- - Zone FENCE EDGE OF CLEARING X 39,5 34,E X 42.0 32.9 O X 43.3 Z" (MIN) -LOAM LAYER SEEDED WriH GRASS B" TO Is (MIN}T(TLE5 SAND DRIP INVERT EL=40.0 RETURN UNE ONSUTATED PER COLO CUMATE NOTES) 16oWnview) PERC-RITE DRIP DISPERSAL 112' (MIN.) LEACH FIELD 450 SF± LEACHING AREA SUPPLY LINE PUMP STORAGE CAPACITY: SOW FROST 16" FROM ALARM ON TO INLET INVERT LINE PROVIDES 334 GALLONS OF STORAGE Inland Bank Along Shoreline Edge of Wetland Sandy Shore Edge of Pond (9-15-22) --°9 �- A[R REUASE VALVE W]7N COVERS TO GRADE 2" RETURN MANIFOLD 5.5't EL=34.5±EST. HIGH GROUNDWATER x 32.2 I 31.5 Approximate Location of Seasonal Dock, License # 14185 (MA DEP # SE 9-1686) Long Pond (A Great Pond) Water EL=29.41 Located 9/15/22 VARIANCE REQUESTED LOCAL SANITARY REGULATIONS VARIANCES: 300 FOOT POND SETBACK 1.) Soil Absorption System not 300' from Pond 125PROVIDED 175VARIANCE CONSERVATION NOTES: 1.) LIMIT OF WORK SHALL BE AS SHOWN. A ROW OF 9 -INCH DIAMETER STRAW WATTLES SHALL BE STAKED ALONG THE LIMIT OF WORK LINE PRIOR TO THE COMMENCEMENT OF OF ANY WORK. 2.) ROOF RUN-OFF FROM DWELLING SHALL BE CONTROLLED BY GUTTERS, DOWNSPOUTS AND DRYWELLS OR STONETRENCHES UNDER DRIP LINES. SEE ROOF RUNOFF NOTES. 3.) ALL DISTURBED AREAS WITHIN THE OPEN AREAS SHALL BE RETURNED TO PRE -CONSTRUCTION CONDITION (GRASS). THE AREA OF THE S.A.S. SHALL BE FINISHED WITH 2 INCHES LOAM OVER THE DISTURBED AREAS AND SEEDED WITH A WOODLAND (SHADE) SEED MIX, AS APPROVED BY AGENT. 4.) CONTRACTOR, BUILDER AND OWNER SHALL REVIEW THE ORDER OF CONDITIONS PRIOR TO AND DURING CONSTRUCTION. Long Pond 01, BREWSTER, K'0 M A o� A ,aid 90 G to 13i Smalls Pond NOT TO SCALE LAND COURT PLAN #18389-C CERTIFICATE 4203864 ASSESSORS' MAP 81 PARCEL 1 0-50' EXISTING LEGEND - EXISTING CONTOUR 32 PROPOSED CONTOUR X1234 EXISTING SPOT GRADE 24x5 PROPOSED SPOT GRADE - W-- WATER SERVICE LINE -O- OVERHEAD UTILITYC SERVICE -U- UNDERGROUND UTILITY SERVICE - G- GAS SERVICE LINE ST TEST HOLE / BORING LOCATION HOUSE SEPTIC TANK DB DISTRIBUTION BOX SAS SOIL ABSORPTION SYSTEM Reserve RESERVED FOR FUTURE CM UTILITY POLE ® CATCH BASIN � FIRE HYDRANT SHED WELL ® DRAINAGE MANHOLE +531 SF ADDED CONCRETE BOUND, FOUND - y - P OF BANK - -•- LIMIT OF WORK FENCE EDGE OF CLEARING STORMWATER REGULATIONS: EXISTING COVERAGE: HOUSE 864 SF± DRIVEWAY 1148 SF± TOTAL - 2,012 SF± PROPOSED COVERAGE: HOUSE 8645F± PROP. ADDITION 495 SF± DRIVEWAY 1,148 SF± TOTAL 2,507 SF± PROJECT PROPOSES TO ADD 495 SF OF IMPERVIOUS AREA TOTHE PARCEL. LESS THAN THE 500 SF MINIMUM, NO STORMWATER PERMIT IS REQUIRED ROOF RUNOFF: THE EXISTING AND PROPSOED ROOF AREAS SHALL BE FITTED WITH GUTTERS AND DOWNSPOUTS. THE DOWN SPOUTS SHALL BE CONNECTED TO A SINGLE 12'x 8.25'x 3' DRYWELL. CONNECTIONS SHAL BE MADE USING 6" DIA. HDPE (ADS) PIPE. • ALL ROOF AREASSHALL BE COLLECTED VIA GUTTERS AND DOWN SPOUTSAND CONNECTED TO A 12'x8.25' x 3' DRY W ELL. STORAGE AREA = 189 CF±. >> 114 CF REQ'D FOR ROOFED AREAS. CONSERVATION COVERAGES 0-50' EXISTING HOUSE 3 SF DECK 222 SF 50-100' EXISTING HOUSE 862 SF DECK & STEPS 242 SF DRIVEWAY 1148 SF SHED 101 SF TOTAL: 2,353 SF 0-50' PROPOSED HOUSE 3 S DECK 222 SF NOCHANGE 50-100' PROPOSED HOUSE 1,357 SF DECK & STEPS 278 SF DRIVEWAY 1148 SF SHED 101 SF TOTAL 2884 SF +531 SF ADDED REVISED 9-19-2023: ADDED STORMWATER CONTROLS FOR ROOF RUNOFF; ADDED VARIANCES FOR THE SEWAGE SYSTEM AND BOH FILING. A,wOFMgss �JaEtLDEMASS�c KOLB PROPERTIES REALTY TRUST JOHN 9c�G i� 'JOHN Iv �� C/o KELLY MOBLEY 925 HIGHWAY AIA #705, SATELLITE BEACH FL, 32937 U O'REIL ,Y U'�M. c'' SEWAGE DISPOSAL SYSTEM SITE PLAN psi ooe ► 283 HAMILTON CARTWAY, BREWSTER MA, 02631 ( SQ yd s%pNA ENG��x , tIfkN ►.... J.M. 0 REILLY & ASSOCIATES, INC. 0 20 40 60 Professional Engineering & Land Surveying Services SCALE 1"=20' 1573 Main Street - Route 6A P.O. Boa 1773 E (508)896-8801 Office Brewster, MA 02631 (508)896-6802 Fax DATE: SCALE :BY: CHECK: JOB NUMBER: G:V,AIobs\kolb 9351\dwg\9351, PROPOSED SDS SITE PLAN -REVISED 9-19-23.dwg 08/23/2023 As Noted BH JMO JMO-9351 COPYRIGHT 2022 BY THOMAS A. MOORE DESIGN CO. O cl) O Cx] = 000 ✓ Q O 00 W O Z U�? Q C M N p N 0 DF- a m DATE : 1 1 / 1 112022 PRODNO. F I IST [= LO O K P LA N . 2022-4 16 DWG. NO.: 0 5 10 15 20 ET w. - SHS`✓' F,. x o IT Nn COPYRIGHT 2022 BY THOMAS A. MOORE DE51GN CO. 3G'-0"± (EXI5TING) SECOND FLOOD FLAN J A, yO C) O Q O W C) O Lo a Q N W 3 O F 0 re � Q � Q w O I1 Z Z m W � 00 N SCALE 1/4"= I '-0" DATE : 1 1 / 1 1/2022 PROJ. NO. 2022-4 1 G G 5 \ ff _ �} = _ lEX GENERAL NOTES: I .) CONTRACTOR 15 TO VERIFY EXISTING CONDITIONS AND DIMENSIONS IN THE FIELD PRIOR TO THE START OF WORK 2,) CONTRACTOR TO REMOVE EXISTING DOORS, WINDOWS, WALLS, $ ROOFING AS REQUIRED FOR NEW CONSTRUCTION. 3.) ALL NEW CONSTRUCTION TO MATCH EXISTING IN MATERIAL, DETAIL, AND TN15H. 4,) ALL WORK SHALL CONFORM TO THE MA55ACHUSETT5 STATE BUILDING CODE (LATEST EDITION) AND ALL OTHER APPLICABLE LOCAL CODES 5.) ANY DISCREPANCIES, ERRORS AND/OR OMISSIONS IN THE NOS ES, DIMENSIONS, AND/OR DRAWINGS CONTAINED ON THESE DOCUMENTS SHALL BE BROUGHT TO THE ATTENTION OF THE DESIGNER PRIDK TO COMMENCEMENT OF CONSTRUCTION. PROCEEDING WITH CONSTRUCTION CONSTITUTES ACCEPTANCE OF THESE DOCUMENTS AND ANY DISCREPANCIES, ERRORS AND/OR OMISSIONS BECOME THE RESPONSIBILITY OF THE BUILDING CONTRACTOR. ©COPYRIGHT 2023 BY THOMAS A. MOORE DESIGN CO. FIRST FLOOR PLAN LEGEND D EXISTING WALL CONSTRUCTION TO REMAIN NEW WALL CONSTRUCTION E-7 EXISTING WALL CONSTRUCTION TO BE REMOVED QS NEW/EXI5TING 5MOKF/CAR5ON MONOXIDE DETECTORS 0 5 10 15 20 ❑ cr7 � o L � zoo C7 13 °O 0 GO Wo QzL� Z x�v � O � <O°� Q= cq Ll N W 0 G1 E -am N�j Q 1��Iti 0 O O LJ ✓� U zoo Q L) L.L. N mE PUNS SHOWN Aa fHE SOLE PROPERTY OF -HE DESIGNER AND CAN JOT BE COPIED. Z,FRODUCED MDIOR NLTERED WITHOUT THE �PRf55 WRITTEN ]0N5ENT OF THE DESIGNER SCALE: 1/4" = 1'-0' DATE: 7/17/2023 PROJ. NO.: 2022-416 DWG. NO.: FAW 22'-G• (ADDITION) —TIT, 3.4° 3•-4" 3'A' 2'-1 I' A Ag a ______ __ _ __ ______ ___ DECK A5OVE c c c I c II N a B -G r I S• -G" 61 I'..8'x G•8 �' NEW `'a•. BEDROOM Io 0 0 \8x5'/ SHOWER BATH - F0qF •, m _ —1 b LINI, AI A +1 A8 A8 °i ©COPYRIGHT 2023 BY THOMAS A. MOORE DESIGN CO. FIRST FLOOR PLAN LEGEND D EXISTING WALL CONSTRUCTION TO REMAIN NEW WALL CONSTRUCTION E-7 EXISTING WALL CONSTRUCTION TO BE REMOVED QS NEW/EXI5TING 5MOKF/CAR5ON MONOXIDE DETECTORS 0 5 10 15 20 ❑ cr7 � o L � zoo C7 13 °O 0 GO Wo QzL� Z x�v � O � <O°� Q= cq Ll N W 0 G1 E -am N�j Q 1��Iti 0 O O LJ ✓� U zoo Q L) L.L. N mE PUNS SHOWN Aa fHE SOLE PROPERTY OF -HE DESIGNER AND CAN JOT BE COPIED. Z,FRODUCED MDIOR NLTERED WITHOUT THE �PRf55 WRITTEN ]0N5ENT OF THE DESIGNER SCALE: 1/4" = 1'-0' DATE: 7/17/2023 PROJ. NO.: 2022-416 DWG. NO.: FAW F--,7-1" TWE MANUFACTURER'S UNIT ROUGH OPENING REMARK5 A ANDERSEN CW 135 2'-4 715'x 3'-5 315" CASEMENT 5 CX 155 2'-8" x 5'-5 3/5" CASEMENT C CXW 155 "15T. E ST. I IX15T. EXI5T. CASEMENT D C 235 4'-0 112" x 3'-5 3/8" CASEMENT C A8 A 21 2'-0 5/8" x 2'-0 515" AWNING AS A A8 3'-0 112" x 4'-5 3/8" CASEMENT m it m la -I I" ai 9 E%1 T. BEPM BELOW sKY B'-0'�-11' 1111 COPEN NEW TO 1 BELOW E DECK ANDEPSEN F o FN6 6065 1 1i 0vl' 15.6• 1 1 11 11 E . j I EXPANDED LOFT tea. ee 1 i- 1 1 11 snowESN NE PK IDE © NE 0 P a AT" 23. a I 1 1 I is •8•• N a _ 1 LIN. m - 1'� be G AB 1 #I r EXIST � FX15T, � i � 1 � i1 (SIZED DORMER) � A8 A8 ' IX15T. 1 IX15T. SECOND FLOOR PLAN LEGEND o EXISTING WALL CONSTRUCTION TO REMAIN ® NEW WALL CONSTRUCTION -=7 EXISTING WALL CONSTRUCTION TO 5E REMOVED QS NEW/EXISTING SMOKE/CAK5ON MONOXIDE DETECTORS DESIGN CO. WINDOW SCHEDULE TWE MANUFACTURER'S UNIT ROUGH OPENING REMARK5 A ANDERSEN CW 135 2'-4 715'x 3'-5 315" CASEMENT 5 CX 155 2'-8" x 5'-5 3/5" CASEMENT C CXW 155 3'-0 1/2'x 5'-5 3/8" CASEMENT D C 235 4'-0 112" x 3'-5 3/8" CASEMENT E A 21 2'-0 5/8" x 2'-0 515" AWNING F CXW 145 3'-0 112" x 4'-5 3/8" CASEMENT NOTE # 1: CONTRACTOR TO VERIFY ALL QUANTITIES AND SIZES O` NEW WINDOWS WITH OWNER AND ROUGH OPENINGS WITH WINDOW MANUFACTURER PRIOR TO ORDERING Of WINDOWS. 5 i5 20 FPFT-T-] ---- -- — — NO�FORCONI f 2UCCION) 4 C] M � o z (:) a 00 00 Ll O z �a O -T OM<. cq (� c\j (CICU z ¢oma 0C2 W (D Q F-' n. Cll PIAN5 smI 50LE PROPERT ICED ANDIOR TnOUT THE WRTTEN DE THE 1/4" = 1'-0" DATE: 7/17/2023 To: Board of Health Town of Brewster Health Department 2198 Main Street Brewster, Massachusetts 02631-1898 (508) 896-3701 Ext. 1120 FAX (508) 896-4538 Memorandum From: Sherrie McCullough, Assistant Health Director Re: 6 Seamans Lane Date: September 25, 2023 As a result of a complaint a site visit and routine barn inspection was conducted by Sherrie McCullough & Amy von Hone. The donkeys were found to be very content and healthy upon arrival. The paddock was clear of manure. The owner of the property, Ms. Rhoads, explained the donkeys defecate in the same spot every day and the manure is picked up twice daily. The manure is brought to her friend's barn for further composting. She explained most of the odor comes from their urine. They also urinate in the same spot in the paddock as well. Ms. Rhoads explained she limes the area where they urinate daily to decrease any odors. At the time of the visit there were no offensive odors noted. Their barn was very clean. She explained she routinely takes the mats out for cleaning. The donkeys had immediate access to food and water. Ms. Rhoads explained she checks the urination collection system often and has yet to find any urine in the collection bin. We did observe some areas inside and outside the paddock and along the roadway where it was evident rain had washed away wood chips and some topsoil. If any debris does go in the street, she sweeps it back onto her property. We did discuss the summer's unusual numerous heavy rain events and how they may have contributed to the run-off. The feed shed was found to be neat and tidy. Both barrels of feed were tightly covered. This department also confirmed with DPW Superintendent that the catch basin outflow pipe had been capped off. It does not flow into Slough Pond but into a designated leach pit. In accordance with the terms of the variance, Ms. Rhoads will be submitting well tests results upon renewal of her barn permit for 2024. No violations of the Brewster Board of Health Animal Regulations were noted at the time of the inspection. O 1 `C CFOrn Z m I I i � TOPG w ■ O Ij z , 4 J A y� �n The datashown on this site ars rr provided rortmormaand plannlnp purposes only.nly, The� Town and its consultants aro not responsible For the misuse or misrepresentation of the data. - 390 780 ft Printed on 09/26/2023 at 10:49 AM i Edge of Pavernent • — m . Buildings 2r Parcels - r r lb rr .r it o' v: :r I J Tj' '�3 5 L3 �Je —y- . • .3l in lop 49- �S � MagsOnline by PeodeGIS If ,w pop U]C� ON POLE# TYPE DEPTH NECK IN SILT DATE SILT DATE SILT DATE D|REC N8 RIGHT TO PM 99 30 RIGHT TO DEAD �. RIGHT TO BB _~ Page DRNLOC4.XLS EPA plans to disband science advisory board studying wastewater discharge in Mass. Bar Deer Island treatment plant treats about 330 million gallons of Greater Boston's wastewater per day. The treated water is then pumped through a nine -and -a -half mile pipe under the ocean, where it's diffused into Massachusetts Bay The plant does not treat for CEC's (contaminants of emerging concern - PFAS, microplastics, pharmaceuticals and personal care products) For 28 years, the EPA has required that an independent group of scientists (OMSAP) review data on the treated wastewater and its effect on the Bay including fish health, algae blooms, oxygen levels in the water, and most recently CEC's (2022 Recommendations) EPA: "...the data show that those decades of wastewater discharge have not harmed the bay. So, the scientists' services are no longer required." OMSAP: "Our conclusions from the past 20 years of monitoring may not be relevant over the next coming 10 years." Cape Ann �r Massachusem i Bay r� St .30 Boston Outfall Pmvincelown • -- we 1 r •� Cape Cod Bay N cWI*. MmecNmft WaWRWw=M" lt") L-tX OLAan ,S1AMlk tr 21. 'u; ' Stellwagen Bank National Marine Sanctuary South &wd _ (kran CatrNiia Legend Federal Marine Sanctuary State Ocean Sanctuary State Area of Critical Environmental Concern Barrier beaches Ijk I -Y"ea6 Industrial discharges Sewage treatment plant ` outfalls - New MWRA outfall site Former Mass Bay Disposal Site, or Foul Area (FA) Former Industrial Waste Site (IWS) OPresent Mass. Bay Disposal Site (MBDS) �• Average ocean current direction 47 N ,. IPP JIM 0 OO'N F I ,d pop I-% Figure 6. Paths of a few of the drifters released in May 1990 illustrating the variability of the surface currents in Massachusetts Bay. Drifters (surface floats attached to an underwater drogue) were released (initial locations at the red dots) and tracked via satellite until they either left the bay or grounded ashore. For drifters set out during various times of the year as part of a field experiment carried out in 1990- 91, traveltimes from western �Air Massachusetts Bay to Cape Cod Bay ranged from 4 to 7 days and from western Massachusetts Bay to Race Point ranged from 7 to 50 - days. Unintended Consequences Scientists took water samples at various depths near the outfall and measured for 17 pharmaceuticals, caffeine, sucralose, and 25 per- and polyfluoroalkyl substances (PFAS) surrounding the wastewater discharge tunnel from Deer Island Ten of 17 pharmaceuticals, sucralose, caffeine, and 9 PFAS were detected in surface and bottom water at different points during the seasons Concentrations were proportional to proximity to the outfall * In a companion study, PFAS was found in the livers of juvenile seabirds from Massachusetts Bay 41 a 0*4 EPA plans to disband board studying wastewater discharge in Mass. Bay 10 wbur.org/news/2023/08/21/deer-island-outfall-monitoring-scientific-advisory_panel-omsap-eepa The anaerobic digesters at the Deer Island Water Treatment facility in Winthrop. (Jesse Costa/WBUR) Every day, the Deer Island treatment plant cleans about 330 million gallons of Greater Boston's wastewater. The treated water is then pumped through a nine -and -a -half mile pipe under the ocean, where it's diffused into Massachusetts Bay. Since the pipe was built more than two decades ago, the Environmental Protection Agency has required that an independent group of scientists keep a close eye on the treated wastewater and its effect on the bay. This group of volunteer scientists — known as the Outfall Monitoring Science Advisory Panel (OMSAP) — has monitored everything from fish health to algae blooms to oxygen levels in the water. WBUR is a nonprofit news organization. Our coverage relies on your financial support. If you value articles like the one you're reading right now, give today_. 1/8 Many scientists were shocked, therefore, when the EPA announced it plans to discontinue the panel when it renews Deer Island's discharge permit this year. The EPA declined requests for an interview. But the official reason, according to a statement from EPA New England: While the panel "served a very important role," the data show that those decades of wastewater discharge have not harmed the bay. So, the scientists' services are no longer required. But the scientists say their work has just begun. They see a bay warming with climate change, soupy with microplastics and swimming with unfamiliar algae. Who knows what else the future holds? "We need to be looking ahead. Climate change is happening and it's happening rapidly," said Juanita Urban -Rich, an associate professor at UMass Boston and a member of the advisory panel. "Our conclusions from the past 20 years of monitoring may not be relevant over the next coming 10 years." "Climate change is happening and it's happening rapidly ... Our conclusions from the past 20 years of monitoring may not be relevant over the next coming 10 years." Juanita Urban -Rich Other supporters say that the advisory panel offers more than just solid science: the group makes data and decision-making transparent, and holds state and federal officials accountable. "As a person who understands that frank, open discussions and peer review are critical to good science, I am very concerned," said Bruce Berman, who was the director of strategy and communications for the advocacy group Save the Harbor Save the Bay_ for 30 years. The Massachusetts Water Resources Authority (MWRA), which operates the Deer Island plant, will still collect data on the health of the bay. "But the question is: monitoring what?" asked Berman, who also chairs the panel's Public Interest Advisory Committee. Who is going to decide what data they gather, he said, "and how can the public have input?" Beyond that, it's not clear yet how — or if — scientists and the public will be able to access the data. "[The MWRA] could just do your monitoring and stick it in a bin and let it sit there," said Pam DiBona, director of the Massachusetts Bays National Estuary Partnership. "It doesn't make sense not to have scientists pay attention to what the data are." z/8 The MWRA, for its part, has nothing but praise for the panel of scientists. A statement from the organization stated that it "greatly appreciates OMSAP's technical and scientific oversight of the Deer Island outfall since it came online." Still, the MWRA is not pushing to keep the group in the permit, at least not publicly. Judith Pederson, an oceanographer at MIT's Sea Grant and current chair of the panel, put it this way: "While we have a congenial relationship with MWRA, I think they would be happy not to have us." Harbor of Shame Back in the 1980s, Boston Harbor was a national embarrassment. It was widely derided as the dirtiest harbor in America and blasted in headlines as the "Harbor of Shame." "There was so much pollution in Boston Harbor that it was constantly at risk of ginormous algae blooms that used up all the oxygen," Berman said. "Anything that couldn't swim the hell out of the harbor would die." "The water was green. And brown on some days," he said. "We were discharging 250 million gallons of crap out of a broken pipe, out of an old plant right off the mouth of the harbor. You could see that plume from space." Lawsuits eventually forced the cleanup of Boston Harbor. In 1985 the state legislature created the MWRA to take over the water and sewer system for Greater Boston. One key part of the cleanup plan was a $3.8 billion upgrade for the Deer Island wastewater treatment plant, and a new 9.5 -mile pipe that would discharge treated wastewater, or "effluent," into the bay. 3/8 w Diagram of the Deer Island outfall pipe and risers. Courtesy Massachusetts Water Resources Authority Not everyone loved the idea of dumping Boston's wastewater — treated or not — into the bay. Coastal communities on Cape Cod and the North Shore were concerned that Boston's sewage was about to become their problem, washing up on their shores. "There were people who thought that we were gonna save the harbor and screw the bay," said Berman. To address these concerns, the state created an Outfall Monitoring Task Force, which collected data for almost a decade before the outfall pipe went into service. Then, when the outfall pipe began discharging into the bay in 2000, the EPA required the scientific oversight panel in Deer Island's original wastewater permit, along with stringent effluent limits and monitoring requirements. 4/8 This 1992 photo shows construction manager Joseph Griffith inside the Massachusetts Water Resources Authority's Outfall Tunnel, which would carry sewage more than nine miles underwater from Boston's Deer Island out into the Massachusetts Bay. (Paula Scully/AP) As outlined in the group's charter, EPA and MassDEP jointly chose scientists and engineers to serve on the panel, selecting people with expertise in Boston Harbor, Massachusetts Bay, Cape Cod Bay and the Gulf of Maine. Current members hail from places like MIT, Northeastern and the Woods Hole Oceanographic Institution. The scientists aren't being cut from the permit for cost concerns; they all volunteer their time. The MWRA estimates that the outfall monitoring costs about $1.5 million each year, but most of that money goes toward the actual data collection. When the scientists get together, the EPA usually provides the meeting space. While the panel has no formal mechanism to compel state or federal agencies to act, the scientists have wielded considerable power. Over the past two decades, the scientists have devised -plans to monitor nitrogen and dissolved oxygen in the water. They've studied piles of data from monitoring stations; evaluated the health of flounder and lobster; and convened special studies, like those on microplastics, PFAS and other so-called contaminants, of emerging concern. And while state and federal authorities may not have loved all the scientist' suggestions about what to monitor and when, said Pederson, she can't recall any suggestions that weren't adopted in the end. 5/8 "There were people who thought that we were gonna save the harbor and screw the bay." Bruce Berman "They were charged with coming together and keeping an eye on the data," DiBona said. "They've done an amazing job." Their biggest finding was that those millions of gallons of cleaned -up wastewater flowing into the bay didn't have much effect. This is why the EPA argued that the panel is no longer necessary. "Nearly 23 years of ambient post -discharge monitoring has found that Massachusetts Bay water quality standards for the waters around the discharge are being met, and the discharge has not had an adverse effect on Massachusetts Bay," said Michelle Barden of EPA New England in a July 12 public hearing. "EPA is dropping the outfall monitoring Science Advisory panel, or OMSAP, as a permit requirement." Many argue that the past effects of the discharge may not be indicative future impacts, given the rapidly changing climate. Virginia Edgcomb, a senior scientist at the Woods Hole Oceanographic Institution and a member of the panel, pointed out that new species of harmful algae are being detected more frequently in Massachusetts Bay and Cape Cod Bay, usually triggered by warm water and available nutrients. These algae are the suspected culprits in the low -oxygen "blobs" that have killed lobsters in Cape Cod Bay. As the water warms with climate change, she said, these patterns "need to be monitored carefully." Judith Pederson, the current chair of the panel, said she worries about "contaminants of emerging concern," like PFAS and microplastics. "I don't feel that this permit has looked forward at all," she said. Maybe there's another way forward While Deer Island is the largest source of wastewater discharge into Massachusetts Bay, it isn't the only one. Pederson and others think that the panel should broaden its reach and monitor all the facilities discharging wastewater into Massachusetts Bay. "Isn't it stupid of us to have all of Mass. Bay and only have one monitoring program out there?" she asked. 6/8 Even as EPA New England plans to remove the science advisory panel from its permit, the agency seems to support an ongoing role for the group —just, maybe, somewhere else. In a statement, the agency said it's been working with panel members "to encourage the establishment of a regionally focused Massachusetts Bay Science Advisory Board." One of the most likely homes for a future panel is the Massachusetts Bays National Estuary Partnership (MassBays), now housed at UMass Boston's Center for the Environment. A view of Downtown Boston (center) and of Deer Island (right) from the Atlantic Ocean. (Jesse Costa/WBUR) The Massachusetts Department of Environmental Protection "has been in discussions with MassBays as a potential host organization," said spokesman Ed Coletta, adding the department is considering various options for continuing the panel. "MassDEP recognizes the value in a third -party science advisory committee," he said. However, there seems to be little action beyond discussion. And, there's another concern with the group landing at UMass: it's unclear whether they could wield any real power without formal state or federal backing. "We would have to be careful that they actually have some weight," DiBona said. "They all volunteer their time to look at these monstrous piles of data. And they're not going to do it if they don't think it's going into something that's worthwhile." 7/s "I don't mind that they don't have us in the permit as long as they have us somewhere where we report either to the state or to EPA," Pederson said. "That really is what you need. If you don't have that, they won't care." There has been little public outcry about the looming dissolution of the group. The public comment period on the proposed permit opened on May 31 and ends on Nov. 28. So far, there are no comments on the elimination of the panel. A public listening session on the group's future in July garnered lots of input from panel members, former members and allies, but none from the general public. Scientists "are really good at asking and answering very complicated questions. They are not really good at self -promotion," Berman said. "Sometimes it's hard to get people to pay attention." Judith Pedersen said that for scientists, the work on the bay is just getting started, and climate change has added a sense of urgency. "Things are changing quickly," she said. Their decades of monitoring are just a short window into the history of the bay, but may prove crucial with the rapid climate shifts underway. "You really need to keep going." s/8 September 27, 2023 Richard & Tracey Walz 17 Pineywood Drive East Longmeadow, MA 01028 Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 hrhealth-. - brewster-ma.�eov W W W.BREW STER-MA.GOV RE: Notice of Noncompliance — Innovative/Alternative Sewage System 83 Greenland Pond Road Brewster M94 L27 Dear Mr. & Mrs. Walz: Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Certified Mail: 9589 0710 5270 1227 9975 14 This office monitors the sampling results for the Innovative/Alternative septic system approved and installed at your Brewster property. in accordance with 310 CMR 15.287 of 310 CMR 15.000: The State Environmental Code, Title 5: General Conditions for the Use of Alternative Systems Pursuant to 310 CMR Under 15.2840 through 15.286. Our review finds that the Alternative System performance in the removal of total nitrogen is deficient and concentrations of total nitrogen are consistently greater than that represented in the technology approval and local approvals granted. Such conditions could threaten public health, welfare and safety and adversely affect the environment. Therefore, you may be out of compliance with 310 CMR 15.000: The State Environmental Code, Title 5, and the Town of Brewster Local Board of Health Regulations. To bring your Innovative/Alternative system into compliance, you must increase system treatment performance and lower total nitrogen concentrations. You should speak to your Wastewater Treatment System Operator to discuss these deficiencies and to collect effluent samples and analyze total nitrogen (nitrate+nitrite+TKN) within thirty (30) days of receipt. They should forward these results to the Brewster Health Department within 15 days of receipt with an explanation of noncompliance and or corrective actions undertaken. A list of certified operators is attached for your convenience. 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 our office Monday through Friday, 8:30- 4:OOPM. Our telephone number is 508-896-3701 ext. 1120. Failure to comply with this Notice will result in further Board of Health action and/or legal action including monetary fines. Respectfully, Amy von Hone, R.S., C.H.O. Health Director cc: Barnstable County Department of Health and Environment- Tracy Long Board of Health File Enclosure: I/A Contractor List \\fileserverl6\rdocuments$\tmason\Desktop\I-A Noncompliance letter (final template 7.27.23).doc E w v aD C' 44,7.0 _ F$ R P OFt A80 � September 27, 2023 Norris Lawrence & Amy Johnson Trustees PO Box 693 Brewster, MA 02631 Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealthia,brewster-ma. ov W W W.BREW STER-MA. GOV RE: Notice of Noncompliance — Innovative/Alternative Sewage System 54 Thousand Oaks Drive Brewster M108 L23 Dear Mr. Lawrence & Ms. Johnson Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Certified Mail: 9589 0710 5270 1227 9975 21 This office monitors the sampling results for the Innovative/Alternative septic system approved and installed at your Brewster property. in accordance with 310 CMR 15.287 of 310 CMR 15.000: The State Environmental Code, Title 5: General Conditions for the Use of Alternative Systems Pursuant to 310 CMR Under 15.2840 through 15.286. Our review finds that the Alternative System performance in the removal of total nitrogen is deficient and concentrations of total nitrogen are consistently greater than that represented in the technology approval and local approvals granted. Such conditions could threaten public health, welfare and safety and adversely affect the environment. Therefore, you may be out of compliance with 310 CMR 15.000: The State Environmental Code, Title 5, and the Town of Brewster Local Board of Health Regulations. To bring your Innovative/Alternative system into compliance, you must increase system treatment performance and lower total nitrogen concentrations. You should speak to your Wastewater Treatment System Operator to discuss these deficiencies and to collect effluent samples and analyze total nitrogen (nitrate+ nitrite +TKN) within thirty (30) days of receipt. They should forward these results to the Brewster Health Department within 15 days of receipt with an explanation of noncompliance and or corrective actions undertaken. A list of certified operators is attached for your convenience. 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 our office Monday through Friday, 8:30- 4:OOPM. Our telephone number is 508-896-3701 ext. 1120. Failure to comply with this Notice will result in further Board of Health action and/or legal action including monetary fines. Respectfully, Amy von Hone, R.S., C.H.O. Health Director cc: Barnstable County Department of Health and Environment- Tracy Long Board of Health File Enclosure: I/A Contractor List \\fileserverl6\rdocuments$\tmason\Desktop\I-A Noncompliance letter (final template 7.27.23).doc September 27, 2023 Aberle Leslie 50 Sarah Maker Lane Brewster, MA 02631 Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 0263 1-1 898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth,! tbrewster-ma.gov WWW.BREWSTER-MA.GOV RE: Notice of Noncompliance — Innovative/Alternative Sewage System 50 Sarah Maker Lane Brewster M85 L138 Dear Ms. Leslie: Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R. S. Assistant Director Tammi Mason Senior Department Assistant Certified Mail: 9589 0710 5270 1227 9975 38 This office monitors the sampling results for the Innovative/Alternative septic system approved and installed at your Brewster property. in accordance with 310 CMR 15.287 of 310 CMR 15.000: The State Environmental Code, Title 5: General Conditions for the Use of Alternative Systems Pursuant to 310 CMR Under 15.2840 through 15.286. Our review finds that the Alternative System performance in the removal of total nitrogen is deficient and concentrations of total nitrogen are consistently greater than that represented in the technology approval and local approvals granted. Such conditions could threaten public health, welfare and safety and adversely affect the environment. Therefore, you may be out of compliance with 310 CMR 15.000: The State Environmental Code, Title 5, and the Town of Brewster Local Board of Health Regulations. To bring your Innovative/Alternative system into compliance, you must increase system treatment performance and lower total nitrogen concentrations. You should speak to your Wastewater Treatment System Operator to discuss these deficiencies and to collect effluent samples and analyze total nitrogen (nitrate+nitrite+TKN) within thirty (30) days of receipt. They should forward these results to the Brewster Health Department within 15 days of receipt with an explanation of noncompliance and or corrective actions undertaken. A list of certified operators is attached for your convenience. 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 our office Monday through Friday, 8:30- 4:0013M. Our telephone number is 508-896-3701 ext. 1120. Failure to comply with this Notice will result in further Board of Health action and/or legal action including monetary fines. Respectfully, F -M— X11) Amy von Hone, R.S., C.H.O. Health Director cc: Barnstable County Department of Health and Environment- Tracy Long Board of Health File Enclosure: I/A Contractor List \\fileserverl6\rdocuments$\tmason\Desktop\I-A Noncompliance letter (final template 7.27.23).doc Q W ISPATCH 4,..J J m a- Resources and Information about Local Public Health NACCHO NEWS a Strengthen Mental Health in Your Local Community with NACCHO's New Member Benefit Public health leaders are at the frontlines of the mental health crisis. A staggering 90% of adults acknowledge what we're facing as a nation, with 4 out of 5 adults advocating for a y' collective approach to address this problem. NACCHO's Behavioral Health 360 program is strategically designed to support you. We equip you with essential tools and resources to actively enhance the mental health landscape and overall wellbeing in your community. Using innovative digital platforms, data insights, a community of shared learning, and grant opportunities, together we are forging a future where mental health and wellbeing are prioritized, cultivating healthier, more resilient communities for everyone. To watch the introductory webinar, visit https://solutions. crediblemind.com/nacho-bh360-webinar-replay/. NACCHO members also have access to grants to finance participation in Behavioral Health 360 initiatives that can be found at https:Hsolutions.crediblemind.com/naccho/#grant. How to Get COVID Care Covered This Fall NACCHO's Chief of Government and Public Affairs, Adriane Casalotti, MPH was quoted in the article, "How to Get COVID Care Covered This Fall:' The article covers what people should know about coverage regarding COVID testing, treatment, and vaccinations. Learn more by reading the article at https://www.verywellhealth.com/ how-to-get-covid-testing-a nd-treatment-covered-7644096. APHA Annual Meeting and Expo in Atlanta ENGAGE, I APHA's 2023 Annual Meeting and Expo, Creating COLLABORATE•�R the Healthiest Nation: Overcoming Social and APHA 2023 REGISTER wpyr Ethical Challenges, will be held November 12-15 AN.U�rNE �HGZ IXMI at the Georgia World Congress Center in Atlanta. The event aims to build public health capacity and address the social and ethical challenges threatening the country's health. With a stronger public health infrastructure, it is possible to expand prevention and health promotion efforts to tackle threats such as communicable diseases, substance misuse, climate change and health disparities. In-person and virtual attendees will have an opportunity to engage with public health experts, collaborate with other advocates, and grow professionally. Significant discounts on registration are available through September 18. Register now at https://ow.ly/2xl850PCUCf. Public Health Prevent. Promote. Protect. In the Spotlight... NACCHO Announces Its 2023-2024 Board of Directors "Each board member brings deep experiences in local public health and public service, hailing from communities of varying size and rurality. All local health departments will benefit from their expert leadership and perspectives in helping NACCHO achieve its mission,"said NACCHO Chief Executive Officer Lori Tremmel Freeman. Board Officers • Pramod Dwivedi, DrPH, President; Linn County Public Health Department, IA • Michael Kilkenny, MD, MS, President -Elect; Cabell-Huntington Health Department, WV • Damon Chaplin, MBA, MBA, Vice President; City of Minneapolis Department of Public Health, MN Margaret (Margy) Jahn, MS, MPH, Immediate Past President; Freehold Area Health Department, NJ NAI/AR Prevention meet ® all of the differences associated with MSIs, the importance of a 2023 and Response clarification and the role classification plays in school funding. Site Spotlight: Spotlight Series Read the Q&A at https:Hkresge.org/news-views/new-open-data- � Cass County NACCHO, with Health support from the project-helps-clarify-contextualize-minority-serving-institutions. Department CDC Division of Healthcare Quality and O a�o�to��. BLOC COVID+ Spotlight Series The Promotion, awarded eleven local health Building Local Operational Capacity departments (CRDs) with funding to support RAI x+, Ii��4� for COVID-19, Healthcare-Associated the LHD Healthcare-Associated Infections and (ase S�"�i� Infections, and Antimicrobial Resistance Antimicrobial Resistance (HAI/AR) project. 13 (BLOC COVID-19+) project continues and These funds supported their ability to pilot and NACCHo expands upon the first year of the BLOC implement the CDC (Interim) LHD Strategy for COVID-19 Demonstration Site project by HAI/AR. We asked our HAI/AR pilot project sites to allowing LHDs to go beyond COVID-19 response, as well as address reflect on their experiences and lessons learned other HAls and AR pathogens. The BLOC COVID+ sites reflected since joining the project to share with members. on their experiences since joining the BLOC COVID+ project, and The first spotlight for Cass County can be viewed five of the sites shared insights and lessons learned for specific HAI at https://www.naccho.org/blog/articles/hai-ar- threats in a series of case studies. To view the lessons learned, visit prevention-and-response-spotlight-cass-county. https://www.naccho.org/blog/articles/bloc-covid-case-studies. Open Data Brookings Experts Propose Steps to Project Seeks to VVRNew Prevent Generic-Drug Shortages Advance a Greater A new Brookings proposal outlines Understanding of MSIs potential U.S. policies to address the What is a Minority- country's persistent generic-drug Serving Institution (MSI) and what schools can claim the designation? These shortages. In the proposal, Marta 6 are two questions a group of researchers, led byPhD, Wosinska, PhD, and Richard Frank, principal investigator Mike Hoa Nguyen, assistant fellows at the University of Southern California-Brookings Schaeffer professor of education at New York University, Initiative for Health Policy, said generic sterile injectable (GSI) sought to address in the recently released Minority- Serving Institutions Data Project. In this Q&A, the drugs are a staple of hospital care. "Shortages of GSI drugs can researchers share how they went about reconciling have substantial adverse impacts through treatment delays, the use of inferior alternatives, and an increased risk of medication Public Health Dispatch • September 2023 errors;' they wrote. To view the proposal, visit https:// www.cidrap.umn.edu/resilient-drug-supply/brookings- experts-propose-steps-prevent-generic-drug-shortages. Cities: The Future of Health Webinars (2nd Series) The Cities: The Future of Health webinar series from Big Cities Health Coalition explores the Urban Health Agenda, a vision for centering health and equity in policymaking. Each webinar features stories from big city health departments who are making this vision come to life. Register now at https://www. bigcitieshealth.org/cities-future-of-health-webinars/. Passing Local Flavored Tobacco Restrictions on September 12 at 2:OOPM ET Putting Racis m -as -a -Public -Health -Crisis Declarations into Practice on October 10 at 1:00 PM ET Implementing Harm Reduction Through Vending Machines on November 8 at 1:00 PM ET Medicaid and CHIP Renewals: What to Know and How to Prepare, A Partner Education Monthly Series U.S. Department of Health and Human Services (HHS) March 25-28,2024 and the Centers for Medicare & Medicaid Services (CMS) continue to host a series of monthly webinars on Medicaid and CHIP Renewals to educate partners. Topics covered during the webinar vary each month. The webinar is September 27 at 12:00 PM ET. To register for the webinar, visit https://cros.zoomgov.com/ web inar/register/WN_gm a5AvyBQWCTBOvbNF3ITA. Creating Healthier Afterschool Environments (OSNAP) in Boston, MA A new research brief, from the CHOICES Project at the Harvard T.H. Chan School of Public Health in collaboration with key partners at the Boston Public Health Commission, discusses the positive impacts of implementing the Out - of -School Nutrition and Physical Activity initiative in Boston, MA. This initiative is designed to help improve practices and policies related to increasing physical activity and healthy snack consumption in afterschool programs. The brief suggests that the implementation of this initiative would improve child health, reaching nearly 11,000 children over 10 years. Additionally, there will be an estimated $34,100 in reduced health care expenses. For more details, read the full brief at https:// choicesproject.org/publications/brief-osnap-bos. 0 PREV, REDNESS SUMMIT Cleveland, Ohio Public Health Dispatch • September 2023 NEHA-FDA Retail Flexible Funding Model Grant Program Year 3 Applications Now Open NEHA-FDA Retail Flexible Funding Model (RFFM) Grant Program provides funding to State, Local, Tribal, and Territorial (SLIT) retail food regulatory agencies as they advance conformance with the Voluntary National Retail Food Regulatory Program Standards. Make sure to take note of deadlines and upcoming information sessions so your department can apply in time before the October 11 deadline. To learn more, visit https://www.naccho.org/ blog/articles/neha-fda-retail-flexible-funding-mode l - grant -program -year -3 -applications -to -open -soon. Recognizing and Preparing for Alpha -gal Syndrome AKA "Red Meat Allergy" The CDC has released a report that highlights areas within states with sLtspected cases of alpha -gal syndrome (AGS), commonly known as "red meat allergy." AGS is an emerging condition that develops after a tick bite. The agency reports that between 2010 and 2022, there were more than 110,000 suspected cases of AGS identified. Even as suspected AGS cases increase yearly, a survey found that nearly half (42%) of U.S. healthcare professionals (HCPs) had never heard of AGS. Among those HCPs who had, less than one third (29%) knew how to diagnose the condition. The CDC has also developed a free CME/CE training so learners are better able to self -assess gaps in their knowledge regarding the diagnosis and management of patients with AGS. To access the training, visit https://www.medscape.org/viewarticle/988550. To read the report, visit https://www.cdc.gov/ mmwr/volumes/72/wr/mm7230a2.htm. Ensure Safe and Healthy Pools Environmental health professionals can help ensure pools in their community are safe this summer. Learn how pool inspections help prevent injury and illness with this free CE training by visiting https:Hbit.ly/43feOJO. NEHA's Wildfire Response Guide for Environmental Public Health Professionals The guide walks you through the potential considerations and roles for environmental public health professionals when responding to a wildfire. View the guide at https://www.neha.org/Images/ resources/2023-Wildfire-Guide_Digital.pdf. National Oceanic and Atmospheric Administration Wants Your Feedback! The National Oceanic and Atmospheric Administration is seeking feedback by September 21 from public health workers including state, local, tribal, and territorial government on its delivery of climate -based data and information. Visit https://www.noaa.gov/stories/https://www. noaa.gov/stories/noaa-seeks-public-comment-to- inform-more-equitable-climate-service-delivery. r Public Health Dispatch - August 2023 ;!!Si, PUBLIC HEALTH INFRASTRUCTURE & SYSTEMS Supporting Healthy Aging and Advancing Health Equity Through Community Health Improvement Collaborations Healthy aging is a continuous process of optimizing opportunities to maintain and improve physical and mental health, independence, and quality of life throughout the life course. Supporting healthy aging on a national and international scale includes developing effective public policy, cultivating age -friendly environments, aligning health systems to respond to older adults' needs, creating equitable care systems, and improving assessment on aging. Read the issue brief at bit.ly/446NuTg. Studies Spotlight Burnout, Online Harassment of Health Workers During COVID-19 Two new studies illustrate the mental toll COVID-19 took on healthcare workers (HCWs), with the first documenting high rates of burnout among HCWs and the second describing harassment on social media platforms of physicians and scientists during the pandemic. View the studies at https://www. cidrap.umn.edu/covid-19/studies-spotlight-burnout- online-harassment-health-workers-during-covid-19. Public Health Dispatch • September 2023 Webinar Recording: LHDs and Brain Health Action A recording of the webinar LHDs and Brain Health Action is now available. The webinar focused on successful brain health strategies implemented by local health departments, highlighting guidance from the Healthy Brain Initiative (HBI) Road Map. Local health department officials shared valuable resources aimed at advancing public health efforts related to brain health within local communities. Watch it now at bit.ly/3JiONgP. PHF Webinar: Expand Your SWOT Analysis to Include Inclusion and Equity Today, our public health department's Strengths, Weaknesses, Opportunities, and Threats (SWOT) analyses must also consider their impact on the social sector of their community. Join a webinar on Tuesday, September 19, from 2:00 to 3:00 PM ET from the Public Health Foundation (PHF) where presenters will discuss using a SWOTIE analysis and the SWOTIE Action Prioritization Matrix to help health departments integrate inclusion and equity into their work.at all levels. Learn more and register at https://www.phforg/events/Pages/Expand Your_SWOT_ Ana lysis_to_Include_Inclusion_and_Equity.aspx. 0 VISIT READY.GOWPLAN National Preparedness Month - Disability and Access and Functional Needs Webinar Series Join NACCHO, in partnership with World Institute on Disability (WID), in celebrating National Preparedness Month with a focus on - supporting people with disabilities and others with access and functional needs in a two-part webinar series on September 7 at 2:00 PM ET and September 19 at 2:00 PM ET. The webinars will provide tools, resources, and recommendations for LHDs to provide disability inclusive emergency and disaster preparedness and response. Regsiter now at https://naccho.zoom.us/ webi na r/reg ister/WN_9JoT_yk3TbOpceyRTZYBjA. PREP REDNESS Call for Abstracts: 2024 5 U M M I T Preparedness Summit The Preparedness Summit, the country's first and longest running national conference on public health preparedness, is now accepting abstracts. The theme for our next Preparedness Summit, Public Health, Healthcare, and Emergency Management: Aligning to Address Cascading Challenges, provides an opportunity for sectors to come together, align missions, and discover better ways to work as true partners to meet the challenges of today and tomorrow. Submit an abstract at www.preparednesssummit.org. 04) Podcast from Washington: al�I! Empowering Resilient Communities All � In the August podcast, we spoke with Neil Brockway, Director of Disaster ............ Risk Reduction at the American Red •' Cross. Brockway joined the 2023 Preparedness Summit in April as one of the plenary speakers on the topic of empowering resilient communities. We discussed the American Red Cross' Community Adaptation Program and how it works to build community resilience. Listen to the episode at https://naccho.libsyn.com/. Rebuilding Medical A Reserve Corps Units to Meet Community Need medical The Stanislaus County Medical reserve Reserve Corps (MRC) in COrpS California and the MRC of West Georgia are working to rebuild their units. Learn about the strategies unit leaders are implementing to ensure these units continue to meet the needs of their community at https://www.naccho. org/blog/articles/rebuilding-mrc-community-need. Resources for Extreme Heat Extreme heat events have impacted many communities this year. See a collection of resources from ASPRTRACIE _ and CDC to help communities to combat and mitigate the impacts of extreme heat at https://www.naccho. org/blog/articles/extreme-heat-resources. Grant Funding Available for State and Local Cybersecurity CISA and FEMA are partnering to provide $374.9 Million in grants to bolster state and local cybersecurity. This a first -of -its -kind cybersecurity grant program specifically for state, local, and territorial (SLT) governments across the country to help them strengthen their cyber resilience. State and local governments have until October 6 to apply for this FY23 grant opportunity. Learn more at https:// www.naccho.org/blog/articles/cisa-cybergrants-2023. The White House National Cybersecurity Strategy Implementation Plan In March, the Biden-Harris Administration's released National Cybersecurity Strategy. Earlier this month, the Administration published the National Cybersecurity Strategy Implementation Plan (NCSIP) to ensure transparency and a continued path for coordination. Learn more at https:Hbit.ly/4450TcR. 0 Public Health Dispatch • August2023 FROM WASHINGTON 00111 What We're Watching: Fiscal Year 2024 Appropriations UpdaterR� By Lluvia Botello, Government Affairs Associate As Fiscal Year (FY) 2024 Appropriations season continues to unfold, NACCHO Government Affairs has been specifically monitoring the Labor, Health and Human Services, and Education bill, which includes most federal public health programs. Both the House and Senate have started working on their versions, but they are still far apart. The House Appropriations Labor, Health and Human Services, and Education Subcommittee released a $163 billion spending package that would reduce funding for many public health programs completely eliminate others. This is massively below what these agencies currently have. For the Centers for Disease Control and Prevention (CDC) the House majority proposal would cut funding by over 20 percent overall, eliminating programs like the Firearm Injury and Mortality Prevention, Tobacco Prevention and Control, Ending the HIV Epidemic Initiative, and Climate and Health Program, among others. This bill also significantly reduces funding for key NACCHO priorities, including for public health infrastructure and data modernization. Outside of CDC, it also proposes cuts to all health agencies, and would eliminate key programs like the Title X Family Planning Program and the entire Agency for Healthcare Research and Quality. The bill has been considered by the subcommittee, but as of this writing no vote is scheduled at the full committee or floor level. On the Senate side, the Appropriations Committee has approved a bipartisan plan, allocating $224.4 billion, which is over 25% more than the House amount, but still less than the amount appropriated in FY 2023 for these programs. In their version of the bill, CDC funding is mostly flat for key public health programs, including Public Health Infrastructure, Public Health Dispatch • September 2023 data modernization, immunization and preparedness programs, as well as the Medical Reserve Corps under ASPR. It also includes key report language directing CDC to continue or expand efforts to track and ensure funds get to local health departments, which is crucial to identify best practices and make sure that federal investments make it to local communities. This bill received bipartisan support at the Committee vote and is now available for consideration by the full Senate. Unfortunately, neither bill includes funding for the Public Health Workforce Loan Repayment Program—key legislation NACCHO worked tirelessly to get into law last year. While perhaps not surprising, given the funding constraints, it is still a key focus of NACCHO's Legislative Agenda. Looking ahead, Congress is only scheduled to be in session for 12 days in September before the fiscal year deadline. This short timeframe, as well as the vast differences between the House and Senate's current proposals, will make it very difficult for a proper funding bill to become law before September 30. Without any sort of funding agreement, the government will shut down. In previous years, Congress has passed Continuing Resolutions—laws that hold all federal spending constant until a certain date—allowing policymakers more time to negotiate. This will almost certainly be needed, but a shutdown is not out of the question, as some members of Congress have indicated that is their preferred policy result. We will keep local health departments informed as we get closer to the deadline though our weekly News from Washington newsletter. 3 W ISPATCH J m cL Resources and Information about Local Public Health �m,linj J``! EIS 9th ESWI Influenza Conference September 17-20,2023 Valencia, Spain https://www.eswiconference.org/ 2023 Public Health Law Conference October 24-26,2023 Minneapolis, MN https://events.networkforphi.org/2023-conference/ 2023 APHA Annual Meeting and Expo November 12-15,2023 Atlanta, GA https://www.apha.org/events-and-meetings/annual/registration-information Using Telemedicine for Tuberculosis Care Management: A Three County Inter -Municipal Approach There are approximately 1,299 migrant or seasonal farm workers who move to Orleans County during the growing season, departing at the completion of the harvest season. There are an estimated 69 camps for Migrant and Seasonal Farm workers located in Orleans County. There is an estimated number of 784 migrant and seasonal farmworkers that reside in Genesee County. Residents of each county have limited local access to experts for diagnosing, treating and managing Tuberculosis (TB) disease and latent tuberculosis infection (LTBI). Orleans ratio of population to primary care physicians is the worst in the state at 13,780:1 according to the 2019 "County Health Rankings & Roadmaps and that for Genesee County is 2,920:1. Individuals residing in these counties requiring care have to travel significant distances to access care. Goals under this model practice included to seek out an inter- municipal agreement with Monroe County Health Department (MCHD), an urban county to the east, to provide specialty care for Genesee and Orleans County residents with TB, develop a telemedicine process for TB care management, and share an electronic medical record system between the three counties. To read more about this model practice, visit htt// I' ps. app ication.naccho.org/Public/ApplicationsNiew/3178. www.naccho.org Massachusetts Department of Environmental Protection Ll eDEP Transaction Copy i 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: 1601604 ' Document: Groundwater Discharge Monitoring Report Forms Size of File: 1078.29K Status of Transaction: Submitted Date and Time Created: 9119/2023:3:31:18 PM ' i 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 599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit Tax identification Number DISCHARGE MONITORING REPORT 2 2023 AUG MONTHLY 3. Sampling Month &Frequency 3. Sampling information: 8/3/2023 a. Date Sampled (mm/dd/yyyy) IBRENT PLANT c. Analysis Performed By (Name) B. Form Selection MA 02631 d. State e. Zip Code lmakhier@elevationfinancialgroup.com c. e-mail address I RI ANALYTICAL b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2023 Aug Monthly • 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 A. Facility Information Important: When filling out forms on 1. Facility name, address: the computer, use ISERENITY BREWSTER WWTF only the tab key to a. Name move your cursor - g73 HARWICH ROAD do not use the return key. b. Street Address 1 'BREWSTER r'I I W I C. City 2. Contact information: MAHEEN AKHTER a. Name of Facility Contact Person 6178526110 b. Telephone Number 3. Sampling information: 8/3/2023 a. Date Sampled (mm/dd/yyyy) IBRENT PLANT c. Analysis Performed By (Name) B. Form Selection MA 02631 d. State e. Zip Code lmakhier@elevationfinancialgroup.com c. e-mail address I RI ANALYTICAL b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2023 Aug Monthly • 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 Massachusetts Department of Environmental Protection 599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit _ _. 2. Tax identification Number DISCHARGE MONITORING REPORT 2023 AUG MONTHLY 3. Sampling Month & requency 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 12 � ND 3.0 MG/L TSS 30 27 2.0 MG/L TOTAL SOLIDS 380 — - MG/L AMMONIA -N 8.7 MG/L NITRATE -N 2.9 0.050 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 3.6 0.50 MG/L OIL & GREASE 0.50 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 599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit DAILY LOG SHEET 2. Tax identification Number 2023 AUG DAILY 3. Sampling Month & Frequency 3. Sampling information: MA 02631 d. State e. Zip Code imakhter@elevationfinancialgroup.com c. e-mail address 18/31/2023 WHITEWATER 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 Aug Daily E 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 - 1873 HARWICH ROAD do not use the return key. b. Street Address BREWSTER VGA C. City 2. Contact information: - MAHEEN AKHTER a. Name of Facility Contact Person 6178526110 b. Telephone Number 3. Sampling information: MA 02631 d. State e. Zip Code imakhter@elevationfinancialgroup.com c. e-mail address 18/31/2023 WHITEWATER 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 Aug Daily E 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 Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Massachusetts Department of Environmental Protection 599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit DAILY LOG SHEET 2. Tax iden i kation Number 2023 AUG DAILY 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine IN Flow GPD Flow GPD Flow GPD pH Residual Intensity (mgll) N 8343 9568 _ 8250 8993 8790 9177 8524 11021 8273 t 9668 8560 10034 9096 9784 9006 9086 9203 � 8742 I 935L__j 9519 9284 8616 jl 9587 8263 9457 10384 ,9712 9204 8234 9873 9011 I I I f I I 6.8 6.5 6.7 i I 6.9 6.9 — 6.9 6.8 6.8 - gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 f Massachusetts Department of Environmental Protection S99 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number F Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2023 AUG MONTHLY 3, Sampling Month & Frequency A. Facility Information Important: When filling out forms on 1. Facility name, address: the computer, use ISERENITY BREWSTER WWTF only the tab key to N move your cursor - do not use the return key. tib 4L AP L im a. ame 1873 HARWICH ROAD b. Street Address BR�ER C. City 2. Contact information: MA 02631 d. State e. Zip Code MAHEEN AKHTER a. Name of Facility Contact Person 6178526110 makhter@elevationfinancialgroup.com b. Telephone Number 3. Sampling information: c. e-mail address 8/2/2023 WHITEWATER 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 Monitoring Well Data Report - 2023 Aug Monthly F All forms for submittal have been completed. 2. F 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 MONITORING WELL DATA REPORT 2023 AUG MONTHLY 10� I 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 MW3 MW4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 PH 6.8 ,6.6 6.7 ,6.9 S.U. STATIC WATER LEVEL 58.2 58 157.5 28.7 FEET SPECIFIC CONDUCTANCE 222 1 410 1311 1519 UMHOS/C Well #: 5 Well #: 6 mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Any person signing a document under 314 CMR 5.14(1) or (2) shall make the following certification If you are filing electronic -ally and want to attach additional comments, select the check box. r Massachusetts Department of Environmental Protection 599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit d. i ax identuication Number Facility Information SERENITY BREWSTER WWTF a. Name 873 HARWICH ROAD b. Street Address IBREWSTER MA 02631 C. City d. State e. Zip Code Certification " I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible 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." ELIZABETH BELAIR 9/19/2023 a. Signature b. Date (mm/dd/yyyy) Reporting Package Comments FACILITY 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 L47 Massachusetts Department of Environmental Protection eDEP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: SFARRENKOPF Transaction ID: 1609294 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1079.24K Status of Transaction: In Process Date and Time Created: 9/15/2023:12:38:20 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DAILY LOG SHEET A. Facility Information 1. Facility name, address: PLEASANT BAY HEALTH CTR a. Name 383 SOUTH ORLEANS ROAD b. Street Address BREWSTER FA C. City d. State 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 b. Telephone Number 3. Sampling information: 18/1/2023 a. Date Sampled (mm/dd/yyyy) BEA/NSU WWTO PERSONNEL c. Analysis Performed By (Name) B. Form Selection 746 1. Permit Number 2. Tax identification Number 2023 AUG DAILY 3. Sampling Month & Frequency 02631 e. Zip Code smith@nsuwater.com c. e-mail address NOT APPLICABLE b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2023 Aug Daily 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 Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DAILY LOG SHEET C. Daily Readings/Analysis Information Effluent Reuse Irrigation Turbidity Influent pH Flow GPD Flow GPD Flow GPD 14239 9671 _ 6922 � .I 9953 9953 995 11832 17147 12684 1 631 8339 J 8339 8339 14647 1235 14461 11565 8762 8762 I 8762 8054 11254 j 10539 10012 11754 117 11754 j 9129 7825 7598 11481 746 1. Permit Number 2. Tax identification Number 2023 AUG DAILY 3. Sampling Month & Frequency Effluent Chlorine W pH Residual Intensity (mg/1) (%) 66.6 66.5 6.7 6.6 66.6 66.6 66.6 -I 66.6 66.6 f 66.6 74.2 67_3 gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 74� Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT 2023 AUG 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 Units BOD 120 MG/L TSS 76 MG/L TOTAL SOLIDS 410 MG/L AMMONIA -N 17.7 MG/L NITRATE -N MG/L TOTAL NITROGEN(NO3+NO2+TKN) MG/L OIL & GREASE MG/L FECAL COLIFORM /100 ML CHLORIDE MG/L 3. Effluent 4. Effluent Method Detection limit ND 2.0 ND I 5.0 300 13 2.55 ND ND 42 0.450 4.0 10 11.0 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. 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: IPLEASANT BAY HEALTH CTR a. Name 1746 - - 1. Permit Number 2. Tax identification Number '2023 AUG MONTHLY 3. Sampling Month & Frequency 383 SOUTH ORLEANS ROAD b. Street Address :IBREWSTER MA 02631 C. City d. State e. Zip Code 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 ismith@nsuwater.com b. Telephone Number c. e-mail address 3. Sampling information: 8/3/2023 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 I Monitoring Well Data Report - 2023 Aug Monthly r- 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 746 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number ti Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2023 AUG 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 DG -1 DG -2 DG -4 UG -1 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 PH 6.27 6.17 6.67 6.06 S.U. STATIC WATER LEVEL 11.80 11.85 11.80 -7 12.08 FEET SPECIFIC CONDUCTANCE .131 322 _ _ 368 157 UMHOS/C mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection 746 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit - -- - -------- 2. Tax identification Number- Facility Information Important:When IPLEASANT BAY HEALTH CTR filling out forms on a. Name the computer, use only the tab key to 383 SOUTH ORLEANS ROAD move your cursor - b. Street Address do not use the JBIREWSTER MA 02631 return key. C. City d. State e. Zip Code L 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 9/15/2023 Any person signing a. Signature b. Date (mm/dd/yyyy) a document under 314 CMR 5.14(1) or Rei cortin;.- Package Comments (2) shall make the following BENNETT ENVIRONMENTAL ASSOCIATES, LLC. (BEA) HAS COMPLETED THE AUGUST 2023 certification MONTHLY INFLUENT AND EFFLUENT SAMPLING OF THE AMPHIDROME WASTEWATER TREATMENT SYSTEM_ MONTHLY WASTEWATER SAMPLING WAS COMPLETED ON 8/10/23 If you are filing WITH THE EXCEPTION OF THE PARAMETER FECAL COLIFORM, WHICH WAS COMPLETED electronic -ally and ON 8/28/23. FECAL COLIFORM WAS ANALYZED BY ENVIROTECH LABORATORY, AS ALPHA want to attach ANALYTICAL WAS TEMPORARILY UNABLE TO PROCESS THE PARAMETER. FECAL COLIFORM WAS INITIALLY SAMPLED ON 8/10/23, HOWEVER THE SAMPLE WAS LOST IN THE additional PROCESS OF SUBMITTAL TO ENVIROTECH AND HAD TO BE RECOLLECTED. LABORATORY comments, select RESULTS REPORTED ALL PARAMETERS WITHIN DISCHARGE PERMIT LIMITATIONS. the check box. EFFLUENT PH WAS REPORTED WITHIN THE 6.5-8.5 RANGE THROUGHOUT THE MONTH. FLOW VOLUME MEASUREMENTS WERE ASSESSED DURING THE MONTH FROM THE r 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 631 GPD, 17,147 GPD AND 10,273 GPD, RESPECTIVELY. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 -7rnH'A ANAL V ICAA L ANALYTICAL REPORT Lab Number: L2346402 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: 08/23/23 Serial No:08232318:23 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 8 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 18 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Serial No:08232318:23 Lab Number: L2346402 Report Date: 08/23/23 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L2346402-01 INFLUENT WATER BREWSTER, MA 08/10/23 11:15 08/10/23 L2346402-02 EFFLUENT WATER BREWSTER, MA 08/10/23 11:15 08/10/23 Page 2 of 18 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.7OO Case Narrative Serial No:O8232318:23 Lab Number: L2346402 Report Date: 08/23/23 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. 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: J",�(Jj' Michelle M. Morris Title: Technical Director/Representative Page 3 of 18 Date: 08/23/23 INORGANICS ivYISCEI_!_ANEOUS Page 4 of 18 Serial No:08232318:23 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 SAMPLE RESULTS Serial No:08232318:23 Lab Number: L2346402 Report Date: 08/23/23 Lab ID: L2346402-01 Date Collected: 08/10/23 11:15 Client ID: INFLUENT Date Received: 08/10/23 Sample Location: BREWSTER, MA Field Prep: Not Specified Sample Depth: Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab Solids, Total 410 mg/l 13 NA 1.3 08/15/23 05:17 121,25406 DEW Solids, Total Suspended 76. mg/l 10 NA 2 - 08/12/23 16:20 121,2540D REM Nitrogen, Ammonia 17.7 mg/1 0.750 10 08/19/2323:45 08/20/2315:56121,4500NH3-BH AVT BOD, 5 day 120 mg/l 30 NA 15 08/11/23 14:15 08/16/23 14:57 121,5210B MKT Page 5of18 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Lab ID: L2346402-02 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 121,25406 Solids, Total 300 mg/I Solids, Total Suspended ND mg/I Chloride 42. mg/I Nitrogen, Nitrite ND mg/I Nitrogen, Nitrate 1.9 mg/I Nitrogen, Total Kjeldahl 0.647 mg/I BOD, 5 day ND mg/I Oil & Grease, Hem-Grav ND mg/l Page 6 of 18 SAMPLE RESULTS Serial No:08232318:23 Lab Number: L2346402 Report Date: 08/23/23 Date Collected: 08/10/23 11:15 Date Received: 08/10/23 Field Prep: Not Specified rim. i r _a Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 13 NA 1.3 08/15/23 05:17 121,25406 DEW 5.0 NA 1 08/12/2316:20 121,2540D REM 1.0 - 1 08/21/23 23:24 121,4500CL-E TLH 0.050 1 - 08/11/23 01:26 44,353.2 KAF 0.10 1 - 08/11/23 01:26 44,353.2 KAF 0.300 -- 1 08/19/23 23:55 08/20/23 12:42 121,4500NH3-H AVT 2.0 NA 1 08/11/2314:15 08/16/2314:57 121,5210B MKT 4.0 -- 1 08/21/2311:55 08/21/2313:46 140,1664B JGM rim. i r _a Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Method Blank Analysis Batch Quality Control Serial No:08232318:23 Lab Number: L2346402 Report Date: 08/23/23 General Chemistry -Westborough Lab for sample(s): 02 Batch: WG1817844-1 Analytical Method Analyst 44,353.2 KAF 44,353.2 KAF 121,52106 MKT 121,2540D REM 121,2540B DEW Nitrogen, Total Kjeldahl ND mg/I Dilution Date Date Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1814582-1 Nitrogen, Nitrite ND mg/I 0.050 1 - 08/11/23 00:44 General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1814585-1 121,4500NH3-BH AVT Nitrogen, Nitrate ND mg/I 0.10 1 - 08/11/23 00:50 General Chemistry Westborough Lab for sample(s): 01-02 Batch: WG1814868-1 Oil & Grease, Hem-Grav ND mg/I BOD, 5 day ND mg/l 2.0 NA 1 08/11/23 14:15 08/16/23 14:57 General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1815198-1 Batch: Solids, Total Suspended ND mg/l 5.0 NA 1 - 08/12/23 16:20 General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1815853-1 1 Solids, Total ND mg/I 10 NA 1 - 08/15/23 05:17 General Chemistry -Westborough Lab for sample(s): 02 Batch: WG1817844-1 Analytical Method Analyst 44,353.2 KAF 44,353.2 KAF 121,52106 MKT 121,2540D REM 121,2540B DEW Nitrogen, Total Kjeldahl ND mg/I 0.300 1 08/19/23 23:55 08/20/23 12:19 121,4500NH3-H AVT General Chemistry Westborough Lab for sample(s): 01 Batch: WG1817919-1 Nitrogen, Ammonia ND mg/I 0.075 08/19/23 23:45 08/20/23 15:30 121,4500NH3-BH AVT General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1818291-1 Oil & Grease, Hem-Grav ND mg/I 4.0 1 08/21/23 11:55 08/21/23 13:34 140,1664B JGM General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1818403-1 Chloride ND mg/I 1.0 1 - 08/21/23 21:25 121,4500CL-E TLH Page 7 of 18 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Serial No:08232318:23 Lab Control Sample Analysis Batch Quality Control Lab Number: L2346402 Report Date: 08/23/23 LCS LCSD %Recovery Parameter _ _ _ %Recovery Qual %Recovery Qual Limits RPD C�ual RPD Limits General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG1814582-2 Nitrogen, Nitrite 90-110 General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG1814585-2 Nitrogen, Nitrate IJ 90-110 General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG1814868-2 BOD, 5 day 85-115 General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG1815198-2 Solids, Total Suspended 80-120 General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG1815853-2 Solids, Total 80-120 General Chemistry -Westborough Lab Associated sample(s): 02 Batch: WG1817844-2 Nitrogen, Total Kjeldahl 78.122 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1817919-2 11OW' Nitrogen, Ammonia 80-120 Page 8 of 18 20 20 20 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Lab Control Sample Analysis Batch Quality Control LCS LCSD %Recovery Parameter _ __%Recovery %Recovery Limits General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG1818291-2 Oil & Grease, Hem-Grav General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG1818-403-2 ' Chloride 78-114 90-110 Serial No:08232318:23 Lab Number: L2346402 Report Date: 08/23/23 RPD RPD Limits 18 Page 9 of 18 c� Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Matrix Spike Analysis Batch Quality Control Serial No:08232318:23 Lab Number: L2346402 Report Date: 08/23/23 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): 02 QC Batch ID: WG1814582-4 QC Sample: L2346202-01 Client ID: MS Sample Nitrogen, Nitrite ND 4 3.9 98 80-120 20 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1814585-4 QC Sample: 1_2346202-01 Client ID: MS Sample Nitrogen, Nitrate 1.5 4 5.2 83-113 6 General Chemistry -Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1814868-4 BOD, 5 day ND 100 100 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1817844-4 Nitrogen, Total Kjeldahl ND 8 6.23 78 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1817919-4 Nitrogen, Ammonia 0.692 4 4.31 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG 1818291-4 Oil & Grease, Hem-Grav ND 39.2 27 69 Q General Chemistry -Westborough Lab Associated sample(s): 02 QC Batch ID: WG1818403-4 Chloride 24 20 44 100 Page 10 of 18 QC Sample: L2346406-02 Client ID: MS Sample 50-145 35 QC Sample: L2348294-02 Client ID: MS Sample 77-111 24 QC Sample: L2346197-02 Client ID: MS Sample 80-120 20 QC Sample: 1_2348287-02 Client ID: MS Sample 78-114 18 QC Sample: L2344645-01 Client ID: MS Sample 58-140 7 Project Name: PLEASANT BAY Project Number: K4781ODA.S.WW.7O0 Serial No:O8232318:23 Lab Duplicate Analysis Batch Quality Control Lab Number: Report Date: L23464O2 08/23/23 ParameterNative Samiple Duplicate Sample Units RPD Qual RPD Limits General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1814582-3 QC Sample: L23462O2-01 Client ID: DUP Sample Nitrogen, Nitrite ND ND • 20 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG18145-85-3 QC Sample: L2346202-01 Client ID: DUP Sample Nitrogen, Nitrate 1.5 1.5 mall fi 6 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1814868-3 QC Sample: L2346406-02 Client ID: DUP Sample BOD, 5 day ND ND mg/l NC 35 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1815198-3 QC Sample: L2346396-01 Client ID: DUP Sample Solids, Total Suspended 74 77 mg/l 32 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1815853-3 QC Sample: L2346380-01 Client ID: DUP Sample Solids, Total 280000 190000 mg/l 2 5 Q 16 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG18111 7844-3 QC Sample: L23482194-02 Client ID: DUP Sample Nitrogen, Total Kjeldahl ND ND 24 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1817919-3 QC Sample: L2346197-02 Client ID: DUP Sample Nitrogen, Ammonia 0.692 0.687 mq/l 20 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1818291-3 QC Sample: L2348287-01 Client ID: DUP Sample Oil & Grease, Hem-Grav 5.5 ND ma/I NC 16 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1818403-3 QC Sample: L2344645-01 Client ID: DUP Sample Chloride 24 24 mg/I 7 Page 11 of 18 - 1. Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Were project specific reporting limits specified? Cooler Information Cooler Custody Seal B Absent C Absent Container Information Container ID Container Type L2346402 -01A Plastic 500ml H2SO4 preserved L2346402-01 B Plastic 950ml unpreserved L2346402 -01C Plastic 950ml unpreserved L2346402 -02A Plastic 250ml H2SO4 preserved L2346402 -02B Plastic 950ml unpreserved L2346402 -02C Plastic 950ml unpreserved L2346402 -02D Amber 1000ml HCl preserved L2346402 -02E Amber 1000ml HCl preserved Sample Receipt and Container Information YES Frozen DateMme Page 12 of 18 *Values in parentheses indicate holding time in days Serial No:08232318:23 Lab Number: L2346402 Report Date: 08/23/23 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) Initial Final Temp Cooler pH pH deg C Pres Seal B <2 <2 3.0 Y Absent B 7 7 3.0 Y Absent B 7 7 3.0 Y Absent C <2 <2 3.1 Y Absent C 7 7 3.1 Y Absent C 7 7 3.1 Y Absent C NA 3.1 Y Absent C NA 3.1 Y Absent Frozen DateMme Page 12 of 18 *Values in parentheses indicate holding time in days Serial No:08232318:23 Lab Number: L2346402 Report Date: 08/23/23 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) Serial No:08232318:23 Project Name: PLEASANT BAY Lab Number: L2346402 Project Number: K47810DA.S.WW.700 Report Date: 08/23/23 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: Tenn is utilized when one or more of the results utilized in the calculation are non -detect at the parameter's reporting unit. NDPA/DPA - N-Nitrosodiphenylamine/Diphenylamine. 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 TLCs are qualitatively identified and reported as estimated concentrations. Report Format: Data Usability Report Page 13 of 18 Serial No:08232318:23 Project Name: PLEASANT BAY Lab Number: L2346402 Project Number: K47810DA.S.WW.700 Report Date: 08/23/23 Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte Iist 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, I -Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, C1-C3 Fluorenes, Phenanthrene, C1-C4 Phenanthrenes/Anthracenes, Anthracene, Fluoranthene, Pyrene, Cl -C4 Fluoranthenes/Pyrenes, Benz(a)anthracene, Chrysene, C1-C4 Chrysenes, Benzo(b)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 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 "Aldo] Condensates" are byproducts of the extraction/concentration procedures when acetone is introduced in the process. B The analyte was detected above the reporting limit in the associated method 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 Page 14 of 18 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Serial No:08232318:23 Lab Number: L2346402 Report Date: 08/23/23 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 (TLCs), 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:08232318:23 Project Name: PLEASANT BAY Lab Number: L2346402 Project Number: K47810DA.S.WW.700 Report Date: 08/23/23 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. Page 16 of 18 Alpha Analytical, Inc. Facility: Company-wide Department: Quality Assurance Title: Certificate/Agmroval Pro ram Summa Certification Information The following analytes are not Included in our Primary NELAP Scope of Accreditation: Serial_No:08232318:23 ID No.:17873 Revision 20 Published Date: 6/16/2023 4:52:28 PM Pa... e 1 of 1 Westborough Facility EPA 624.1: m/p-xylene, o -xylene, Naphthalene EPA 625.1: alpha -Terpineol EPA 826OD: NPW: 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene, Azobenzene; SCM: lodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4- Ethyltoluene. EPA 8270E: NPW: Dimethyl naphthalene, l,4-Diphenylhydrazine, alpha -Terpineol; SCM: Dimethyl naphthalene, 1,4-Diphenylhydrazine. SM4500: NPW: Amenable Cyanide; SCM: Total Phosphorus, TKN, NO2, NO3. Mansfield Facility SM 254OD: TSS. 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, SM23206, SM2540C, SM4500H-B, SM450ONO2-B 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, SM251013, SM2540C, SM232013, 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, SM521013, SM5310C, SM4500CL-D, EPA 1664, EPA 420.1, SM4500-CN-CE, SM2540D, EPA 300: Chloride, Sulfate, Nitrate. EPA 624.1: Volatile Halocarbons & Aromatics, EPA 608.3: Chlordane, Toxaphene, Aldrin, alpha -BHC, beta -BHC, gamma -BHC, delta -BHC, Dieldrin, DDD, DDE, DDT, Endosulfan I, Endosulfan II, Endosulfan sulfate, Endrin, Endrin Aldehyde, Heptachlor, Heptachlor Epoxide, PCBs EPA 625.1: SVOC (Acid/Base/Neutral Extractables). Microbiology: SM9223B-Colilert-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 Pre-Qualtrax Document ID: 08-113 Page 17 of 18 Serial No:O8232318:23 CHAIN OF CUSTODY Oft ReCdInLab, () ALPHA ,Job*: IU PAGE t Of 4 ALPH ormitron . Y — • U . — _ _ ❑ FAx ®EMAIL some as efrom Inro Pea ar: slat aQA.S tyasammuok MA. maneh4 w Pm#ed Name-. Pleasant Day I❑ A0� ❑ Addrl DMlversblea - — — — •- — TEL 9Ga•eae-wo TSL 506.4.? aaoo rA3. lCaxgWgnw4i"tK 324MU am . Pno*d Locatfon: Bn wster, MA 51ereFed Prnare r ~'_�• _ _ Client: SenfKe L EhVlrOnrr1-ffntal AMC-Jatss tom, K4781 O04S.WW.7Qd Address: 1573 Main Street — _ Pr�ect ManNer. Jossuh Srttilh _ Brewster MA O2631 — _ ALPHA Owosr N - Phone: 508496.1706_ _ • TimeANALYSIS — — — Fax: 508-806-5109 Standard [IRLah IONLY W PRE -amort r� - _- sore ranraoulac - — — — Flltkdroa Erne: sfarrenk0PFMT4SU ster,corrl m 13 09" ThamumpW,hmebwPrarmueIVOM WbYA4 +a Due Date: TIn e 2 Mt Mood" m Lse os da _ _ Other Prrtjed Specific RequireemenWCommentsJEatWbDt'i Unitc pAwwv•rbA z "-MY A~ Lab ID Sample ND CoNwWn seas Samplers, (Ub use t}" ame >1rnlr Mautx InNIaI� � p �g � C�3` � K? ao z I-- m 0 � fA �' As WYiM � IEll= � ER YU1N 13 WE s 7Inflteetlt v7 in �OTCF ]I] U 10 L-1 DID 01DILIWILIlLid 0 Ll Li Li 0--U 13113 101 -- ContsinwType P P r' p A P 5 Preservative is a a o a n t� Piraaeprsdaleaflrlr end aaeiPrMey. 9emmples cnn not 4. bww b ww JW By: va6a k" ReoWwad ay: axu'TlarEe er++arooerdetrsdoaf<wanol - stxt unn o! wre resod AA aangem A 5Jn k.` ''I ♦ �'T '.s+u ^ �VULJ r+eymir#Terme 3fJ 6lgINU +. �F •s+wrt#— P Page 18 of 18 ENVIROTECHLABORATORIES, 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 Wednesday; August 30, 2023 Bennett Environmental Assoc, LLC 1573 Main St Brewster, AIA 02631 ProjectName: Pleasant Bay Nursing Home Project Number: Sampled By: Jeff Schindell Lab Order Number: WW -231579 Date Received: 08128123 I ` N i+° Type sto 7DW Samek aata Eluent A 10:30 0=8123 <10 Comments: CM"RMWA Parameters Units Test Results Reportable Limits Date Analyzed Analyst Method Fecal Coliform CFU/100 ml <10 101100m1 108/28/23 GB@1800 I SM 9222 D All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met, unless otherwise noted at the end of a given sample's analytical results We certify that thefollowing results are true and accurate to the best of our knowledge. BRL=below reportable limits *see attached By: �' — Ronald J. Saari 7 Laboratory Director Page 1 of 1 ' CHAIN OF CUSTODY FORM iENVIROTECH LABS, IN 8 Jan Sebastian Dr., Unit 1 g IProj. No. Project Name: r c � �� WW*'r (Sandwich, MA 02563 (508)888-646011-80U-339 60 iSampler:�(`r �c�v� �t.( �7 ' a S — (� 3 FAX (508)888-6446 Lab ID 0 Date Time Comp Grab -Sample location (container Pres. INS- 11 15--r", gtasa 1030 _ even}-- eca nate/Tim Received: 10 �5 Datetrime Received: t Client: &W e' f - FnY;,roAm e.^4q,111WeJ4,k1 Address: /s7 3Alu,',z Sf,- 61-e— o f ef"'4 4 Qa& 3 I Phone#: 5©f 17(. 170 T=ax #:. 58 8 S `1 e 5110 l Analysis Requested ® r,.s-r L-10 — -- t L Reiiquished: Relinquished: 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: 1610561 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1082.92K Status of Transaction: in Process Date and Time Created: 9/20/2023:1:46:50 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 951 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit DAILY LOG SHEET ax identification Number — Ll 2023 AUG DAILY 3. Sampling Month & Frequency A. Facility Information Important:wnen filling out forms on 1. Facility name, address: the computer, use MAPLEWOOD AT BREWSTER only the tab key to move your cursor - do not use the return key. dl5 a. Name 1820 HARWICH ROAD b. Street Address BREWSTER C. City 2. Contact information: MA 02631 d. State e. Zip Code JOSEPH SMITH a. Name of Facility Contact Person 7742125005 'smith@nsuwater.com b. Telephone Number 3. Sampling information: 8/1/2023 a. Date Sampled (mm/dd/yyyy) BEA/NSU WWTO PERSONNEL c. Analysis Performed By (Name) c. e-mail address NOT APPLICABLE b. Laboratory Name B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2023 Aug Daily 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 L 2. Tax identification Number DAILY LOG SHEET 2023 AUG DAILY 1-- 3. Sampling Month & Frequency Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 C. Daily Readings/Analysis Information Effluent Reuse Irrigation Turbidity Influent pH Flow GPD Flow GPD Flow GPD 5156 (6437 6263 5216 —j 521L__j 030 6 6030 8287 18053 7236 '4718 4718 4718 7961 5443 5821 8044 5066 5066 45066 6931 494 6075 5941 5724 I 5724 5724 7076 6084 8224_ 5969 Q 6.9 6.9 �4 6.8 6.9 7.0� 6.9_ ' 6.8 6.7 Effluent Chlorine Uv pH Residual Intensity (mg/1) (%) 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. Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT A. Facility Information 1. Facility name, address: 951 1. Permit Number 2. Tax identification Number 2023 AUG MONTHLY 3.79ampling Month Frequency IMAPLEWOOD AT BREWSTER a. Name 820 HARWICH ROAD b. Street Address BREWSTER IMA 02631 C. City d. State e. Zip Code 2. Contact information: jJOSEPH SMITH a. Name of Facility Contact Person 7742125005 jsmith@nsuwater.com b. Telephone Number c. e-mail address 3. Sampling information: 8/10/2023 a. Date Sampled (mm/dd/yyyy) -ALPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection ALPHA ANALYTICAL b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency I Discharge Monitoring Report - 2023 Aug Monthly C- All forms for submittal have been completed. 2. C 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 DISCHARGE MONITORING REPORT 2• Tax identification Number 2023 AUG MONTHLY LOMA J 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 78 22 1560 16.2 1 3. Effluent 4. Effluent Method Detection limit ND 2.0 ND 5.0 2.6 0.10 3.71 0.450 ND 4.0 infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protectiong51 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit MONITORING WELL DATA REPORT c. iax identification Number 2023 AUG MONTHLY 3. Sampling Month & Frequency MA 02631 d. State e. Zip Code A. Facility Information Important:wnen filling out forms on 1. Facility name, address: the computer, use 'MAPLEWOOD AT BREWSTER only the tab key to a. Name move your cursor - 820 HARWICH ROAD do not use the return key. b. Street Address - BREWSTER C. City MA 02631 d. State e. Zip Code 3. Sampling information: 18/10/2023 a. Date Sampled (mm/dd/yyyy) BEA/NSU WWTO PERSONNEL c. Analysis Performed By (Name) B. Form Selection INOT APPLICABLE b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2023 Aug Monthly r All forms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form. T gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 jsmith@nsuwater.com b. Telephone Number c. e-mail address 3. Sampling information: 18/10/2023 a. Date Sampled (mm/dd/yyyy) BEA/NSU WWTO PERSONNEL c. Analysis Performed By (Name) B. Form Selection INOT APPLICABLE b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2023 Aug Monthly r All forms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form. T gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 951 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit a Tax identification MONITORING WELL DATA REPORT 2. fication Number 2023 AUG 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 6.21 6.58 = 6.43 _ 6.17 S.U. STATIC WATER LEVEL 34.60 , 34.02 33.89 34.11 FIST SPECIFIC CONDUCTANCE 231.4 127.4 I 2420 135.0 UMHOS/C mwdgwp-blank.doc • rev 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number r� Groundwater Permit 2. Tax identification Number Facility Information Important:When !MAPLEWOOD AT BREWSTER filling out forms on a. Signature b. Date (mm/dd/yyyy) a document under a. Name the computer, use - — only the tab key to .820 HARWICH ROAD move your cursor - b. Street Address do not use the BREWSTER 1MA F02631 return key. C. City d. State e. Zip Code If you are filing 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. want to attach SYSTEM'S EFFLUENT FLOW METER. DAILY FLOW REMAINED WITHIN THE 19,800 -GPD Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the LIMITATION THROUGHOUT THE MONTH. THE MINIMUM, MAXIMUM AND AVERAGE GPD comments, select information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that ther the check box. are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." r SAMANTHA FARRENKOPF '9/20/2023 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 AUGUST 2023 certification MONTHLY INFLUENT AND EFFLUENT SAMPLING OF THE BIOCLERE WASTEWATER TREATMENT SYSTEM. MONTHLY WASTEWATER SAMPLING WAS COMPLETED ON 8/10/23. 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 4,718 GPD, 8,287 GPD AND the check box. 6,069 GPD, RESPECTIVELY. r gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 ALPHA A +l A L 'r - I C A L ANALYTICAL REPORT Lab Number: L2346406 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: 08/23/23 Serial No:08232318:50 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 19 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Serial No:08232318:50 Lab Number: L2346406 Report Date: 08/23/23 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L2346406-01 INFLUENT WATER BREWSTER, MA 08/10/23 12:15 08/10/23 L2346406-02 EFFLUENT WATER BREWSTER, MA 08/10/23 11:45 08/10/23 Page 2 of 19 Serial No:08232318:50 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2346406 Project Number: K10842DA.S.WW.700 Report Date: 08/23/23 Case Narrative The samples were received in accordance with the Chain of Custody and no significant deviations were encountered during the preparation or analysis unless otherwise noted. Sample Receipt, Container Information, and the Chain of Custody are located at the back of the report. Results contained within this report relate only to the samples submitted under this Alpha Lab Number and meet NELAP requirements for all NELAP accredited parameters unless otherwise noted in the following narrative. The data presented in this report is organized by parameter (i.e. VOC, SVOC, etc.). Sample specific Quality Control data (i.e. Surrogate Spike Recovery) is reported at the end of the target analyte list for each individual sample, followed by the Laboratory Batch Quality Control at the end of each parameter. Tentatively Identified Compounds (TICS), if requested, are reported for compounds identified to be present and are not part of the 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. Page 3 of 19 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Case Narrative (continued) Sample Receipt The analyses performed were specified by the client. Serial No:08232318:50 Lab Number: L2346406 Report Date: 08/23/23 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: J",�,Aoj+ Michelle M. Morris Title: Technical Director/Representative Page 4 of 19 Date: 08/23/23 INORGANICS r� 19ISCELLANEOUS Page 5 of 19 Serial No:08232318:50 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 SAMPLE RESULTS Lab ID: L2346406-01 Date Date Client ID: INFLUENT MDL Factor Sample Location: BREWSTER, MA Method Analyst Sample Depth: 1.3 08/15/23 05:17 Matrix: Water NA 1 Parameter Result Qualifier Units RL General Chemistry - Westborough Lab 2 08/20/23 22:48 Solids, Total 560 mg/l 13 Solids, Total Suspended 22. mg/I 5.0 Nitrogen, Ammonia 16.2 mg/I 0.150 BOD, 5 day 78 mg/I 30 Page 6 of 19 Serial No:08232318:50 Lab Number: L2346406 Report Date: 08/23/23 Date Collected: 08/10/23 12:15 Date Received: 08/10/23 Field Prep: Not Specified �L1Ll�F;A Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst NA 1.3 08/15/23 05:17 121,25406 DEW NA 1 - 08/12/2319:01 121,2540D REM 2 08/20/23 22:48 08/22/23 18:49 121,4500NIi3-BH AVT NA 15 08/11/2314:15 08/16/2314:57 121,52106 MKT �L1Ll�F;A Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Lab ID: L2346406-02 Date Collected: 08/10/23 11:45 Client ID: EFFLUENT Sample Location: BREWSTER, MA Sample Depth: Field Prep: Not Specified Matrix: Water Date Date Analytical Parameter Result Qualifier Units General Chemistry Westborough Lab Analyst Solids, Total Suspended ND mg/I Nitrogen, Ammonia 0.276 mg/I Nitrogen, Nitrite ND mg/l Nitrogen, Nitrate 2.6 mg/I Nitrogen, Total Kjeldahl 1.11 mg/l BOD, 5 day ND mg/I Oil & Grease, Hem-Grav ND mg/I Page 7 of 19 SAMPLE RESULTS Serial No:08232318:50 Lab Number: L2346406 Report Date: 08/23/23 'Ar72�� Date Collected: 08/10/23 11:45 Date Received: 08/10/23 Field Prep: Not Specified Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 5.0 NA 1 - 08/12/2319:01 121,25401) REM 0.075 1 08/20/2322:48 08/22/2318:50 121,4500NH3-13H AVT 0.050 1 08/11/23 01:27 44,353.2 KAF 0.10 1 - 08/11/23 01:27 44,353.2 KAF 0.300 1 08/19/23 23:55 08/20/23 12:43 121,4500NH3-H AVT 2.0 NA 1 08/11/2314:15 08/16/2314:57 121,52106 MKT 4.0 1 08/21/2311:55 08/21/2314:15 140,166413 JGM 'Ar72�� Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Method Blank Analysis Batch Quality Control Serial No:08232318:50 Lab Number: L2346406 Report Date: 08/23/23 Page 8 of 19 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab for sample(s)-. 02 Batch: WG1814582-1 Nitrogen, Nitrite ND mg/l 0.050 -- 1 08/11/23 00:44 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1814585-1 Nitrogen, Nitrate ND mg/l 0.10 - 08/11/23 00:50 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1814868-1 BOD, 5 day ND mg/l 2.0 NA 1 08/11/23 14:15 08/16/23 14:57 121,5210B MKT General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1815210-1 Solids, Total Suspended ND mg/l 5.0 NA 1 - 08/12/23 19:01 121,2540D REM General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1815853-1 Solids, Total ND mg/l 10 NA 1 - 08/15/23 05:17 121,2540B DEW General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1817844-1 Nitrogen, Total Kjeldahl NO mg/I 0.300 -- 1 08/19/23 23:55 08/20/23 12:19 121,4500NH3-H AVT General Chemistry Westborough Lab forsample(s): 01-02 Batch: WG1818001-1 Nitrogen, Ammonia ND mg/l 0.075 -- 1 08/20/23 22:48 08/22/23 18:42 121,4500NH3-BH AVT General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1818291-1 Oil & Grease, Hem-Grav ND mg/l 4.0 -- 1 08/21/23 11:55 08/21/23 13:34 140,16646 JGM Page 8 of 19 Lab Control Sample Analysis Project Name: MAPLEWOOD AT BREWSTER Batch Quality Control Project Number: K10842DA.S.WW.700 LCS LCSD %Recovery Parameter %Recovery Qual %Recovery '.dual Limits General Chemistry - Westborough Lab Associated sample(s)-. 02 Batch: WG1814582-2 Nitrogen, Nitrite 90-110 General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG1814585-2 - — Nitrogen, Nitrate 90-110 General Chemistry -Westborough Lab Associated sample(s): 01-02 Batch: WG1814868-2 _ �• BOD, 5 day 85-115 General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG1815210-2 Solids, Total Suspended - 80-120 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG181585'3-2 Solids, Total - 80-120 General Chemistry -Westborough Lab Associated sample(s): 02 Batch: WG1817844-2 Nitrogen, Total Kjeldahl 78-122 General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG1818001-2 Nitrogen, Ammonia 80-120 Page 9 of 19 Serial No:08232318:50 Lab Number: L2346406 Report Date: 08/23/23 RPD Qual RPD Limits 20 20 20 Serial No:08232318:50 Lab Control Sample Analysis Project Name: MAPLEWOOD AT BREWSTER Batch Quality Control Lab Number: L2346406 Project Number: K10842DA.S.WW.700 Report Date: 08/23/23 LCS LCSD %Recovery Parameter _ %Recovery, %Recovery Limits RPD RPD Limits General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG 1818291-2 Oil & Grease, Hem-Grav - 78-114 18 Page 10 of 19 &c� Serial No:08232318:50 Matrix Spike Analysis Project Name: MAPLEWOOD AT BREWSTER Batch Quality Control Lab Number: L2346406 Project Number: K10842DA.S.WW.700 Report Date: 08/23/23 Native MS MS MS MSD MSD Recovery RPD Parameter _ _ Sample Added Found %Recovery Qual Found 9/oRecovery Qual Limits RPD Qual Limits General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1814582-4 QC Sample: L2346202-01 Client ID: MS Sample Nitrogen, Nitrite ND 4 3.9 80-120 20 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1814585-4 QC Sample: L2346202-01 Client ID: MS Sample Nitrogen, Nitrate 1.5 4 5.2 88-113 6 General Chemistry -Westborough Lab Associated sample(s): 01-02 QC Batch Ib: WG1814868-4 QC Sample: L2346406-02 Client ID: EFFLUENT BOD, 5 day ND 100 100 103 50-145 35 General Chemistry -Westborough Lab Associated sample(s): 02 QC Batch ID: W618178444 QC Sample: L2348294-02 Client ID: MS Sample Nitrogen, Total Kjeldahl ND 8 6.23 ° 77-111 24 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1818001-4 QC Sample: L2346476-02 Client lD: MS Sample Nitrogen, Ammonia ND 4 3.60 90 80-120 20 General Chemistry -Westborough Lab Associated sample(s): 02 QC Batch ID: WG1818291-4 QC Sample: L2348287-02 Client ID: MS Sample Oil & Grease, Hem-Grav ND 39.2 27 69 Q 78-114 18 Page 11 of 19 A& � Serial—No:08232318:50 Lab Duplicate Analysis Project Name: MAPLEWOOD AT BREWSTER Batch Quality Control Lab Number.- L2346406 Project Number: K10842DA.S.WW.700 Report Date: 08/23/23 Parameter Native Sam le Duellicate Sample Units RPD Quall RPD Limits General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch lb-. WG1_814582-3 QC Sample: L2346-202-0-1 Client ID: DUP - Sample Nitrogen, Nitrite ND ND mg/l NC 20 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1814585-3 QC Sample: L2346-2--02-01 -Client ID: DUP Sample Nitrogen, Nitrate 1.5 1.5 mall 0 6 General Chemistry - Westborough Lab Associated I sample(s): 01-02 QC I Batch ID: WG1 . 8 - 1 , 48 - 68-3 QC Sample: L2346406-02 Client lb: EFFLUENT BOD, 5 day ND ND mg/l NC 35 General Chemistry - West -borough Lab -Associated sample(s): 01-02 QC Batch ID: W618152_10i-3 QC -Sample: L2346711-01 Client I - D: DUP Sample Solids, Total Suspended 540 550 mg/l 2 32 GeneralChemistry- Westborough Lab Associated sample(s): 01-02 dC - Batch ID: WG1 8'1-5- _2'1' 0-4 QC S - ample: L23465614-03 1 Client . ID: D - UP I Sample Solids, Total Suspended 47 42 mg/l 32 General Chemistry - Westborough Lab Associated sample(s): 01 QC I Batch ID: I WG181 - 5 1 8 . 53 1 -3 1 QC -_ Sample: L2346380-01 Client I . D: . DUP Sample Solids, Total 280000 190000 mg/l AN Q 16 General Chemistry -Westborough Lab Associated sample(s): 02 QCBatch ID: WG181784-4-3 QC Sample: L2348294-0 - 2 C . lient . ID: DUP Sample Nitrogen, Total Kjeldahl ND ND 24 General Chemistry -Westborough Lab Associated sample(s): 01-02 dCBatch ID: WG18-18-0-0-1-3- QC Sample: L2346476-02 Client ID: DUP Sample Nitrogen, Ammonia ND n 133 -1 .1. Io on General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG18-18291-3 QC Sample: L234-8287-01 Client ID: DUP Sample Oil & Grease, Hem-Grav 5.5 ND mg/l W: 18 Page 12 of 19 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Were project specific reporting limits specified? Cooler Information Cooler Custody Seal A Absent C Absent Container Information Container ID Container Type L2346406 -01A Plastic 500ml H2SO4 preserved L2346406-01 B Plastic 950ml unpreserved L2346406-010 Plastic 950ml unpreserved L2346406 -02A Plastic 500ml H2SO4 preserved L2346406 -02B Plastic 950ml unpreserved L2346406 -02C Plastic 950ml unpreserved L2346406 -02D Amber 1000ml HCl preserved L2346406 -02E Amber 1000ml HCl preserved Sample Receipt and Container Information YES Frozen Date/Time Page 13 of 19 *Values in parentheses indicate holding time in days Serial No:08232318:50 Lab Number: L2346406 Report Date: 08/23/23 Analysis(*) NH3-4500(28) TSC -2540(7), BOD -5210(2) TSS -2540(7) TKN-4500(28), NH3-4500(28) NO2-353(2), NO3-353(2), BOD -5210(2) TSS -2540(7) OG -1664(28) OG -1664(28) Initial Final Temp Cooler pH pH deg C Pres Seal A <2 <2 3.5 Y Absent A 7 7 3.5 Y Absent A 7 7 3.5 Y Absent C <2 <2 3.1 Y Absent C 7 7 3.1 Y Absent C 7 7 3.1 Y Absent C NA 3.1 Y Absent C NA 3.1 Y Absent Frozen Date/Time Page 13 of 19 *Values in parentheses indicate holding time in days Serial No:08232318:50 Lab Number: L2346406 Report Date: 08/23/23 Analysis(*) NH3-4500(28) TSC -2540(7), BOD -5210(2) TSS -2540(7) TKN-4500(28), NH3-4500(28) NO2-353(2), NO3-353(2), BOD -5210(2) TSS -2540(7) OG -1664(28) OG -1664(28) Serial No:08232318:50 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2346406 Project Number: K10842DA.S.WW.700 Report Date: 08/23/23 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 oftarget 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 ofthe 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 arc qualitatively identified and reported as estimated concentrations. Report Format: Data Usability Report Page 14 of 19 Serial No:08232318:50 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2346406 Project Number: K10842DA.S.WW.700 Report Date: 08/23/23 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, 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, Cl -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 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 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 ]mown 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 Page 15 of 19 Serial No:08232318:50 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2346406 Project Number: K10842DA.S.WW.700 Report Date: 08/23/23 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 Alr'lv�' Page 16 of 19 Serial No:08232318:50 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2346406 Project Number: K10842DA.S.WW.700 Report Date: 08/23/23 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. Page 17 of 19 Alpha Analytical, Inc. Facility: Company -wide Department: Quality Assurance Title: Certificate/AEoroval Pronram Summary _ Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Serial_No:08232318:50 ID No.:17873 Revision 20 Published Date: 6/16/2023 4:52:28 PM Pane 1 of 1 Westborough Facility EPA 624.1: m/p-xylene, o -xylene, Naphthalene EPA 625.1: alpha -Terpineol EPA 8260D: NPW: 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene, Azobenzene; SCM: lodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4- Ethyltoluene. EPA 827CE: NPW: Dimethylnaphthalene,1,4-Diphenylhydrazine, alpha -Terpineol; SCM: Dimethylnaphthalene,1,4-Diphenylhydrazine. SM4500: NPW: Amenable Cyanide; SCM: Total Phosphorus, TKN, NO2, NO3. Mansfield Facility SM 2540D: TSS. EPA TO -15: Halothane, 2,4,4-Tdmethyl-2-pentene, 2,4,4-Trimethyl-l-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 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-D, 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). Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9221E, EPA 1600, EPA 1603, SM9222D. Mansfield Facility: Drinking Water EPA 200.7: Al, Be, 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: AI, 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 Pre-Qualtrax Document ID: 08-113 Page 18 of 19 CHAIN OF CUSTODY (MIN wdI"LAW PAW ,OF, tm*� ■ (Lab UseO�yr)LIP •f 'u f J f f C A I ® FAX W*2W0ftk*h, hill M■mmeld,. MM1 Ptoject Name: Maplenmcd at Bmwrater TeL: S�zd TEL: Sa sQsaa I j� ADD FAR' - Lbpm-mIrs W- ak-m .'xm -- _ lrw%mnt ■ ■ Client ■ • _ 13reaject Location: Bt ewater, MA ■ Client, Benned Envirownental Associates zI4 Belk #., IK O942DA. .VWW,700 X mss: 1673 Main Stct Mana er, Joseph Smith. Bfe"tar�TMA 02631 _ AL Pw�A .- .phone: 508-8WI706 .: Fax: 50&BW5109 ® Standard Rush tdNLY IF PREAPPROVEM ANALYSIS Email; sfantnkWO SUWsitercom _ xr MWM nmpk $ have been RVAMN* sM"W by Alpha Due Dole: Tyne: Other Projeet S iFlc RequirementsXomments/DetecUon Cirrlft AL.PI4A Lab 10 Sample 10 Goltectlon tm*� ■ (Lab UseO�yr)LIP ■ ■ IJLJ w t" ■ I Inlllais ■� r -- _ lrw%mnt ■ ■ ww T Eft mnt 5 +�� .' ww fo"IM in4""Aa w. �wwefan Page 19 of 19 ® EMAIL mcri Oallvwavas Serial No:O8232318:50 At.P1HA Job#: 0 Same ss Viet info j PO * it1ae420A.5 9NM+LE WWIiLINC3 ■ lrm d Doer Not Nrrdrd � ran m da fir Q L.0tado- hararpocw WM ■�� ■ i1�i1�®■ � � I�IJI�� ■ - ■ ■ IJLJ w t" ■ ■ ■ ■ ■ ■� ■ ■ ■ i ■ ■ IL■1LJ ■V■ ■ ■ ■ Um■ L■J ■ ■ ■ 0 zI4 X x Serial No:O8232318:50 At.P1HA Job#: 0 Same ss Viet info j PO * it1ae420A.5 9NM+LE WWIiLINC3 ■ lrm d Doer Not Nrrdrd � ran m da fir Q L.0tado- hararpocw WM ■�� ■ i1�i1�®■ � � I�IJI�� ■ - ■ ■ IJLJ w t" ■ ■ ■ ■ ■ ■� ■ ■ ■ i ■ ■ IL■1LJ ■V■ ■ ■ ■ Um■ L■J ■ ■ ■ .- .: _ xr BENNETT ENVIRONMENTAL ASSOCIATES, LLC. A NATURAL SYSTEMS UTILITIES COMPANY LICENSED SITE PROFESSIONALS * ENVIRONMENTAL SCIENTISTS * GEOLOGISTS * ENGINEERS 1573 Main Street, Brewster, MA 02631 * 508-896-1706 * Fax 508-896-5109 * www.bennett-ea.com LETTER OF TRANSMITTAL TO: Massachusetts Department of Environmental Protection Attention: Title 5 Program 100 Cambridge Street, Suite 900 Boston, MA 02114-2534 SHIPPING METHOD: Regular Mail ❑ Mail ❑ Express Mail ❑ Certified Mail 0 Pick Up Priority ❑ I Hand Deliver ❑ Other, ❑ Green Card/RR ❑� DATE: JOB NUMBER: 9/26/23 K10885DA.S.IA.700 REGARDING: Cash Residence 320 Satucket Road Brewster, MA 02631 DATE DESCRIPTION DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (October 2022; January' April and August 2023) 11/2/22 Singulair Service CheckList (October 2022; January, April and August 2023) 124/23 Alpha Analytical Laboratory Report 5/11/23 Alpha Analytical Laboratory Report 7/20/23 Alpha Analytical Laboratory Report Alpha Analytical Laboratory Report For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: E] REMARKS: Please find enclosed the ULP Inspection and U&M I-orms, bing ulair bervice C:necKilsts, and laboratory analytical results Tor operation and maintenance conducted at the above referenced property during the reporting period. As of September 2023, BEA is no longer operator of record for this system. If you have any questions or require additional information, please contact us at your earliest convenience. Thank you. cc: Celeste Cash - Property Owner [via email] Norweco [via email]p FROM: Samantha Farrenkopf, Innovative Alternative Program Supervisor If enclosures are not as noted, kindly notify us at once Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title L5 ' DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. I A. Installation Celeste Cash _ Owner 320 Satucket Road Facility Street Address Brewster City Mailing address of owner, if different: Street Address/PO Box: City (508) 385 - 2355 ext. Telephone Number Rirtr= B. Authorized Service Provider Bennett Environmental Associates, LLC O&M Firm 1573 Main Street Street Address 02631 Zip Zip Brewster MA 02631 City State Zip (508) 896 - 1706 ext. 1140 Telephone Number Joseph Smith Certified Operator Name C. Facility/System Information 12529 Certification Number Norweco DEP ID Manufacturer ID Unknown _ 5/14/2013 Installation Date Start of Operation Approval Type: ❑ General ® Provisional ❑ Piloting Seasonal Residence used less than 6 mo./year: ❑ Yes D. Operating Information 10/17/2022 8/9/22 Inspection Date 10" sludge, 0" scum Sludge Depth (to be checked yearly) Singulair 960-750 GPD Model Number ❑ Remedial ►1 • Previous Inspection Date Pumping Recommended ❑ Yes ® No t5aiom.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection � Bureau of Resource Protection - Title 5 J DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® Other (specify): Odor: ® musty ❑ earthy Effluent Solids: ® no ❑ some ❑ clear ❑ turbid Cloudy ❑ moldy ❑ offensive ❑ turbid pH 7.54 SU DO 5.0 mg/L Turbidity 42.0 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH M BOD ❑ CBOD ® TSS ❑ TN M Other (list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality failed field testing parameters due to high turbidity. t5aiom.doc • rev. 04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection rr i Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. 1/12/2023 Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use — by January 31s' of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use — by March 311h of each year for the previous 12 months General Use — by September 301h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc • rev. 04-11-13 Page 3 of 3 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. VQ Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation Celeste Cash _ Owner 320 Satucket Road Facility Street Address Brewster City Mailing address of owner, if different: Street Address/PO Box: City (508) 385 - 2355 ext. Telephone Number State B. Authorized Service Provider Bennett Environmental Associates, LLC 02631 Zip Zip O&M Firm 1573 Main Street Street Address Brewster MA 02631 City State Zip 896 - 1706 ext. 1140 Telephone Number Tyler Gomes 15320 Certified Operator Name Certification Number C. Facility/System Information DEP ID Unknown Installation Date Norweco Manufacturer ID 5/14/2013 Start of Operation Sirn,;ulair 960-750 GPD Model Number Approval Type: ❑ General ® Provisional ❑ Piloting ❑ Remedial Seasonal Residence — used less than 6 mo./year: ❑ Yes ® No D. Operating Information 1/17/2023 10/17/2022 Inspection Date Previous Inspection Date Sludge Depth (to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection T�4 Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A -- I Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ❑ clear ❑ turbid ® Other (specify): Cloudy Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: M no ❑ some pH 7.62 SU DO 2 mg/L — Turbidity 67 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ❑ TN ® Other (list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality failed field testing parameters due to high turbidity. t5aiom.doc • rev. 04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection it Bureau of Resource Protection - Title 5 ` DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature 3/13/2023 Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use — by January 31 sc of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use — by March 311h of each year for the previous 12 months General Use — by September 301h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc • rev. 04-11-13 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 � T - DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Lai A. Installation Celeste Cash Owner 320 Satucket Road Facility Street Address Brewster City Mailing address of owner, if different: Street Address/PO Box: 02631 Zip City State Zip (508) 385 - 2355 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, LLC O&M Firm 1573 Main Street Street Address Brewster _ _ _Y MA _ _ 02631 city State Zip (508) 896 - 1706 ext. 1140 Telephone Number Tyler Gomes 15320 _ Certified Operator Name Certification Number C. Facility/System Information Norweco DEP ID Unknown Installation Date Approval Type: ❑ General Manufacturer ID ® Provisional ❑ Piloting Seasonal Residence — used less than 6 mo./year: ❑ Yes D. Operating Information Singulair 960-75_0 GPD Model Number ❑ Remedial ® No 4/27/2023 _ 1/17/2023 Inspection Date Previous Inspection Date 10" sludge, 0" scum Sludge Depth (to be checked yearly) Pumping Recommended El Yes ®No t5aiom.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Li Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ® brown ❑ clear ❑ Other (specify): Odor: ® musty ❑ earthy ❑ moldy Effluent Solids: ® no ❑ some ❑ turbid ❑ offensive ❑ turbid pH 7.34 SU DO 2 mg/L Turbidity 19 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpa Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ❑ TN ® Other (list below) Nitrate Nitrite _ _ TKN _ Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc • rev. 04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection ! Bureau of Resource Protection - Title 5 ' DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature 5/10/2023 Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use — by January 31 s' of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use — by March 311h of each year for the previous 12 months General Use — by September 301h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 51h Floor Boston, MA 02108 t5aiom.doc • rev. 04-11-13 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 LDEP Approved Inspection and O&M Form for Title 5 I/A -- Treatment and Disposal Systems Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. A. Installation Celeste Cash Owner 320 Satucket Road Facility Street Address Brewster City Mailing address of owner, if different: Street Address/PO Box: 02631 Zip City State Zip (508) 385 - 2355 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, LLC O&M Firm 1573 Main Street Street Address Brewster MA City State (508) 896 - 1706 ext. 1140 Telephone Number Tyler Gomes Certified Operator Name C. Facility/System Information 02631 Zip 15320 Certification Number Norweco Singulair 960-750 GPD DEP ID Manufacturer ID Model Number Unknown 5/14/2013 Installation Date Start of Operation Approval Type: ❑ General ® Provisional ❑ Piloting ❑ Remedial Seasonal Residence — used less than 6 mo./year: ❑ Yes ® No D. Operating Information 7/5/2023 Inspection Date Sludge Depth (to be checked yearly) 4/27/2023 Previous Inspection Date Pumping Recommended ❑ Yes ® No t5aiom.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ® brown ❑ clear ❑ turbid ❑ Other (specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ❑ no ® some 7.01 SU 2 m:/L 12 NTU pH 6 to 9 DO 2 or greater TUrbldlty 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ❑ TN M Other (list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct operation and maintenance event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly Effluent quality passed field testing parameters. t5aiom.doc • rev. 04-11-13 Page 2 of 3 L71Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 V DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature 9/22/2023 _ Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use — by January 31s' of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use — by March 31 th of each year for the previous 12 months General Use — by September 301h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc • rev. 04-11-13 Page 3 of 3 6/8/2020 Permitlnspections Barnstable County Septic Management Program v • - y - �- Samantha Farrenkopf - Bennett Environmental Associates, LLC 1:16 pm Main Submit My Clients My Reports Help N i} 3 td t Settleable Solids Home aInspections > Submit Inspection T , Z Z. L 3c =� 3 A; Go Back Search Results Start Over #' Permit Details Air Temperature Permit Number BREW Sat320-Sin Weather Conditions i Address 320 Satucket Road, Brewster . Operating Information Owner Name Celeste Cash Sludge Depth Startup Date 05/14/2013 Scum Layer Thickness Inspection Details Pumping Recommended? Component Singulair Bio -Kinetic WWT System - 96ODN-600 Soil Absorption System Observations Inspection Date i Signs of breakout? Inspection Time-` Depth of Ponding Operator Name SAS Ponding Above Invert LOp,rat,r License Number* Field Testing Color - Select - Odor - S_elect - v j V s Effluent Solids f Seled - v ,.rv,rc- "03 s ....Yam.. ��. v • - y - �- -1tc - r g I Turbidity'� !� ® N i} 3 td t Settleable Solids T Nc —� T , Z Z. L 3c =� Site Conditions Seasonal Residence . - Select Air Temperature Weather Conditions C . Operating Information Sludge Depth Scum Layer Thickness Pumping Recommended? /vU Soil Absorption System Observations Signs of breakout? Depth of Ponding SAS Ponding Above Invert (- Select - v) Maintenance Issues f Any apparent violations of the approval? •?f � �T � � T � i Any cleaning or lubrication performed? ! i !I https://septic.barnstablecountyhealth.org/app/permit inspections/submit 113 618/2020 Permitlnspections (N Inspection Details I Any adjustments of control settings? Singulair Bio -Kinetic MT System Model - 96ODN-600 Any testing of pumps, switches or alarms? First Chamber CQ i i Any equipment failures? Any parts replaced? N ! N / „� c I' Any further recommended corrective actions? 1 �J Inspection Completion Remove concrete cover f Was this inspection fully completed?* Other Comments Control Center Inspection Details Singulair Bio -Kinetic MT System Model - 96ODN-600 (� First Chamber CQ Check for wear or problems Remove concrete cover, check for normal water level t Check depth sludge after second year of operation Second Chamber Remove concrete cover ,may eA Control Center Open and set to "CONT' position Second Chamber Check air flow through aeratorb 1 Unplug aerator and lift out (� Check for worn rubber pads CQ Check for wear or problems Check wire in riser for chafing, tape If needed Wash off aerator, put it back Hook up ammeter, check current with aerator running, remove pigtail Third Chamber Remove concrete cover and remove filter top Turn in black locking tabs Install pump and start pumping from filter to first chamber. Lift filter with rope as necessary CR Lift out filter, put in tub Q Clean outside of filter with water, drain back to first chamber l Set filter upright in tub, run clean water into it until the water Flows out of the hole in the flange. Inserd compressed air hose and agitate with air. Keep agitating with clean water slowly floring until the exiting water is clear Finish hosing down filter Scrape hopper Apply lubricant to filter flange C Place filter in place, fill with clean water and sink it W Turn out locking tabs, replace filter cover I 64, I Replace concrete cover https://septic.barnstablecountyhealth.org/app/permit inspections/submit 2/3 6/8/2020 First Chamber Replace concrete cover Second Chamber Plug in aerator Coil wire so it is not in contact with anything I Replace concrete cover I Control Center Put switch on "AUTO" position Close and lock cover Read and record hour meter Paperwork Leave notice of service with owner I Note in company file and irregularity or problem Indicate if any follow-up is necessary Be sure to complete file on service, return it to office Submit Inspection Permitlnspections >r� 401 N1 r /1 https://septic.barnstablecountyhealth.org/app/permit inspections/submit 3/3 6/t»'5020 Permitlnspections Barnstable County Septic Management Program Samantha Farrenkopf - Bennett Environmental Associates, LLC Main Submit My Clients My Reports Help Home > Inspections > Submit Inspection Go Back Search Results Permit Details Permit Number Address Owner Name Startup Date Inspection Details BREW-Sat32D-Sin 320 Satucket Road, Brewster Celeste Cash 05/14/2013 1:1b pm Start Over Component Singulair Bio -Kinetic WWT System - 96ODN-600 Inspection Date* Inspection Time Operator Name* Operator License Numbe, Field Testing Color -9 – select— Odor I–Setect–�:Vll.,r �(j1-_ d Effluent Solids - - 5etect– Y VmW%IL-pH ' i Dissolved oxygen (D.0) IF Z Turbidity j Settleable Solids ! Site Conditions Seasonal Residence i Ali -Temperature Weather Conditions �3eled_�.1 ✓1.(� Sludge Depth Scum Layer Thickness— Pumping Reoommended? No M SCS Soil Absorption System Observations r– ---- -- Signs of breakout? -Select-%- i Depth of Ponding SAS Ponding Above Invert r–Select– Naintenance Issues Any apparent violations of the approval? /Na Any cleaning or lubrication performed? https://septic.barnstablecountyhoalth.org/app/pormit_inspecUons/submit 1/3 6/812020 rermmnspecwns IND Any adjustments of control settings? (No J IAny testing of pumps, switches or alarms? vial- u�,ecj i Any equipment failures? I No V; J j Any parts replaced? I No Any further recommended corrective actions? (No inspection Completion _ Was this inspection fully completed? Other Comments I � �JNQ Ghl�.tMM�„r ba w �.•�.�, o►tn,[� C.�r�� Inspection Details Singulair Bio -Kinetic WWT System Model - 9BODN-600 First Chamber Remove concrete cover, check for normal water level Check sludge depth after second year of operation Second Chamber Remove concrete cover Control Center Open and set to "CONT" position Second Chamber Check air flow through aerator Unplug aerator and lift out Check for worn rubber pads Check for wear or problems Check wire In riser for chafing, tape If needed Wash off aerator, put it back 5 3S J�Wqs Hook up ammeter, check current with aerator running, remove pigtail Third Chamber Remove concrete cover and remove filter top Tum In black locking tabs Install pump and start pumping from Fifterto first chamber. Uft filter with rope as necessary Litt out filter, put in tub Clean outside of filter with water, drain back to first chamber Set filter upright In tub, run clean water into it until the water flows out of the hole In the flange. Inserd compressed air hose and agitate with air. Keep agitating with clean water slowly floring until the exiting water Is clear Finish hosing down filter Scrape hopper Apply lubricant to fitter flange Placa filter in place, fill with clean water and sink it Turn out locking tabs, replace filter cover Replace concrete cover 1G L2 W https://septic.barnstabler,ountyheafh.org/app/permit inspections/submit 2/3 610/2020 Permitlnspections First Chamber Replace concrete cover Second Chamber Plug In aerator Coil wire so it is not In contest with anything Replace concrete cover Control Center Put awitch on "AUTO" position Of% ow G+ y,-,va� Close and lock cover ( DN- %-t&-ftt44S ALW WO -05 Read and record hour meter r w yk Paperwork Leave notice of service with owner Note in company file and kregula ft or problem Indicate if any follow-up is necessary Be sure to complete file on service, retum It to o1Bcs Submit Inspection R4�-�� ve.*,W 1 OM 6o�K C_O %mae-wA r Q C?S ❑ httpsJ/septic.barnstablemuntyhoalth.org/app/parmit inspe0onstsubffit 3/3 6/8/2020 Permit]nspections oai•.-Asta6le Ccn,12Lc,.,ty 1pi'lJc Manngernent Program Samantha Farrenkopf - Bennett Environmental Associates, LLC Main Submit My Clients My Reports Help Home > Inspections > Submii Inspection Go Back i Search Results Fr:mi:t:D:e::ta::iIS — Permit Number BREW-Sat320-Sin Address 320 Satucket Road, Brewster Owner Name Celeste Cash Startup Date 05/14/2013 Inspection Details Component Date* Singulair Bio-i(inetic WWT System - 960DN-600 LfInspection Inspection Time* — Operator Name* ! , Operator License Number* r:: + ZO T.T __1 1:16 pm a 1-0 14 Start Over Field Testing Color ! - Select - Ji 'N b a Odor a Select - Effluent Solids - Select - Y ADA";-- pH L - /6 yr j Dissolved Oxygen (D.0) Turbidity Settleable Solids Fits Cry r dIVIons — — — — Seasonal Residence (Y Air Temperature l Weather Conditions Operating information Sludge Depth Scum Layer Thickness Pumping Recommended? Nov Soil Absorption System Observations Signs of breakout? ''-Selectry �(�Psl W ` Depth of Ponding dim SAS Ponding Above Invert (-Select - t I Maintenance Issues Any apparent violations of the approval? i Any cleaning or lubrication performed? https://septic.barnstablecountyhealth.org/app/permit-inspectionslsubmit 1/3 6/8/2020 Permitlnspections Was this inspection fully completed?* Yes v I yA Other Comments i - Fi>i 1Jt T �� cd new p QJ M yh inspection Details Singulair Bio -Kinetic WWF System Model - 960ON-600 First Chamber JNo_- Remove concrete cover, check for normal water level Any adjustments of control settings? [No J Any testing of pumps, switches or alarms? rNo d I Remove Any equipment failures? No Any parts replaced? No *+j I Open and set to "CONT" position Any further recommended corrective actions? Second Chamber Inspection Completion I Unplug aerator and lift out Was this inspection fully completed?* Yes v I yA Other Comments i - Fi>i 1Jt T �� cd new p QJ M yh inspection Details Singulair Bio -Kinetic WWF System Model - 960ON-600 First Chamber Remove concrete cover, check for normal water level Check sludge depth after second year of operation Second Chamber Remove concrete cover Control Center I Open and set to "CONT" position 0 Second Chamber Check air flow through aerator I Unplug aerator and lift out �j Check for wom rubber pads d Check for wear or problems n,/ Check wire in riser for chafing, tape If needed l Wash off aerator, put it back I Hook up ammeter, check current with aerator running, remove pigtail Third Chamber Remove concrete cover and remove fitter top Tum in black locking tabs Install pump and start pumping from filter to first chamber. Lift filter with rope as necessary Lift out filter, put in tub Clean outside of filter with water, drain back to first chamber Set filter upright in tub, run clean water into it until the water flows out of the hole in the flange. Inserd compressed air hose and agitate with air. Keep agitating with clean water slowly floring until the exiting water is clear Finish hosing down filter Scrape hopper Apply lubricant to filter flange 0 Place filter in place, fill with clean water and sink it T �j Turn out locking tabs, replace filter cover Replace concrete cover n,/ hftps://septic.barnstablecountyheafth.org/app/permit inspections/submit 213 6/812020 Permitinspections First Chamber , I Replace concrete cover Second Chamber 1 Plug in aerator Coil wire so itis not in contact with anything Replace concrete cover f Control Center "AUTO" Put switch on position V`T Par Close and lock cover ✓ Read and record hour meter !' Paperwork Leave notice of service with owner Note in company file and irregularity or problem Indicate if any follow-up is necessary Be sure to complete file on service, return it to office Submit Inspection https://septic.barnstablecountyheafh.org/app/permit—inspections/submit 313 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ❑ clear turbid ❑ Other (specify): Odor: [�f musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: [�j no ❑ some pH 6 to 9� SU DO 2 or greateglL Turbidity 40 or IesNTU Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent [/Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: /TSS gpd Parameters sampled: ElpH 4 BOD ElCBOD [Y] TN ❑ Other (list below) "2 "S Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Notes and Comments: U: ,"Ltd c _ ,t _ t*1 Sludge Depth (to be dwacked yearly) Pumping Recommended ❑ Yes 2(No t5aiom.doc • rev. 04-11-13 Page 2 of 3 BENNETT ENVIRONMENTAL ASSOCIATES A Natural Systems Utilities Company 1573 MAIN STREET BREWSTER, MA 02631 TEL: (508) 896-1706 ( FAX: (508) 896-5109 Date & Time of Visit: LI , a% -, ' 0 4 N A site visit was conducted today for: t.� O&M I Yes � No Testing [Yes F—] No Repair Yes �6XNo No Alarm Call Yes Your system is operating correctly [V] Yes El 1. o Tank(s) in need of pumping Yes 1`/ No Further maintenance required Ej Yes ' o Repairs needed [j Yes o Please contact our office Yes o Contact renewal required Yes No Field testing :� ass Fail Sample pulled Yes F-] No Laboratory sampling conducted Yes [] No - - - BENNETT-EA.COM REQUIRED DATA Outside Temp: -"y Weather FIELD TEST NO3: 0 NO': G pH: '4,0 i Temp: li�o •�-o NIV: r(�'t Alk: l� DO: Z Turb: COLOR:.{circle onel rows Gray Clear Turbid Other (specify below) b�¢ SMELL I circle one L/' Earthy Moldy Offensive Turbid Suspended Solids None Some SINGULAIR SERVICE CHECK LIST (with same filter) INSTALLATION NO. CLIENT: SITE ADDRESS: $320 Z Qq+U".AA v-0 TOWN: _ a Location Work to be tPerformed Done First Remove concrete cover, chamber check for normal water level Check sludge depth after second year of operation Second Remove concrete cover chamber Control Open and set to `CONT" center position Second Check air flow through chamber aerator Unplug aerator and lift out Check for worn rubber pads agitate with air. Check for wear or problems �l )( Check wire in riser for water slowly flowing until Paper chafing, tape if needed the exiting water is clear. owner Wash off aerator, put it A - I back Scrape hopper �- Hookup ammeter, check Indicate if any follow-up is current with aerator necessary Be sure to complete file on running, remove pigtail. Third Remove concrete cover and service, return it to office chamber ' remove filter top. Turn in black locking tabs replace filter cover Replace concrete cover Install pump and start First Replace concrete cover chamber I pumping from filter to first chamber. Lift filter with rope as necessary. Lift out filter, put it in tub' Clean the outside of filter with water, drain back to first chamber C,ASt{ uowDw OPERATOR: DATE OF SERVICE: AL 2 I %ectind Plug in aerator chamber Set filter upright in tub, run 7 clean water into it until the water flows out of the hole Replace concrete cover in the flange. Insert Control compressed air hose and center agitate with air. Keep agitating with clean )( water slowly flowing until Paper Leave notice of service with the exiting water is clear. owner Finish hosing down filter Note in company file any Scrape hopper �- Apply lubricant to filter Indicate if any follow-up is flange necessary Be sure to complete file on Place filter in place, fill with clean water and sink it service, return it to office Turn out locking tabs, replace filter cover Replace concrete cover First Replace concrete cover chamber I I %ectind Plug in aerator chamber 7 Coil wire so it is not in contact with anything Replace concrete cover Control Put switch on "AUTO" center position Close and lock cover )( Read and record hour meter Paper Leave notice of service with work owner Note in company file any irregularity or problem Indicate if any follow-up is necessary Be sure to complete file on service, return it to office 0,)rbwk-� COQ 6 brow0,4%\�\ IG-(pi-,� w q ;t•� �,�� 1uv�v�5 BENNETT ENVIRONMENTAL BEA ASSOCIATES A Natural Systems Utilities Company rnupu 1573 MAIN STREET BREWSTER, MA 02631 TEL: (508) 896-1706 1 FAX: (508) 896-5109 Date & Time of Visit: j 6 1 2?:;, A site visit was conducted today for: �"? O&M [ Yes ❑ No Testing Q Yes ❑ No Repair ❑ Yes LZ No Alarm Call ❑ Yes © No Your system is operating correctly 0, Yes ❑ No Tank(s) in need of pumping ❑ Yes No Further maintenance required ❑ Yes [k] No Repairs needed ❑ Yes F� No Please contact our office ❑ Yes q No Contact renewal required ❑ Yes © No Field testing Pass ❑ Fail Sample pulled] Yes ❑ No Laboratory sampling conducted Yes ❑ No G BENNETT-EA.COM IJ s-J � AL V�,TICAL ANALYTICAL REPORT Lab Number: L2258016 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: Samantha Farrenkopf Phone: (508) 896-1706 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Report Date: 11/02/22 Serial No:11022212:20 The original project report/data package is held by Alpha Analytical. This report/data package is paginated and should be reproduced only in its entirety. Alpha Analytical holds no responsibility for results and/or data that are not consistent with the original. Certifications & Approvals: MA (M-MA086), NH NELAP (2064), CT (PH -0574), IL (200077), ME (MA00086), 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 16 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Alpha Sample ID L2258016-01 Page 2 of 16 Sample Client ID Matrix Location EFFLUENT WATER BREWSTER, MA Serial_No:11022212:20 Lab Number: L2258016 Report Date: 11/02/22 Collection Date/Time Receive Date 10/17/22 15:10 10/18/22 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Case Narrative Serial—No: 11022212:20 Lab Number: L2258016 Report Date: 11/02/22 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. Authorized Signature: Cristin Walker Title: Technical Director/Representative Date: 11/02/22 Page 3 of 16 �� _- ICS I' I'i'SCE'._ .�: E 0 U S Page 4 of 16 Serial—No: 11022212:20 A, rolv�, Serial—No: 11022212:20 Project Name: CASH RESIDENCE Lab Number: L2258016 Project Number: K10885DA.S.IA.700 Report Date: 11/02/22 SAMPLE RESULTS Lab ID: L2258016-01 Date Collected: 10/17/22 15:10 Client ID: EFFLUENT Date Received: 10/18/22 Sample Location: BREWSTER, MA Field Prep: Not Specified Sample Depth: Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry Westborough Lab Solids, Total Suspended 140 mg/l 20 NA 4 10/22/22 10:01 121,25401) CVN Nitrogen, Nitrite 0.24 mg/1 0.050 -- 1 10/19/22 03:17 44,353.2 KAF Nitrogen, Nitrate 0.33 mg/l 0.10 -- 1 - 10/19/22 03:17 44,353.2 KAF Nitrogen, Total Kjeldahl 71.9 mg/l 6.00 - 20 11/01/22 14:35 11/01/22 20:16 121,4500NH3-H AT BOD, 5 day 140 mg/l 4.0 NA 2 10/1912201:45 10/2412206:45 121,52106 JT Page 5 of 16 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Method Blank Analysis Batch Quality Control Serial No:11022212:20 Lab Number: L2258016 Report Date: 11/02/22 General Chemistry Westborough Lab for sample(s): 01 Batch: WG1706498-1 Analytical Method Analyst 121,5210B JT 44,353.2 KAF 44,353.2 Dilution Date Date Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed General Chemistry Westborough Lab for sample(s): 01 Batch: WG1701174-1 BOD, 5 day ND mg/I 2.0 NA 1 10/1912201:45 10/24/2206:45 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1701212-1 Nitrogen, Nitrite ND mgll 0.050 -- 1 - 10/19/22 02:39 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1701214-1 Nitrogen, Nitrate ND mg/l 0.10 - 10/19/22 02:42 General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1702806-1 Solids, Total Suspended ND mg/l 5.0 NA 1 10/22/22 10:01 General Chemistry Westborough Lab for sample(s): 01 Batch: WG1706498-1 Analytical Method Analyst 121,5210B JT 44,353.2 KAF 44,353.2 KAF 121,2540D CVN Nitrogen, Total Kjeldahl ND mg/l 0.300 -- 1 11/01/22 14:35 11/01/22 19:45 121,4500NH3-H AT Page 6 of 16 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Lab Control Sample Analysis Batch Quality Control LCS LCSD Parameter %Recovery Qual_ %Recovery qual General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1701174-2 BOD, 5 day General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1701212-2 Nitrogen, Nitrite General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1701214-2 Nitrogen, Nitrate General Chemistry -Westborough Lab Associated sample(s): 01 Batch: WG1702806-2 Solids, Total Suspended General Chemistry -Westborough Lab Associated sample(s): 01 Batch: WG1706498-2 Nitrogen, Total Kjeldahl Page 7 of 16 Serial—No: 11022212:20 Lab Number: L2258016 Report Date: 11/02/22 %Recovery Limits RPD qual RPD Limits 85-115 20 90-110 20 90-110 80-120 78-122 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Matrix Spike Analysis Batch Quality Control Serial No: 11022212:20 Lab Number: L2258016 Report Date: 11/02/22 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %RecoveryQual Found o _ /oRecovery Qual Limits RPD Qual Limits General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG1701174-4 QC Sample: L2257914-01 Client ID: MS Sample BOD, 5 day ND 100 91 r' 50-145 35 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WGII701212-4 QC Sample: 1_2258016-01 Client ID: EFFLUENT Nitrogen, Nitrite 0.24 4 4.4 80-120 20 General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG1701214-4 Nitrogen, Nitrate 0.33 4 4.4 General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG1706498-4 Nitrogen, Total Kjeldahl 17.6 8 23.6 r { Q Page 8 of 16 QC Sample: 1_2258016-01 Client ID: EFFLUENT 83-113 6 QC Sample: L2258535-01 Client ID: MS Sample 77-111 24 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Serial NoA 1022212:20 Lab Duplicate Analysis Batch Quality Control Lab Number. Report Date: L2258016 11/02/22 Parameter _ _ _ _ Native Sam Me Duplicate Sample _ Units RPD Qual RPD Limits General Chemistry Westborough Lab Associated sample(s): 01 QC Batch ID: WG1701174-3 QC Sample: 1-2257914-01 Client ID: DUP Sample BOD, 5 day ND ND mg/I 35 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1701212-3 QC Sample: 1-2258016-01 Client ID: EFFLUENT Nitrogen, Nitrite 0.24 0.23 mg/l 20 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1701214-3 QC Sample: 1_2258016-01 Client ID: EFFLUENT Nitrogen, Nitrate 0.33 0.32 mail R General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1702806-3 QC Sample: L2258089-02 Client ID: DUP Sample Solids, Total Suspended 55 74 mq/l 32 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1706498-3 QC Sample: L2258535-01 Client ID: DUP Sample Nitrogen, Total Kjeldahl 17.6 17.2 mg/1 24 Page 9 of 16 o� Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Were project specific reporting limits specified? Cooler Information Cooler Custody Seal A Absent Container Information Container ID Container Type L2258016 -01A Plastic 250mi H2SO4 preserved L2258016-01 B Plastic 950ml unpreserved L2258016 -01C Plastic 950ml unpreserved Serial No:11022212:20 Lab Number: L2258016 ReportDate: 11/02/22 Sample Receipt and Container Information YES Initial Final Temp Frozen Cooler pH pH deg C Pres Seal Date/Time Analysis(*) A <2 <2 2.7 Y Absent TKN-4500(28) A 7 7 2.7 Y Absent NO2-353(2),NO3-353(2),BOD-5210(2) A 7 7 2.7 Y Absent TSS -2540(7) Page 10 of 16 *Values in parentheses indicate holding time in days Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Serial No:11022212:20 Lab Number: L2258016 Report Date: 11/02/22 GLOSSARY Acronyms DL Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the limit of quantitation (LOQ). The DL includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) EDL Estimated Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The EDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. The use of EDLs is specific to the analysis of PAHs using Solid -Phase Microextraction (SPME). EMPC 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-Nitrosodipheny]amine/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 11 of 16 Serial—No: 11022212:20 Project Name: CASH RESIDENCE Lab Number: L2258016 Project Number: K10885DA.S.IA.700 Report Date: 11/02/22 Footnotes 1 The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method: Both the document from which the method originates and the analytical reference method. (Example: EPA 8260B is shown as 1,8260B.) 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 Intbrmation 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, Cl -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 "Aldo] Condensates" are byproducts of the extraction/concentration procedures when acetone is introduced in the process. B The analyte was detected above the reporting limit in the associated method 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 (1 Ox) 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 ofthe 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 Page 12 of 16 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA-700 Serial—No: 11022212:20 Lab Number: L2258016 Report Date: 11/02/22 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 13 of 16 Serial No:11022212:20 Project Name: CASH RESIDENCE Lab Number: L2258016 Project Number: K10885DA.S.IA.700 Report Date: 11/02/22 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. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re -perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 14 of 16 Alpha Analytical, Inc. Facility: Company -wide Department: Quality Assurance Title: Certificate/Approval ProDram Summary Certification Information The following analytes are not Included in our Primary NELAP Scope of Accreditation: Serial—No-.1 1022212:20 ID No.:17873 Revision 19 Published Date: 4/2/2021 1:14:23 PM Pa-e1of1 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 -Tetra methyl benzene; 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: Dimethyl naphthalene, l,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, SM213013, SM4500CI-D, SM232013, SM2540C, SM4500H-B, SM450ONO2-B EPA 332: Perchlorate; EPA 524.2: THMs and VOCs; EPA 504.1: EDB, DBCP. Microbiology: SM92156; SM9223-P/A, SM9223B-Colilert-QT,SM9222D. Non -Potable Water SM4500H,B, EPA 120.1, SM2510B, SM2540C, SM232013, 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-D, EPA 1664, EPA 420.1, SM4500-CN-CE, SM254013, 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 60014-81-045: PCB -Oil. Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9221E, 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 15 of 16 Pre-Qualtrax Document ID: 08-113 CHAINOF CUSTODY PASSE t OF t Dade ReCdInLaSc ���r.� ?y' K LMaWbar"gh.IVFA ldwrort kkL AW — i' FAIL TEL, 5121.a &SM TEL 503.MA=r Propict Name: Cash Residency ❑ AIDEx Add'r Dnhn<erabres -PAX DE4111100TU rAF 5a4-va.77n. InformationClient Pro ea Lacarion, Smonter. SAA � • ardent: Seamen €rmran mental A,ssaciates Props IP KlDiB 35r7A.R.iA- oo - — Address. 1673 Main Streat Pn of Agan 3grr: Samantha Farrenkal. f Ar ter (MIA 02631 -ALEUALCkolh 0 Phone: 5118-896-1706 ■ Time Pax; 508-SWSIO9 � $randard � RUSh [ONLY IF PFtF-AP r % � >wMON. sfermr*WWNSYWgter.com IftSe wmOn twe Geair Prww* aftbo d by AIS Vue Daw, , Time: Other Project Spec-dic RequiremetntstCamrnentsMetection Urnks. — ALPHA Lata 10 (Lab Use Onw Fw'..]l,VRDU Page 16 of 16 Sample 10 E"Ard- - 0 0 Serial_No:11022212:20 ALMA Job #: L. Z SOL 16 Billing ■ ■ same as C*wI rote t -a t tca aegis DA S SA>dIPLC MMOUNG Aftma" U Den■ a rear N"ded D Lab to da pftnnwmw 10 F.ab 1n do ~6 *pWW e J CaFttarnariyae - - PreSenFstiwe 0 o d - - - - -Maws sammtcm Y t�ateri ittite ReggrvedHy: Dawkwi eoe F um ckckv*nat // slnrt urM1 � ambipuNiec are f7J�t reaaNed At—row w*mimodare w iW bD A"W. Ps/M-Term. Sample SaFmplar's CiuNedio9IWM z DankMs1Atu rniUah Z _ 0 0 Serial_No:11022212:20 ALMA Job #: L. Z SOL 16 Billing ■ ■ same as C*wI rote t -a t tca aegis DA S SA>dIPLC MMOUNG Aftma" U Den■ a rear N"ded D Lab to da pftnnwmw 10 F.ab 1n do ~6 *pWW e J CaFttarnariyae - - PreSenFstiwe 0 o d - - - - -Maws sammtcm Y t�ateri ittite ReggrvedHy: Dawkwi eoe F um ckckv*nat // slnrt urM1 � ambipuNiec are f7J�t reaaNed At—row w*mimodare w iW bD A"W. Ps/M-Term. &14A e� ', ALV�TI CAL ANALYTICAL REPORT Lab Number: L2302732 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: Samantha Farrenkopf Phone: (508) 896-1706 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Report Date: 01/24/23 Serial No:01242310:37 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 16 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Alpha Sample ID L2302732-01 Page 2 of 16 Sample Client ID Matrix Location EFFLUENT WATER BREWSTER, MA Serial No:01242310:37 Lab Number: L2302732 Report Date: 01/24/23 Collection Date/Time Receive Date 01/17/23 09:20 01/17/23 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Case Narrative Serial No:01242310:37 Lab Number: L2302732 Report Date: 01/24/23 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. 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: �kWW?A_Melissa Sturgis Title: Technical Director/Representative Page 3 of 16 Date: 01/24/23 INORGANICS 8' f MISCELLANEOUS Page 4 of 16 Serial—No: 01242310:37 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Lab ID: L2302732-01 Client ID: EFFLUENT Sample Location: BREWSTER, MA Sample Depth.- Matrix: epth:Matrix: Water Parameter Result Qualifier Units General Chemistry - Westborough Lab Solids, Total Suspended 230 Nitrogen, Nitrite 0.073 Nitrogen, Nitrate 0.10 Nitrogen, Total Kjeldahl 69.4 BOD, 5 day 150 Page 5 of 16 SAMPLE RESULTS Serial No:01242310:37 Lab Number: L2302732 Report Date: 01/24/23 Date Collected: 01/17/23 09:20 Date Received: 01/17/23 Field Prep: Not Specified Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst mg/l 38 NA 7.7 01/20/2314:07 121,2540D CVN mg/I 0.050 1 01/18/23 03:06 44,353.2 KAF mg/l 0.10 1 01/18/23 03:06 44,353.2 KAF Mg/1 6.00 20 01/18/2316:00 01/19/2314:15 121,4500NH3-H KEP mg/1 60 NA 30 01/17/23 23:30 01/22/23 17:49 121,52106 JRG Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Method Blank Analysis Batch Quality Control Serial No:01242310:37 Lab Number: L2302732 Report Date: 01/24/23 Page 6 of 16 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1734472-1 BOD, 5 day ND mg/I 2.0 NA 1 01/17/2323:30 01122/2317:49 121,5210B JRG General Chemistry - Westborough Lab for sample(s): 01 Batch: WG 1734496-1 Nitrogen, Nitrite ND mg/I 0.050 -- 1 - 01/18/23 02:23 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1734499-1 Nitrogen, Nitrate ND mg/I 0.10 -- 1 - 01/18/23 02:28 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1734569-1 4 Nitrogen, Total Kjeldahl ND mgll 0.300 1 01/18/23 16:00 01/19/23 13:19 121,4500NH3-H KEP General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1735632-1 Solids, Total Suspended ND mg/I 5.0 NA 1 - 01/20/23 14:07 121,2540D CVN Page 6 of 16 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Serial No:01242310:37 Lab Control Sample Analysis Batch Quality Control Lab Number: L2302732 Report Date: 01/24/23 LCS LCSD %Recovery Parameter _ _ -_ %Recove Qual .%Recovery t�ual Limits RPD dual RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1734472-2 BOD, 5 day 85-115 20 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG 1734496-2 Nitrogen, Nitrite - 90-110 20 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1734499-2 Nitrogen, Nitrate - 90-110 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG 1734569-2 Nitrogen, Total Kjeldahl - 78-122 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1735632-2 Solids, Total Suspended 80-120 Page 7 of 16 o� Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Native MS MS Parameter _ _ Sample _Added Found General Chemistry - Westborough Lab Associated sample(s): 01 BOD, 5 day 3.9 100 120 General Chemistry - Westborough Lab Associated sample(s): 01 Nitrogen, Nitrite 1.2 4 5.4 Matrix Spike Analysis Batch Quality Control Serial_No:01242310:37 Lab Number: L2302732 Report Date: 01/24/23 MS MSD MSD Recovery RPD %Recovery Qual Found %,Recovery Qual Limits RPD Qual Limits QC Batch ID: WG1734472-4 QC Sample: L2302640-01 Client ID: MS Sample 113 50-145 35 QC Batch ID: WG1734496-4 QC Sample: L2302576-01 Client ID: MS Sample 80-120 20 General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG17344994 QC Sample: 1-2302576-01 Client ID: MS Sample Nitrogen, Nitrate 22 1 ry:. - - 83-113 6 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1734569-4 QC Sample: 1-2302700-01 Client ID: MS Sample Nitrogen, Total Kjeldahl 0.907 8 7.84 77.111 24 e Page 8of16 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Serial No:01242310:37 Lab Duplicate Analysis Batch Quality Control Lab Number. Report Date: L2302732 01/24/23 Parameter Native Sample Duglicate Sam -pie Units RPD Qual RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1734472-3 QC Sample: 1-2302640-01 Client ID: DUP Sample BOD, 5 day 3.9 4.2 mg/I 35 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1734496-3 QC Sample: 1-2302576-01 Client ID: DUP Sample Nitrogen, Nitrite 1.2 1.2 mg/1 20 General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG1734499-3 QC Sample: L2302576-01 Client ID: DUP Sample Nitrogen, Nitrate 22 99 -11 General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG1734569-3 QC Sample: L2302700-01 Client ID: DUP Sample Nitrogen, Total Kjeldahl 0.907 1.09 mg/l 24 General Chemistry --Westborough Lab Associated sample(s): 01 QC Batch ID: WG1735632-3 QC Sample: L2302539-01 Client ID: DUP Sample Solids, Total Suspended 99 100 mg/I 32 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1735632-4 QC Sample: L23102637-01 Client ID: DUP Sample Solids, Total Suspended 1200 1200 mg/I r. 32 Page 9 of 16 Aso� Project Name: CASH RESIDENCE Project Number: K1O885DA.S.IA.7OO Were project specific reporting limits specified? Cooler Information Cooler Custody Sea/ A Absent Container Information Container ID Container Type L2302732 -01A Plastic 250ml H2SO4 preserved L2302732-01 B Plastic 950ml unpreserved L2302732 -01C Plastic 950ml unpreserved Sample Receipt and Container Information YES Initial Final Temp Cooler pH pH deg C Pres Seal A <2 <2 2.7 Y Absent A 7 7 2.7 Y Absent A 7 7 2.7 Y Absent Page 10 of 16 *Values in parentheses indicate holding time in days Serial _No:O1242310:37 Lab Number: L23O2732 Report Date: 01/24/23 Frozen Date/Time Analysis(*) TKN-4500(28) NO2-353(2), NO3-353(2), BOD -5210(2) TSS -2540(7) Project Name: Project Number: CASH RESIDENCE K10885DA.S.IA.700 Serial No:01242310:37 Lab Number: L2302732 Report Date: 01/24/23 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 11 of 16 Serial No:01242310:37 Project Name: CASH RESIDENCE Lab Number: L2302732 Project Number: K10885DA.S.IA.700 Report Date: 01/24/23 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, C1-C4 Naphthalenes, 2 -Methylnaphthalene, 1 -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, Benzo(j)+(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 ofthe 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 Page 12 of 16 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Serial No:01242310:37 Lab Number: L2302732 Report Date: 01/24/23 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 13 of 16 Serial No:01242310:37 Project Name: CASH RESIDENCE Lab Number: L2302732 Project Number: K10885DA.S.IA.700 Report Date: 01/24/23 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. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re -perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 14 of 16 Serial_No:01242310:37 Alpha Analytical, Inc. ID No.:17873 Facility: Company -wide Revision 19 Department: Quality Assurance Published Date: 4/2/2021 1:14:23 PM Title: Certificate/AL-Froval Program Summary Pa --e 1 of 1 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: 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: Dimethyinaphthalene,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 -Tri methyl benzene, Indan, Indene, 1,2,4,5-Tetramethylbenzene, Benzothiophene, 1 -Methylnaphthalene. Biological Tissue Matrix: EPA 30508 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-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, SM522013, EPA 410.4, SM5210B, SM5310C, SM4500CL-D, 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-Colilert-QT; Enterolert-QT, SM9221E, EPA 1600, EPA 1603, SM92221). 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: At, Sb, As, Be, Cd, Ca, Cr, Co, Cu, Fe, Pb, Mg, Mn, Mo, Ni, K, Se, Ag, Na, Sr, TL, Ti, V, Zn. EPA 200.8: At, 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 15 of 16 Pre-Qualtrax Document ID: 08-113 Serial—No: 01242310:37 CHAIN OF C U TORYPAGFIUFI — - Dela Reed in L& ALPHA Job #= e � a Report Information Data �- A.^ N I CA C ■ 0 FAX ® EMAIL ® Same as Climl w to PSI ;11; K10886DA-9 Y,Wp amvvk IWA parneAlratdrhill � Praiect Mame: CashReaidetrce — — — TEL: sea.eea.env TEL: 30-822-0300 ® A DEX ® AsddN Deliweratgm Frv[ �� a•a7 - Client Information -- Project Location; Brewster,MAStattr P-qwwC+ - Client. Bennett Environmental Assoiates P #; KIGMDA.S.tA.700 _Address: 1573 Main Street ProLed plana =Samantha Famankap�.- _ Breuer MA. 02631 ALPHA O.M 6 Phone. 508-898-1706 . Time Fax _505.896-5109 Standard [a Rush tOKY IF QRB.APPKIveD, Email: sfa.rrenk02wAtSvft1er.r, M ® rhawwmaM 9+pw�eeenl roviou*M�ndy�adbyApha Due Oate, Time; 04her Project Specific RequiremenWCominenlsA)etaction Limits; ALPHA Lab Iia i (Let) use only) II Page 16 of 16 Sarrfle- ICD Colleclian Sample Sampler's ;pais � 14iaGix knlllalt- WALYSIS; L i I LJ L'i LJ LJ I:I LJ LJ LJ LJ SAMPLE KANDL1Nd I a ptwvlut- *0* =ftP"* — aw :=,n ual To aw b WW r AN aanipiq$ are we sPOM*na�rms ContainerTepe PreservartNre P FP - o u uwwd By: Fnasusma Receffmd By; DaleFrimi 3ubrrMled '�> , f 7 7 # r1fr .1 *f C3 Omw 0 INot Mavdrid ❑ La6 to da a Lala to d'o © v nM— ac z Wmff —0■191LIifflim ■�L■1!!Iim"K IMM[ it I L i I LJ L'i LJ LJ I:I LJ LJ LJ LJ I L -i LJ I a ptwvlut- *0* =ftP"* — aw :=,n ual To aw b WW r AN aanipiq$ are we sPOM*na�rms ContainerTepe PreservartNre P FP - o u uwwd By: D awrtm Receffmd By; DaleFrimi 3ubrrMled '�> , f 7 7 # r1fr .1 *f r-ALy \TICAL ANALYTICAL REPORT Lab Number: L2322934 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: Samantha Farrenkopf Phone: (508) 896-1706 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Report Date: 05/11/23 Serial No:05112312:42 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 16 Project Name: Project Number: Alpha Sample ID L2322934-01 Page 2 of 16 CASH RESIDENCE K10885DA.S.IA.700 Client ID EFFLUENT Matrix WATER Sample Location BREWSTER, MA Serial No:05112312:42 Lab Number: L2322934 Report Date: 05/11/23 Collection Date/Time Receive Date 04/27/2310:00 04/27/23 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Case Narrative Serial No:05112312:42 Lab Number: L2322934 Report Date: 05/11/23 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. 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. K� C�✓�� Kelly O'Neill Authorized Signature: Title: Technical Director/Representative Page 3 of 16 Date: 05/11/23 INORGANICS m MISCELLANEOUS Page 4 of 16 Serial No:05112312:42 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Lab ID: L2322934-01 CVN Client ID: EFFLUENT KAF Sample Location: BREWSTER, MA KAF Sample Depth: 121,4500NH3-H AVT Matrix: Water JRG Parameter Result Qualifier Units General Chemistry - Westborough Lab Solids, Total Suspended 190 mg/I Nitrogen, Nitrite 0.14 mg/I Nitrogen, Nitrate 0.47 mg/I Nitrogen, Total Kjeldahl 45.4 mg/l BOD, 5 day 72 mg/I Page 5 of 16 SAMPLE RESULTS RL Serial No:05112312:42 Lab Number: L2322934 Report Date: 05/11/23 Date Collected: 04/27/23 10:00 Date Received: 04/27/23 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method mut 20 NA 0.050 0.10 1.50 30 NA 4 04/29/2311:34 121,2540D CVN 1 04/28/23 04:55 44,353.2 KAF 1 - 04/28/23 04:55 44,353.2 KAF 5 05/08/23 18:45 05/10/23 23:03 121,4500NH3-H AVT 15 04/28/23 22:05 05/03/23 16:41 121,52106 JRG Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Method Blank Analysis Batch Quality Control Serial No:05112312:42 Lab Number: L2322934 Report Date: 05/11/23 Page 6 of 16 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1772189-1 Nitrogen, Nitrite ND mg/l 0.050 04/28/23 03:13 44,353.2 KAF General Chemistry Westborough Lab for sample(s): 01 Batch: WG 1772194-1 Nitrogen, Nitrate ND mg/l 0.10 - 04/28/23 03:18 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1772621-1 BOD, 5 day ND mgll 2.0 NA 1 04/28/23 22:05 05/03/23 16:41 121,52106 JRG General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1772783-1 Solids, Total Suspended ND mg/I 5.0 NA 1 - 04/29/23 11:34 121,2540D CVN General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1776357-1 Nitrogen, Total Kjeldahl ND mg/l 0.300 -- 1 05/08/23 18:45 05/10/23 22:37 121,4500NH3-H AVT Page 6 of 16 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Lab Control Sample Analysis Batch Quality Control LCS LCSD Parameter _ _ _ _ %Recove Qual %Recovery Qual General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1772189-2 Nitrogen, Nitrite General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1772194-2 Nitrogen, Nitrate. General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1772621-2 BOD, 5 day General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1772783-2 Solids, Total Suspended General Chemistry - Westborough Lab Associated sample(s): 01 Batch: W61776357-2 Nitrogen, Total Kjeldahl )r. - Page 7 of 16 Serial_No:05112312:42 Lab Number: L2322934 Report Date: 05/11/23 %Recovery Limits _ RPD Qual RPD Limits 90-110 20 90-110 85-115 20 80-120 78-122 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Matrix Spike Analysis Batch Quality Control Native MS MS MS MSD Parameter _ Sample Added Found %,Recovery Qual Found General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG1772189-4 Nitrogen, Nitrite ND 4 4.1 i .2 _ Serial No:05112312:42 Lab Number: L2322934 Report Date: 05/11/23 MSD Recovery RPD %Recovery Qual Limits RPD Qual Limits QC Sample: L2322877-01 Client ID: MS Sample 80-120 20 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1772194-4 QC Sample: 1-2322877-01 Client ID: MS Sample Nitrogen, Nitrate 8.9 4 13 - 83-113 6 General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG1772621-4 QC Sample: 1-2323187-01 Client ID: MS Sample BOD, 5 day 13 100 110 101 50-145 35 General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG1776357-4 QC Sample: L2322824-01 Client ID: MS Sample Nitrogen, Total Kjeldahl 9.49 8 14.5 6.. Q 77-111 24 Page 8 of 16 , Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Serial No:05112312:42 Lab Duplicate Analysis Batch Quality Control Lab Number: Report Date: L2322934 05/11/23 Parameter _ _ Native SamL le Duplicate Sample Units RPD Qual RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1772189-3 QC Sample: L2322877-01 Client ID: DUP Sample Nitrogen, Nitrite ND ND mg/l NC 20 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1772194-3 QC Sample: L2322877-01 Client ID: DUP Sample Nitrogen, Nitrate 8.9 8.9 mg/I 6 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1772621-3 QC Sample: L23231187-0 1. 1 Client ID: DUP Sample BOD, 5 day 13 13 mg/l 35 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1772-783-3 QC Sample: L2322922-01 Client ID: DUP Sample Solids, Total Suspended 52 54 mg/I 4 32 General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: W61772783-4 QC Sample: L2322935-01 Client ID: DUP Sample Solids, Total Suspended 39 42 mg/l 32 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1776357-3 QC Sample: L2322824-01 Client ID: DUP Sample Nitrogen, Total Kjeldahl 9.49 9.52 mg/l 24 Page 9 of 16 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Were project specific reporting limits specified? Cooler Information Cooler Custody Seal A Absent Container Information Container ID Container Type L2322934 -01A Plastic 250ml H2SO4 preserved L2322934-01 B Plastic 950ml unpreserved L2322934 -01C Plastic 950m] unpreserved Sample Receipt and Container Information YES initial Final Temp Cooler pH PH deg C Pres Seal A <2 <2 2.2 Y Absent A 7 7 2.2 Y Absent A 7 7 2.2 Y Absent Frozen Date/Time Page 10 of 16 *Values in parentheses indicate holding time in days Serial No:05112312:42 Lab Number: L2322934 Report Date: 05/11/23 Analysis(*) TKN-4500(28) NO2-353(2), BOD -5210(2), NO3-353(2) TSS -2540(7) Serial No:05112312:42 Project Name: CASH RESIDENCE Lab Number: L2322934 Project Number: K10885DA.S.IA.700 Report Date: 05/11/23 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 ofPAHs 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: Tenn is utilized when one or more of the results utilized in the calculation are non -detect at the parameter's reporting unit. NDPA/DPA - N-Nitrosodiphenylamine/Diphenylamine. 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 Page 11 of 16 Serial No:05112312:42 Project Name: CASH RESIDENCE Lab Number: L2322934 Project Number: K10885DA.S.IA.700 Report Date: 05/11/23 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, C1-C4 Naphthalenes, 2 -Methylnaphthalene, 1 -Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, C1-C3 Fluorenes, Phenanthrene, CI -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. 3 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 Page 12 of 16 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Serial No:05112312:42 Lab Number: L2322934 Report Date: 05/11/23 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 13 of 16 Serial No:05112312:42 Project Name: CASH RESIDENCE Lab Number: L2322934 Project Number: K10885DA.S.IA.700 Report Date: 05/11/23 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. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re -perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 14 of 16 Serial_No:05112312:42 Alpha Analytical, Inc. ID No.:17873 Facility: Company -wide Revision 19 Department: Quality Assurance Published Date: 4/2/2021 1:14:23 PM Title: Certificate/Al: uroval Program Summa; Page 1 of 1 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Westborough Facility EPA 624/624.1: m/p-xylene, o -xylene, Naphthalene EPA 6251625.1: 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: Dimethyl naphthalene, 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-l-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, SM232013, SM2540C, SM4500H-B, SM450ONO2-B EPA 332: Perchlorate; EPA 524.2: THMs and VOCs; EPA 504.1: EDB, DBCP. Microbiology: SM92158; SM9223-PIA, SM9223B-Colllert-QT,SM9222D. Non -Potable Water SM4500H,B, EPA 120.1, SM251013, SM2540C, SM232013, 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, SM522013, EPA 410.4, SM5210B, SM5310C, SM4500CL-13, EPA 1664, EPA 420.1, SM4500-CN-CE, SM254013, 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-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 15 of 16 Pre-Qualtrax Document ID: 08-113 DH IN OF U TODY PAGE 1 , - Project Information ViMberauON MA #krwflWd, MA Project Name: Cash Residence �:t• JIr,fs as r+4ti Jea-L— IN+" • P.ri*ee pt t.o on, Birewsor, AiBII, Client Bennett Environmental AssocWtes Prof #: K108B5MSIA,700 Address, 1573 Main Street _ Pro�ecl Mfaru_ae(: Saananthe FamerakndP — Brewster MIA 02631 ALPuA i]ialL- a — Phone: 50"96.1"" Fax, 5505 M-5109 _ ® Standard © Rush (pKYiFpRE- *FiovFA Email: sfarremkopfE.NSUWoler.oam TdMe eampees neve bw PmvftL-f am*M by Aaphe tate Date; Time: Other Project Specifle Requlreme tslCommentslDetec con Limits: ALPHA Lob It)SaWre PD (tab use Only) fo+b• No matpMa Vw XIA"MY Page 16 of 16 Cohesion Sample I Samptar's fiats I lima Matrix haldels /OC7 Serial No:05112312:42 L�& 79LI. Oft Rodd In Lab; � �,� - - ALPHA Job #:_ '`' FAX Q EMAIL I Sameaas CMent into POS., K108850A.s E3 ADEx Q' Add'IDeItRrOWS Regulaioquirernents,'Report Limits eC RMa'Y t CtI�AYfe 4 IWIN zl I IMF LEO] T 101 Corrtainer Type n A p Presemratiurt o Q o R811rqutsr`ed By- p SAMPLE HANDLING FirhsebH El @ane a Nat NW04 C] Lab to do 0 Lab f*do lw4N eep••iila CwWal • s Q IIIF-11IJ U10113 3. hmnaf wM to kVW ti� *a A& .ren unary engpquAlac,rs mdvw. Mew submM ad we rubjW ta 4yaheru Penned 74mu Received By,t}ewrrane - 4ELPHA .0 Pq-A_L + ; ICAC ANALYTICAL REPORT Lab Number: L2338544 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: Samantha Farrenkopf Phone: (508) 896-1706 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Report Date: 07/20/23 Serial No:07202312:14 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 16 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Alpha Sample ID L2338544-01 Page 2 of 16 Client ID Matrix EFFLUENT WATER Sample Location BREWSTER, MA Serial No:07202312:14 Lab Number: L2338544 Report Date: 07/20/23 Collection Date/Time Receive Date 07/05/2310:40 07/06/23 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Case Narrative Serial No:07202312:14 Lab Number: L2338544 Report Date: 07/20/23 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. i 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. A Kelly O'Neill Authorized Signature: Title: Technical Director/Representative Page 3 of 16 Date: 07/20/23 INORGANICS r9 MISCELLANEOUS Page 4 of 16 Serial No:07202312:14 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Lab ID: L2338544-01 Date Client ID: EFFLUENT Sample Location: BREWSTER, MA Prepared Sample Depth: Method Analyst Matrix: Water NA 10 Parameter Result Qualifier Units General Chemistry • Westborough Lab 0.050 Solids, Total Suspended 240 mg/I Nitrogen, Nitrite 0.092 mg/1 Nitrogen, Nitrate 0.12 mg/I Nitrogen, Total Kjeldahl 56.1 mg/l BOD, 5 day 49 mg/I Page 5of16 SAMPLE RESULTS Serial No:07202312:14 Lab Number: L2338544 Report Date: 07/20/23 Date Collected: 07/05/23 10:40 Date Received: 07/06/23 Field Prep: Not Specified Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 50 NA 10 07/07/2314:48 121,2540D CVN 0.050 1 07/07/23 03:36 44,353.2 KAF 0.10 1 - 07/07/23 03:36 44,353.2 KAF 6.00 20 07/19/23 02:32 07/19/23 13:31 121,4500NH3-H KEP 10 NA 5 07/07/23 01:09 07/11/23 20:23 121,521013 JRG Project Name: CASH RESIDENCE Project Number: K' 0885DA.S.IA.700 Method Blank Analysis Batch Quality Control Serial No:07202312:14 Lab Number: L2338544 Report Date: 07/20/23 Page 6 of 16 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1800383-1 BOD, 5 day ND mg/I 2.0 NA 1 07/07/23 01:09 07/11/23 20:23 121,52106 JRG General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1800388-1 Nitrogen, Nitrite ND mg/I 0.050 1 07/07/23 02:12 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1800390-1 Nitrogen, Nitrate ND mg/l 0.10 -- 1 - 07/07/23 02:14 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1800742-1 Solids, Total Suspended ND mg/l 5.0 NA 1 07/07/23 14:48 121,2540D CVN General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1804728-1 Nitrogen, Total Kjeldahl ND mg/I 0.300 -- 1 07/19/23 02:32 07/19/23 12:51 121,4500NH3-H KEP Page 6 of 16 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Lab Control Sample Analysis Batch Quality Control LCS LCSD Parameter _ _ %Recovery _Qual %Recovery quaI General Chemistry -Westborough Lab Associated sample(s): 01 Batch: WG1860383-2 BOD, 5 day General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1800388-2 Nitrogen, Nitrite tgy7 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1800390-2 Nitrogen, Nitrate General Chemistry - Westborough Lab Associated sample(s): 01 Batch: W"' G'1-8'00742-2 Solids, Total Suspended General Chemistry -Westborough Lab Associated sample(s): 01 Batch: WG1804728-2 Nitrogen, Total Kjeldahl •1•; _ Page 7 of 16 Serial No:07202312:14 Lab Number: L2338544 Report Date: 07/20/23 %Recovery Limits RPD Qual RPD Limits 85-115 20 90-110 90-110 80-120 78-122 20 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Matrix Spike Analysis Batch Quality Control Native MS MS MS MSD Parameter _ _ _ Sample - Added Found %Recovery Qual Found General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG18003834 BOD, 5 day ND 100 87 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1800388-4 Nitrogen, Nitrite ND 4 4.2 105 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1800390-4 Nitrogen, Nitrate ND 4 4.1 Serial No:07202312:14 Lab Number: L2338544 Report Date: 07/20/23 MSD Recovery RPD %Recovery Qual Limits RPD Qual Limits QC Sample: L2338278-02 Client ID: MS Sample 50-145 35 QC Sample: 1_2338531-01 Client ID: MS Sample 80-120 20 QC Sample: L2338531-01 Client ID-. MS Sample 83-113 6 General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG1804728-4 QC Sample: L2338365-03 Client ID: MS Sample Nitrogen, Total Kjeldahl ND 8 7.17 77-111 24 Page 8 of 16���, Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Serial No:07202312:14 Lab Duplicate Analysis Batch Quallty Control Lab Number. Report Date: L2338544 07/20/23 Parameter Native Sample Duplicate Sam -ole .-- Units RPD Qual RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1800383-3 QC Sample: L2338278-02 Client ID: DUP Sample BOD, 5 day ND ND mg/I 35 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: W61800388-3 QC Sample: L2338531-01 Client ID: DUP Sample Nitrogen, Nitrite ND ND mg/l NC 20 General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG1800390-3 QC Sample: L2338-531-01 Client ID: DUP Sample Nitrogen, Nitrate ND ND HC, g General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1800742-3 QC Sample: L2338049-02 Client ID: DO Sample Solids, Total Suspended 800 1000 r, i 32 General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG1800742-4 QC Sample: L2338375-02 Client ID: DUP Sample Solids, Total Suspended 77 65 mg/I 32 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1804728-3 QC Sample: L2338365-03 Client ID: DUP Sample Nitrogen, Total Kjeldahl ND 0.317 mg/l vt: 24 Page 9 of 16 Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Were project specific reporting limits specified? Cooler Information Cooler Custody Seal A Absent Container Information Container ID Container Type L2338544 -01A Plastic 250ml H2SO4 preserved L2338544 -01B Plastic 950ml unpreserved L2338544 -01C Plastic 950ml unpreserved Serial No:07202312:14 Lab Number: L2338544 Report Date: 07/20/23 Sample Receipt and Container Information YES Initial Final Temp Frozen Cooler pH pH deg C Pres Seal Date/Time Analysis(*) A <2 <2 2.1 Y Absent TKN-4500(28) A 7 7 2.1 Y Absent TSS -2540(7) A 7 7 2.1 Y Absent NO2-353(2), NO3-353(2), BOD -5210(2) Page 10 of 16 *Values in parentheses indicate holding time in days Project Name: CASH RESIDENCE Project Number: K10885DA.S.IA.700 Serial No:07202312:14 Lab Number: L2338544 Report Date: 07/20/23 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: Tenn is utilized when one or more of the results utilized in the calculation are non -detect at the parameter's reporting unit. NDPA/DPA - N-Nitrosodipheny]amine/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 11 of 16 Serial No:07202312:14 Project Name: CASH RESIDENCE Lab Number: L2338544 Project Number: K10885DA.S.IA.700 Report Date: 07/20/23 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 ofthe 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 ora subset ofthe following compounds: Naphthalene, Cl -C4 Naphthalenes, 2 -Methylnaphthalene, 1 -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 ofthe 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 ofthe 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 ofthe analyte above the reporting limit. For NJ -related projects (excluding Air), flag only applies to associated field samples that have detectable concentrations ofthe analyte, which was detected above the reporting limit in the associated method blank or above five times the reporting Iimit for common lab contaminants (Phthalates, Acetone, Methylene Chloride, 2-Butanone). C Co -elution: The target analyte co -elutes with a known lab standard (i.e. surrogate, internal standards, etc.) for co -extracted analyses. D Concentration of analyte was quantified from diluted analysis. Flag only applies to field samples that have detectable concentrations of the analyte. E - Concentration of analyte exceeds the range ofthe calibration curve and/or linear range ofthe 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 Page 12 of 16 Serial No:07202312:14 Project Name: CASH RESIDENCE Lab Number: L2338544 Project Number: K10885DA.S.IA.700 Report Date: 07/20/23 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 An� Page 13 of 16 Serial No:07202312:14 Project Name: CASH RESIDENCE Lab Number: L2338544 Project Number: K10885DA.S.IA.700 Report Date: 07/20/23 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. 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. r,;A Page 14 of 16 Alpha Analytical, Inc. Facility: Company -wide Department: Quality Assurance Title: Certificate/Ar r_roval Program Summarl Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Serial No:07202312:14 ID No.:17873 Revision 20 Published Date: 6/16/2023 4:52:28 PM Pa,e1of1 Westborough Facility EPA 624.1: m/p-xylene, o -xylene, Naphthalene EPA 625.1: alpha -Terpineol EPA 8260D: NPW: 1,2,4,5-Tetram ethyl benzene; 4-Ethyltoluene, Azobenzene; SCM: lodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4- Ethyltoluene. EPA 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 2540D. TSS. 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 524.2: THMs and VOCs; EPA 504.1: EDB, DBCP. Microbiology: SM921513; SM9223-P/A, SM9223B-Colilert-QT,SM9222D. Non -Potable Water SM4500H,B, EPA 120.1, SM2510B, SM2540C, SM232013, SM4500CL-E, SM4500F-BC, SM4500NH3-BH: Ammonia -N and Kjeldahl -N, EPA 350.1: Ammonia -N, LACHAT 10-107-06-1-B: Ammonia -N, EPA 351.1, SM4500NO3-F, EPA 353.2: Nitrate -N, SM4500P-E, SM450013-13, E, SM4500SO4-E, SM5220D, EPA 410.4, SM521013, SM5310C, SM4500CL-D, EPA 1664, EPA 420.1, SM4500-CN-CE, SM254013, 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). Microbiology: SM9223B-Colilert-QT; Enterolert-QT, SM9221E, 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: AI, 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 15 of 16 Pre-Qualtrax Document ID: 08-113 CHAIN OF CUSTODY PAGE 1OF, � Dab&RAedInLab: ' � 4?*41 Z r r e 4 n t� tNa�orauph. MA Manfffift MA 0 FAX TEL 508-M-9220 7EL; 3lX!-e22 ow Pr0jeat Name: Cash Residence �' AM rntc ft �ilq cas• -74 ju: ate Client Information Pact ILocatton: Brewster, MA StataFedPrnprim Client Bennatt Environmental Assodetes Pngiect #: K10885DA.S.LaL700 J Phone: 506-896-17061.1rn-Around Time Ptak: 50""5109 Startderd {� iZE18tl (ONLY IF Plfi>E,tlWPkdVEnr Emaik: sferrenkatt NSUtWater,com El Thaso samOm hwo br+w+ PIWOK * ars N7A by AfpM Due Date: T Im Other Project Specific RequirementsfComment$JDetection Limits: ALPHA Ub ID Sample ID T COW&M IaMna a o�axt a.M Page 16 of 16 Q m Sample i samplees Z Serial No:07202312:14 ALPHA Job #: Deliverables EMIL ® sante as eisntierc PO $; KI08851 A,S ' Add'i 10611w ables SAMPLE NAWLING FNeuvan [3 Dona 19 Not N**dwd 0 Lab bo da ftnea lfon 13 Lab to do t7ah— a bairtarf tr "Wir taaacthc G*Mwdws I LJ Container Type P P - PM-ervatiVe 0 o t3 - PIa#aI#np�r�,hglby andaorzrpFMety, SamPlaatlar W bo Wgwd in and DaRttliirnt4 R By: Daatefrkm turnmmarltl"adlo*wxfiat slat wd amp emblawfift sra � _ a:aWaetl. NI antldlil { Abtr "w9Twma BENNETT ENVIRONMENTAL ASSOCIATES, LLC. A NATURAL SYSTEMS UTILITIES COMPANY LICENSED SITE PROFESSIONALS * ENVIRONMENTAL SCIENTISTS * GEOLOGISTS * ENGINEERS 1573 Main Street, Brewster, MA 02631 * 508-896-1706 * Fax 508-896-5109 * www.bennett-ea.com LETTER OF TRANSMITTAL TO: Massachusetts Department of Environmental Protection Attention: Title 5 Program 100 Cambridge Street, Suite 900 Boston, MA 02114-2534 SHIPPING METHOD: DATE: 9/26/23 REGARDING: Middleton Residence 17 Russell's Path Brewster, MA 02631 JOB NUMBER: K11090DA.S.IA.700 L Regular Mail ❑ Pick Up Priority ❑ Mail ❑ Hand Deliver ❑ Express Mail ❑ Other ❑ Certified Mail Green Card/RR 0 COPIES DATE �- DESCRIPTION 1� DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems (October 2022, April 2023) 1 eptiTech inspection form (October 2022, April 2023) 1 11/2/22 Alpha Analytical Laboratory report 1 5/11/23 Alpha Analytical Laboratory report For review and comment: ❑ For approval: ❑ As requested: ❑ For your use: 0 REMARKS: Please find enclosed the DEP Inspection and O&M Forms, Waterloo Biofilter inspection forms, and laboratory results for operation and maintenance conducted during the reporting period for the above referencedproperty. If you have any questions or require additional information, please contact us at your earliest convenience. Thank you. cc: Brewster Board of Health [via email] Noreen and Joseph Middleton, Property Owners [via email] FROM: Samantha Farrenkopf, Innovative Alternative Program Supervisor If enclosures are not as noted, kindly notify us at once Massachusetts Department of Environmental Protection ? Bureau of Resource Protection - Title 5 ' DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. OQ F low --A A. Installation Noreen &_Joseph Middleton Owner 17 Russell's Path _ Facility Street Address Brewster City Mailing address of owner, if different: 85 Elm Street Street Address/PO Box: Milton City (617) 549 - 2274 ext. Telephone Number 02631 Zip MA 02186 State Zip B. Authorized Service Provider Bennett Environmental Associates, LLC O&M Firm 1573 Main Street Street Address Brewster_ MA City State (508) 896 - 1706 ext. 1140 Telephone Number Joseph Smith 12529 Certified Operator Name Certification Number C. Facility/System Information DEP ID Unknown Installation Date Clearwater Industries Manufacturer ID 8/22/2005 Start of Operation 02631 Zip Waterloo Biofilter Model Number Approval Type: ❑ General ®Provisional ❑ Piloting ❑ Remedial Seasonal Residence — used less than 6 mo./year: ® Yes ❑ No D. Operating Information 10/17/2022 _ 4/13/22 Inspection Date Previous Inspection Date 3" sludge, 0" scum Sludge Depth (to be checked yearly) Pumping Recommended E] Yes ®No t5aiom.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A I- Treatment and Disposal Systems p Y E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other (specify): — Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some 6.90 SU 5.0 mg/L 2.11 NTU pH 6 to 9 DO 2 or greater Turbidity 40 orless Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ❑ TN ® Other (list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and monitoring event. Collect effluent samples for field testing and laboratory anal sis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc • rev. 04-11-13 Page 2 of 3 i Massachusetts Department of Environmental Protection - Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. Operator Signature 2/3/2023 Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use — by January 31s' of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use — by March 311h of each year for the previous 12 months General Use — by September 301h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5'h Floor Boston, MA 02108 t5aiom.doc • rev. 04-11-13 Page 3 of 3 Massachusetts Department of Environmental Protection �"� Bureau of Resource Protection - Title 5 L DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems B. Authorized Service Provider Bennett Environmental Associates, LLC 02186 Zip 0&M Firm 1573 Main Street Street Address Brewster MA 02631 _ City State Zip (508) 896 - 1706 ext. 1140 Telephone Number Tyler Gomes 15320 Certified Operator Name Certification Number C. Facility/System Information Clearwater Industries _ DEP ID Manufacturer ID Unknown 8/22/2005 Installation Date Start of Operation Waterloo Biofilter Model Number Approval Type: ❑ General ® Provisional ❑ Piloting ❑ Remedial Seasonal Residence — used less than 6 mo./year: ® Yes ❑ No D. Operating Information 4/27/2023 _ Inspection Date 12" sludge, 0" scum Sludge Depth (to be checked yearly) 10/17/2022 Previous Inspection Date Pumping Recommended ❑ Yes ® No t5aiom.doc • rev. 04-11-13 Page 1 of 3 A. Installation Important: When Noreen & Joseph Middleton filling out forms Owner on the computer, use only the tab 17 Russell's Path key to move your Facility Street Address cursor - do not Brewster 02631 use the return City Zip key. Mailing address of owner, if different: 85 Elm Street Street Address/PO Box: Milton MA City State (617) 549 - 2274 ext. Telephone Number B. Authorized Service Provider Bennett Environmental Associates, LLC 02186 Zip 0&M Firm 1573 Main Street Street Address Brewster MA 02631 _ City State Zip (508) 896 - 1706 ext. 1140 Telephone Number Tyler Gomes 15320 Certified Operator Name Certification Number C. Facility/System Information Clearwater Industries _ DEP ID Manufacturer ID Unknown 8/22/2005 Installation Date Start of Operation Waterloo Biofilter Model Number Approval Type: ❑ General ® Provisional ❑ Piloting ❑ Remedial Seasonal Residence — used less than 6 mo./year: ® Yes ❑ No D. Operating Information 4/27/2023 _ Inspection Date 12" sludge, 0" scum Sludge Depth (to be checked yearly) 10/17/2022 Previous Inspection Date Pumping Recommended ❑ Yes ® No t5aiom.doc • rev. 04-11-13 Page 1 of 3 * Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other (specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 7.12 SU DO 6 mg/L Turbidity 1 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ❑ TN ® Other (list below) Nitrate Nitrite TKN Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Conduct an operation and monitoring event. Collect effluent samples for field testing and laboratory analysis. Notes and Comments: All mechanical components of the system are operating correctly. Effluent quality passed field testing parameters. t5aiom.doc • rev. 04-11-13 Page 2 of 3 - Massachusetts Department of Environmental Protection ? Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. 5/16/2023 Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health as follows for each inspection performed: Remedial Use — by January 31St of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use — by March 31 th of each year for the previous 12 months General Use — by September 301h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc • rev. 04-11-13 Page 3 of 3 4/8/2021 Permitlnspections Barnstable County Septic Management Program Operator License Number* Samantha Farrenkopf - Bennett Environmental Associates, LLC 3:42 pm Main Submit My Clients My Reperts rlaln I - e > Inspections > Submit Inspection d Ill '' �I Go Back Search Results Start Over Permit Details — Select -- Permit Number BREW-RusOW-Wat Effluent Solids Address 17 Russells Path, Brewster Owner Marne Joseph and Noreen Middleton .Yu Startup Date 08/22/2005 Dissolved Oxygen (D.0) Inspection Details A Component Waterloo Biofilter - Biofilter Inspection Date* Settleable Solids Inspection Time* J2, -a Operator Name* Operator License Number* �S,yto Field Testing Calor Select Odor — Select -- -� Effluent Solids - Selact — pH .Yu Dissolved Oxygen (D.0) 6-p A Turbidity Settleable Solids Site Conditions Seasonal Residence .'Z, Air Temperature Y` A Weather Conditions 7-- I 1 Operating Information 1 Sludge Depth Scum Layer Thickness 8 Pumping Recommended? AT Soil Absorption System Observations I Signs of breakout? Depth Select -- v of Ponding SAS Ponding ,above Invert Select — � Maintenance Issues Any apparent violations of the approval? No � Any cleaning or lubrication performed? https://septic.barnstablecountyhealth.org/app/permit inspections/submit a' 1/3 4/8/2021 Permitlnspections 1I Inspection Details Waterloo Biofilter Model - Biofilter Water meter reading No v Any adjustments of control settings? No v Any testing of pumps, switches or alarms? No v Any equipment failures? No v Any parts replaced? No v Any further recommended corrective actions? No v Inspection Completion 51'� Was this inspection fully completed?* Y=s v Other Comments 1I Inspection Details Waterloo Biofilter Model - Biofilter Water meter reading Septic Tank Clean effluent filter YIU Scum Depth a ~ Sludge Depth 51'� Pump Chamber Pump H -O -A setting Pump timer settings I Elapsed time meter 130Z le -V i Event counter Z 3� JrraJ /0 y/ f "rest alarm Exercise pump /l j Test & clean floats Y6 i Tank condition Waterloo Biofilter Chamber s�.nZ �:ILrr Item Zicpocaw-ump Recirculation Pump (if present) Pump H -O -A setting /�J AJ ib Pump timer settings � Elapsed me meter 5 / /i 7 b 4t—M, Event counter 1657 2o91-12 I Test aiann ics y� Exercise pump 'q .65 Test &clean floats r Tank condition Fcam medium condition i N- Check spray nozzles Vk https;//septic.bamstablecountyhealth.org/app/permit_inspecUons/submit 2/3 4/8/2021 Fan condition Effluent description Comments Submit Inspection Permitlnspections ; r f�� :fes+' `•`•.J 40 kl iC7y / https://septic.bamstablecountyhealth.org/app/permit inspections/submit 3/3 4/8/2021 Permitlnspections Barnstable County Septic Management Program Samantha Farrenkopf - Bennett Environmental Associates, LLC 3:42 pm Main Submit My Clients My Reports Help Home > Inspections > Submit Inspection Go Back `Permit Details Permit Number Address Owner Name Startup Date Inspection Details Component Inspection Date* Inspection Time Operator Name* Search Results BREW-Rus017-Wal 17 Russells Path, Brewster Joseph and Noreen Middleton 08/22/2005 Waterloo Biofiker - Biofilter 3� Af/ Operator License Number* Field Testing Color Select — v Odor — Select -• Effluent Solids — Select — v pH "7. / Dissolved Oxygen (D.0) Turbidity 1 Settleable Solids Site Conditions Seasonal Residence Select -- •• Air Temperature Weather Conditions Operating Information Sludge Depth �a'r Scum Layer Thickness Pumping Recommended? Nov Soil Absorption System Observations 04W NOV Ntyu Signs of breakout? Select — v1.. Depth of Ponding SAS Ponding Above Invert — Select v Maintenance Issues Any apparent violations of the approval? Nov Any cleaning or lubrication performed? https://septic.bamstablecountyhealth.org/app/permit inspections/submit Start Over V `A Z71 Z -j 113 4/8/2021 -51b 30V Permitlnspections v -3 No v �, Any adjustments of control settings? No �y Any testing of pumps, switches or alarms? No Any equipment failures? NO Clean effluent filter Any parts replaced? NO 6� i Any further recommended norractive aNians? No v fv�,. Inspection Completion Pump H -O -A setting Any Was this inspection fully completed?* Yes v 1� Other Comments Tank condition C -.-A -�Wk N.0- 4A k — StUi-'-' �J ��nv 61' Pump timer settings Elapsed time meter Event counter -51b 30V Test alarm v -3 Inspection uetails -Y� 1�) Waterloo Biofilter Model - Biofilter Water meter reading Septic Tank Disposal Pump Recirculation Pump (if present) Clean effluent filter Scum Depth 6� i Sludge Depth 1 y Pump Chamber Pump H -O -A setting Any Pump timer settings Elapsed time meter Event counter -51b 30V Test alarm v -3 Exercise pump -Y� 1�) Test & clean floats Tank condition Waterloo Biofilter Chamber Rem Disposal Pump Recirculation Pump (if present) Pump H -O -A setting Pump timei settings Elapsed time meter Eventmunter Test alarm Ecarc*e pump Test 8 clean iloits Tank condition C -.-A Foam medium condition Check spray nozzles \1 -h https://septic.bamstablecountyhealth.org/app/permit inspections/submit 2/3 4/8/2021 Fan condition Effluent description Comments Submit Inspection ZF4X-7/3 14 , q 3 �n W" 1 37t- t'r . 3 Cl ,,, Permit]nspections (A H 53,E https://septic.barnstablecountyhealth.org/app/permit inspections/submit 3/3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown U� clear ❑ turbid Other (specify): Odor: musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: no ❑ some pH � 6t 19 SU DO 2 o gre temg/L Turbidity 40 or IesNTU Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd T Parameters sampled: ❑ pH ❑ BOD CBOD [Uf TSS [fTN ❑ Other (list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection & during this inspection: Notes and Comments: Sludge Depth (to be checked yearly) Pumping Recommended ❑ Yes ❑ No t5aiom.doc - rev. 04-11-13 Page 2 of 3 BENNETT ENVIRONMENTAL BEA ASSOCIATES ^;j A Natural Systems Utilities Company 1573 MAIN STREET BREWSTER, MA 02631 TEL: (508) 896-1706 1 FAX: (508) 896 5109 Date & Time of Visit: 44'r X) -93 A site visit was conducted today for: _ E O&M Yes [—] No Testing ❑Yes F-] No Repair ❑Yes No Alarm Call Yes No Your system is operating correctly Yes No Tank(s) in need of pumping ❑Yes No Further maintenance required F-1 Yes No Repairs needed ❑Yes No Please contact our office ❑Yes No Contact renewal required ❑Yes No Fail Field testing] Pass ❑ Sample pulled Yes ❑ No Laboratory BENNETT-EA.COM sampling conducted Yes ❑ No BENNETT-EA.COM AT tiA ! C A L ANALYTICAL REPORT Lab Number: L2258014 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: Samantha Farrenkopf Phone: (508) 896-1706 Project Name: MIDDLETON RESIDENCE Project Number: K11090DA.S.IA.700 Report Date: 11/02/22 Serial—No: 11022212:21 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 16 Project Name: MIDDLETON RESIDENCE Project Number: K11090DA.S.IA.700 Alpha Sample ID L2258014-01 Page 2 of 16 Sample Client ID Matrix Location EFFLUENT WATER BREWSTER, MA Serial No:11022212:21 Lab Number: L2258014 Report Date: 11/02/22 Collection Date/Time Receive Date 10/17/22 12:15 10/18/22 Serial No:11022212:21 Project Name: MIDDLETON RESIDENCE Lab Number: L2258014 Project Number: K11090DA.S.IA.700 Report Date: 11/02/22 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. Authorized Signature: Cristin Walker Title: Technical Director/Representative Date: 11/02/22 Page 3 of 16 =-- INORGANICS 10 MISCELLANEOUS Page 4 of 16 Serial—No: 11022212:21 Project Name: MIDDLETON RESIDENCE Project Number: K11090DA.S.IA.700 Lab ID: L2258014-01 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/I Nitrogen, Nitrite 0.068 mg/l Nitrogen, Nitrate 7.7 mg/l Nitrogen, Total Kjeldahl 2.22 mg/I BOD, 5 day 5.5 mg/I Page 5 of 16 SAMPLE RESULTS Serial No:11022212:21 Lab Number: L2258014 Report Date: 11/02/22 Date Collected: 10/17/22 12:15 Date Received: 10/18/22 Field Prep: Not Specified Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 5.0 NA 1 10/22/2210:01 121,2540D CVN 0.050 1 10/19/22 03:15 44,353.2 KAF 0.10 1 - 10/19/22 03:15 44,353.2 KAF 0.600 — 2 11/01/22 14:35 11/01/22 20:00 121,4500NH3-H AT 2.0 NA 1 10/19/22 01:45 10/24/22 06:45 121,52106 JT Project Name: MIDDLETON RESIDENCE Project Number: K11090DA.S.IA.700 Method Blank Analysis Batch Quality Control Serial—No: 11022212:21 Lab Number: L2258014 Report Date: 11/02/22 Page 6 of 16 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1701174-1 BOD, 5 day ND mg/I 2.0 NA 1 10/19/2201:45 10/24/2206:45 121,52108 JT General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1701211-1 Nitrogen, Nitrite ND mg/I 0.050 -- 1 10/19/22 02:39 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1701213-1 Nitrogen, Nitrate ND mg/1 0.10 -- 1 10/19/22 02:42 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1702797-1 Solids, Total Suspended ND mg/I 5.0 NA 1 10/22/22 10:01 121,2540D CVN General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1706498-1 Nitrogen, Total Kjeldahl ND mg/I 0.300 -- 1 11/01/22 14:35 11/01/22 19:45 121,4500NH3-H AT Page 6 of 16 Project Name: MIDDLETON RESIDENCE Project Number: K11090DA.S.IA.700 Lab Control Sample Analysis Batch Quality Control LCS LCSD Parameter _ %Recovery Qual _ %Recovery qua/ General Chemistry -Westborough Lab Associated sample(s): 01 Batch: WG1701174-2 BOD, 5 day General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1701211-2 Nitrogen, Nitrite General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1701213-2 Nitrogen, Nitrate General Chemistry -Westborough Lab Associated sample(s): 01 Batch: WG17027-97-2 Solids, Total Suspended General Chemistry --Westborough Lab Associated sample(s): 01 Batch: WG1706498-2 Nitrogen, Total Kjeldahl Page 7 of 16 Serial No:11022212:21 Lab Number: L2258014 Report Date: 11/02/22 %Recovery Limits RPD Oual RPD Limits 85-115 20 90-110 20 90-110 80-120 78-122 Project Name: MIDDLETON RESIDENCE Project Number: K11090DA.S.IA.700 Matrix Spike Analysis Batch Quality Control Native MS MS MS MSD Parameter _ _ Sample ,Added Found %Recovery Qual Found General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG17011744 BOD, 5 day ND 100 91 91 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1701211-4 Nitrogen, Nitrite 0.16 4 4.3 104 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1701213-4 Nitrogen, Nitrate 0.11 4 4.3 105 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG17106498-4 Nitrogen, Total Kjeldahl 17.6 8 23.6 'v Q Page 8 of 16 Serial—No: 11022212:21 Lab Number: L2258014 Report Date: 11/02/22 MSD Recovery RPD %Recover-,- Qual Limits RPD Qual Limits QC Sample: 1_2257914-01 Client ID: MS Sample 50-145 35 QC Sample: L2257862-01 Client ID: MS Sample 80-120 20 QC Sample: L2257862-01 Client ID: MS Sample 83-113 6 QC Sample: L2258535-01 Client ID: MS Sample 77-111 24 Serial—No: 11022212:21 Page 9 of 16 Lab Duplicate Analysis Project Name: MIDDLETON RESIDENCE Batch Quality Control Lab Number: L2258014 Project Number: K11090DA.S.IA.700 Report Date: 11/02/22 Parameter Native Sample Duplicate Sample Units RPD Qual RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1701174-3 QC Sample: L2257914-01 Client ID: DUP Sample BOD, 5 day ND ND mg/1 35 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1701211-3 QC Sample: L2257862-01 Client ID: DUP Sample Nitrogen, Nitrite 0.16 0.15 mg/I 20 General Chemistry - Westborough Lab Associated sample(s): 01 di -3 -Batch lb: WG1701213-3 QC Sample: L2257862-01 Client ID: DUP Sample Nitrogen, Nitrate 0.11 ND mg/l 6 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1702797-3 QC Sample: L2258007-01 Client ID: DUP Sample Solids, Total Suspended 490 530 mg/l 32 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG 1706498-3 QC Sample: L2258535-01 Client ID: DUP Sample Nitrogen, Total Kjeldahl 17.6 17.2 mg/I 24 Page 9 of 16 Project Name: MIDDLETON RESIDENCE Project Number: K11090DA.S.IA.700 Were project specific reporting limits specified? Cooler Information Cooler Custody Seal A Absent Container Information Container ID Container Type L2258014 -01A Plastic 250ml H2SO4 preserved L2258014-01 B Plastic 950ml unpreserved L2258014 -01C Plastic 950ml unpreserved Serial No: 11022212:21 Lab Number: L2258014 ReportDate: 11/02/22 Sample Receipt and Container Information YES Initial Final Temp Frozen Cooler pH pH deg C Pres Seal Date/Time Analysis(*) A <2 <2 2.7 Y Absent TKN-4500(28) A 7 7 2.7 Y Absent NO2-353(2),NO3-353(2),BOD-5210(2) A 7 7 2.7 Y Absent TSS -2540(7) Page 10 of 16 "Values in parentheses indicate holding time in days Serial Nol1022212:21 Project Name: MIDDLETON RESIDENCE Lab Number: L2258014 Project Number: K1 1090DA. S. IA. 700 Report Date: 11/02/22 GLOSSARY Acronyms DL Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the limit of quantitation (LOQ). The DL includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) EDL Estimated Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The EDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. The use of EDLs is specific to the analysis of PAHs using Solid -Phase Microextraction (SPME). EMPC 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 11 of 16 Serial—No: 11022212:21 Project Name: MIDDLETON RESIDENCE Lab Number: L2258014 Project Number: K11O90DA.S.IA.7O0 Report Date: 11/02/22 Footnotes 1 - The reference for this analyte should be considered modified since this analyte is absent from the target analyte list ofthe 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 ofthe report, Initial pH reflects pH of container determined upon receipt, if applicable. PAH Total: With respect to Alkylated PAH analyses, the'PAHs, Total' result is defined as the summation of results for all or a subset ofthe following compounds: Naphthalene, C1-C4 Naphthalenes, 2 -Methylnaphthalene, 1 -Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, CI -C3 Fluorenes, Phenanthrene, C1-C4 Phenanthrenes/Anthracenes, Anthracene, Fluoranthene, Pyrene, CI -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 ofthe analyte at less than ten times (I Ox) the concentration found in the blank. For MCP -related projects, flag only applies to associated field samples that have detectable concentrations ofthe analyte at less than ten times (1 Ox) the concentration found in the blank. For DOD -related projects, flag only applies to associated field samples that have detectable concentrations ofthe analyte at less than ten times (I Ox) 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 ofthe 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 ofthe calibration curve and/or linear range of the instrument. F The ratio of quantifier ion response to qualifier ion response falls outside ofthe 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 Page 12 of 16 Project Name: Project Number: Data Qualifiers MIDDLETON RESIDENCE K11090DA.S.IA.700 ND - Not detected at the reporting limit (RL) for the sample. Serial No:11022212:21 Lab Number: L2258014 Report Date: 11/02/22 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 \_�rnA Page 13 of 16 Serial No:11022212:21 Project Name: MIDDLETON RESIDENCE Lab Number: L2258014 project Number: K11090DA.S.IA.700 Report Date: 11/02/22 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. 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. ;X_ Page 14 of 16 Alpha Analytical, Inc. Facility: Company -wide Department: Quality Assurance Title: Certificate/Approval Program Summary Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Serial—No: 11022212:21 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, l,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-Ethyithiophene, 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-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, SM522013, EPA 410.4, SM5210B, SM5310C, SM4500CL-D, EPA 1664, EPA 420.1, SM4500-CN-CE, SM254013, 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-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 Pre-Qualtrax Document ID: 08-113 Page 15 of 16 Serial—No: 11022212:21 + y CHAIN OF CUSTODY PAGE t of 7 Wa Rac'd do lam: 1 � l+� �� � ALPHA Job#: L U SIN4 LPH.rA N A s V .p ! 6 A ."roject Information • Swing — ® fAX ® EMAlL Sarna as CII&M Info I PO ;k: K11090rAkS Ww6armoh, KA Ma.wnstd, AtA Project Name. WlBddletola Residence TEL:3oa.asa.s22o TEL. sae422-93M ❑ AM ❑add' C1� ranra6lea Fes. STMP� 79+1 Ftl• :{rLt; r,L'Er _ T --Regulatory. R InformationClient Project Location: S MAter, AAA Client Sennett Erly,•'r mmAnlalAssnafate , jPm�t;ct#: K1IMakS,lA.700 Address: 1573 Maiitt Streel 1 Flrwci Mawfoer. Sama rdho Farrenkaaf Phone- 508-8864705 d Faux: 508-69"109 _ ® Standard ❑ RUSh roar v IF PRE,APPROVEd, Email: sfarnankopIONSUWater.com ❑ These zw war nvm term Pr+ Vv;ty wwWW by A"* Due Daiz Tuna: Other Project Specific Requirements/CommentstDelectilon Units: — ALPF•IA Lob Ib (Lair Usa Only) I IP" a4"" Page 16 of 16 0I 0 I Sample ID c4ea tion senvis z Data Tame Metrix inllWs JS H X WUM M®�LJL■1LJLJLJL��� SAMPLE HAMM Mrr 0 Deas Q N4A hooded E3 Lebtede a'resarr*ftn 0 Lae ro da ryespleNy MMU" swuk .MMEM s ,Cn , I LJ I L! EMO Ell 71 ContaherTym P P P- Preservative d - - aWt - I - Plossa pmr dMnr. M7 a�mmplsrety, 8empsesran be b9pd In SM URMC nd "a do& WANK FAMnqulah4d By, 4 DafalC-wm Reserved 8y; I [3a nu . slam urn wy srwlpu m aro Ma am subjed in Ah*w•sP"mortTwmiY A'IN--iiA ANA L. Y�,T r CAL ANALYTICAL REPORT Lab Number: L2322932 Client: Bennett Environmental Associates 1573 Main Street Brewster, MA 02631 ATTN: Samantha Farrenkopf Phone: (508) 896-1706 Project Name: MIDDLETON RESIDENCE Project Number: K11090DA.S.IA.700 Report Date: 05/11/23 Serial No:05112312:43 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 16 Project Name: MIDDLETON RESIDENCE Project Number: K 1 1090DA. S. IA.700 Alpha Sample ID L2322932-01 Sample Client ID Matrix Location EFFLUENT WATER BREWSTER, MA Serial No:05112312:43 Lab Number: L2322932 Report Date: 05/11/23 Collection Date/Time Receive Date 04/27/2311:30 04/27/23 Page 2 of 16 c� Serial No:05112312:43 Project Name: MIDDLETON RESIDENCE Lab Number: L2322932 Project Number: K11090DA.S.IA.700 Report Date: 05/11/23 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. Kelly O'Neill Authorized Signature: �f1`� Title: Technical Director/Representative Date: 05/11/23 Page 3 of 16 A/�t'`'" INORGANICS 13 MISCL-:LLp.NEO�S Page 4 of 16 Serial No:05112312:43 Project Name: MIDDLETON RESIDENCE Project Number: K11090DA.S.IA.700 Lab ID: L2322932-01 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, Nitrite ND mg/l Nitrogen, Nitrate 6.7 mg/I Nitrogen, Total Kjeldahl 1.77 mg/I BOD, 5 day ND mg/l Page 5 of 16 SAMPLE RESULTS Serial No:05112312:43 Lab Number: L2322932 Report Date: 05/11/23 Date Collected: 04/27/23 11:30 Date Received: 04/27/23 Field Prep: Not Specified Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 5.0 NA 1 04/29/2311:34 121,2540D CVN 0.050 -- 1 04/28/23 04:54 44,353.2 KAF 0.10 - 1 04/28/23 04:54 44,353.2 KAF 0.600 2 05/08/23 18:45 05/10/23 22:58 121,4500NH3-H AVT 2.0 NA 1 04/28/2308:25 05/03/2312:20 121,52108 MKT Project Name: MIDDLETON RESIDENCE Project Number: K11090DA.S.IA.700 Method Blank Analysis Batch Quality Control Serial No:05112312:43 Lab Number: L2322932 Report Date: 05/11/23 Page 6 of 16 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry Westborough Lab for sample(s): 01 Batch: WG1772189-1 Nitrogen, Nitrite ND mg/I 0.050 1 04/28/23 03:13 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01 Batch: WG 1772194-1 Nitrogen, Nitrate ND mg/I 0.10 -- 1 - 04/28/23 03:18 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1772295-1 BOD, 5 day ND mg/l 2.0 NA 1 04/28/23 08:25 05/03/23 12:20 121,5210B MKT General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1772783-1 Solids, Total Suspended ND mg/I 5.0 NA 1 - 04/29/23 11:34 121,2540D CVN General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1776357-1 Nitrogen, Total Kjeldahl ND mg/I 0.300 -- 1 05/08/23 18:45 05/10/23 22:37 121,4500NH3-H AVT Page 6 of 16 Project Name: MIDDLETON RESIDENCE Project Number: K11090DA.S.IA.700 Lab Control Sample Analysis Batch Quality Control LCS LCSD Parameter _ %Recovery Qual %Recovery qual General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1772189-2 Nitrogen, Nitrite L; General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG 1772194-2 Nitrogen, Nitrate q l General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1772295-2 BOD, 5 day _ General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1772783-2 Solids, Total Suspended General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1776357-2 Nitrogen, Total Kjeldahl Page 7 of 16 Serial No:05112312:43 Lab Number: L2322932 Report Date: 05/11/23 %Recovery Limits RPD Qual RPD Limits 90-110 20 90-110 85-115 20 80-120 78-122 Serial No:05112312:43 Matrix Spike Analysis Project Name: MIDDLETON RESIDENCE Batch Quality Control Lab Number: L2322932 Project Number: K11090DA.S.IA.700 Report Date: 05/11/23 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 QC Batch ID: WG17721894 QC Sample: L2322877-01 Client ID: MS Sample Nitrogen, Nitrite ND 4 4.1 IC? 80-120 20 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG17721944QC Sample: L2322877-01 Client ID: MS Sample Nitrogen, Nitrate 8.9 4 13 83-113 6 General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG1772295-4 QC Sample: L2322922-01 Client ID: MS Sample BOD, 5 day 19 100 130 111 50-145 35 General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG1776357-4 QC Sample: L2322824-01 Client ID: MS Sample Nitrogen, Total Kjeldahl 9.49 8 14.5 F3 Q 77-111 24 Page 8 of 16 Serial No:05112312:43 Page 9 of 16 y o.� Lab Duplicate Analysis Project Name: MIDDLETON RESIDENCE Batch Quality Control Lab Number: L2322932 Project Number: K11090DA.S.IA.700 Report Date: 05/11/23 Parameter _ _ _ _ _ _ Native Samole Duplicate Sam -)Ie Units RPD Qual RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1772189-3 QC Sample: L2322877-01 Client ID: DUP Sample Nitrogen, Nitrite ND ND mg/I 20 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1. 1772194-3 QC Sample: L2322877-01 Client ID: DUP Sample Nitrogen, Nitrate 8.9 8.9 mg/I 6 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1772295-3 QC Sample: L2322922-01 Client ID: DUP Sample BOD, 5 day 19 29 mg/I %F Q 35 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1772783-3 QC Sample: L2322922-01 Client ID: DUP Sample Solids, Total Suspended 52 54 mg/I 32 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1772783-4 QC Sample: L23221935-01 Client ID: DUP Sample Solids, Total Suspended 39 42 mg/I 32 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1776357-3 QC Sample: L2322824-01 Client ID: DUP Sample Nitrogen, Total Kjeldahl 9.49 9.52 mg/I 24 Page 9 of 16 y o.� Project Name: MIDDLETON RESIDENCE Project Number: K11090DA.S.IA.700 Were project specific reporting limits specified? Cooler Information Cooler Custody Seal A Absent Container Information Container ID Container Type L2322932 -01A Plastic 250ml H2SO4 preserved L2322932 -01B Plastic 950ml unpreserved L2322932 -01C Plastic 950ml unpreserved Serial No:05112312:43 Lab Number: L2322932 Report Date: 05/11/23 Sample Receipt and Container Information YES Initial Final Temp Frozen Cooler pH PH deg C Pres Seal Date/Time Analysis(*) A <2 <2 2.2 Y Absent TKN-4500(28) A 7 7 2.2 Y Absent NO2-353(2),BOD-5210(2),NO3-353(2) A 7 7 2.2 Y Absent TSS -2540(7) Page 10 of 16 *Values in parentheses indicate holding time in days Serial No:05112312:43 Project Name: MIDDLETON RESIDENCE Lab Number: L2322932 Project Number: K11090DA.S.IA.700 Report Date: 05/11/23 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 11 of 16 Serial No:05112312:43 Project Name: MIDDLETON RESIDENCE Lab Number: L2322932 Project Number: K1 1090DA.S. IA.700 Report Date: 05/11/23 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, C1-C4 Naphthalenes, 2 -Methylnaphthalene, 1 -Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, CI -C3 Fluorenes, Phenanthrene, CI -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 Page 12 of 16 Serial No:05112312:43 Project Name: MIDDLETON RESIDENCE Lab Number: L2322932 Project Number: K11090DA.S.IA.700 Report Date: 05/11/23 Data Qualit,ers 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 13 of 16 Serial No:05112312:43 Project Name: MIDDLETON RESIDENCE Lab Number: L2322932 Project Number: K11090DA.S.IA.700 Report Date: 05/11/23 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. LIMITATION OF LIABILITIES Alpha Analytical performs services with reasonable care and diligence normal to the analytical testing laboratory industry. In the event of an error, the sole and exclusive responsibility of Alpha Analytical shall be to re -perform the work at it's own expense. In no event shall Alpha Analytical be held liable for any incidental, consequential or special damages, including but not limited to, damages in any way connected with the use of, interpretation of, information or analysis provided by Alpha Analytical. We strongly urge our clients to comply with EPA protocol regarding sample volume, preservation, cooling, containers, sampling procedures, holding time and splitting of samples in the field. Page 14 of 16 Serial_No:05112312:43 Alpha Analytical, Inc. ID No.:17873 Facility: Company -wide Revision 19 Department: Quality Assurance Published Date: 4/2/2021 1:14:23 PM Title: Certificate/Approval Pro-3ram Summar; Pa.:e 1 of 1 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: 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 -Tetra methyl benzene; 4-Ethyltoluene, Azobenzene; SCM: lodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene. EPA 8270D18270E: NPW: Dimethylnaphthalene,1,4-Diphenylhydrazine, alpha -Terpineol; SCM: Dimethylnaphthalene,1,4-Diphenylhydrazine. SM4500: NPW: Amenable Cyanide; SCM: Total Phosphorus, TKN, NO2, NO3. Mansfield Facility SM 2540D: TSS EPA 8082A: NPW: PCB: 1, 5, 31, 87,101, 110, 141, 151, 153, 180, 183, 187. EPA TO -15: Halothane, 2,4,4-Trimethyl-2-pentene, 2,4,4-Trimethyl-1-pentene, Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3 -Tri methyl benzene, 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-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-D, EPA 1664, EPA 420.1, SM4500-CN-CE, SM2540D, EPA 300: Chloride, Sulfate, Nitrate. EPA 624.1: Volatile Halocarbons & Aromatics, EPA 608.3: Chlordane, Toxaphene, Aldrin, alpha -BHC, beta -BHC, gamma -BHC, delta -BHC, Dieldrin, DDD, DDE, DDT, Endosulfan 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-Colilert-QT; Enterolert-QT, SM9221 E, 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 15 of 16 Pre-Qualtrax Document ID: 08-113 Serial No:05112312:43 CHAIN OF CUSTODY PAM I OF I�, � ALPKA Job #: L-11 F taw, -:"A RNAI J t''.TIRA t wwtborouph. KA fY6rimOeK NA TEL SW488- = xEL,� 6A 4122j" ) Client Bennett ETWIronmental Asmdates —ReportProject Information [J FAX 8 EMAIL 0 SweatClWUnto PO#;K11090114.S Project Nanne. M6ddte ttm Residence 0 ADEx Add't DoWerehles Regulatory Requ i rem en tsl Report Limits Pio Location: Brewster, MA _ �,_e_a P•a_;,. —• _ _ _ �w'.v ProjectM KI T090DA.S.IA,700 iPrOact Manana+: Samantha IFarrankor•F Brewster MA 02631 1 14L" Ower e # -- _ i I— - - Phww:508-696-17`06 mi M. Pax: 5W496-5109 — Standard E Rush (ONLY IF PRE-APPACAMI)l EmaW st9rrenkoir?NSUW9ter.corn Tr*MWAPIes ebeen PrevaMly -eyMana Due Date, Trow Othert'rjWt Specific RegeGremerlt omments/Detection limits: ALPHA Lob lit I — - (Lab USS onW Effluent M*w ho GI-WP+W 0-Y is, 4% Page 16 of 16 ANAL _Re-ri}squished toy: ContainerTyps P E P SAMPLE HANDLING Rwadnn D Dan* B 7161INeadnd a Lab to ego U Lab wdc r+b-e fir SIM010 90111cft apmmmw S Li I L1 I Li LJ U U Li tJ t_I WW *ompWWy, SowmAn an nmRaoel►'ed BY: Ds6erTrme ikoc ekwo not eWt anti any tlmb>,juMisz aiY nm*,wd. All samples ,lowruledM*bmmIakwa fu - AWWS Parwrl Terms im 0 Semple Ifs Coaebm $@cede Samplerr. z Vele Time matrix InPiiala Z _Re-ri}squished toy: ContainerTyps P E P SAMPLE HANDLING Rwadnn D Dan* B 7161INeadnd a Lab to ego U Lab wdc r+b-e fir SIM010 90111cft apmmmw S Li I L1 I Li LJ U U Li tJ t_I WW *ompWWy, SowmAn an nmRaoel►'ed BY: Ds6erTrme ikoc ekwo not eWt anti any tlmb>,juMisz aiY nm*,wd. All samples ,lowruledM*bmmIakwa fu - AWWS Parwrl Terms