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�� Vo���DERB9Fsy9 Town of Brewster Board of Health §, 2198 Main St., Brewster, MA 02631 _ 0 brhealth@brewster-ma.gov (508) 896-3701 ORP BOARD OF HEALTH MEETING AGENDA 2198 Main Street November 1, 2023 at 6:30PM Board of Health This meeting will be conducted in person at the date, time and location identified above. This means that at least a quorum of the members of the public body will attend the meeting in person and members of the public are welcome to attend in person as well. As Penny Holeman a courtesy only, access to the meeting is also being provided via remote means in accordance with applicable law. Please note that while an option for remote attendance and/or participation is being provided as a courtesy to the public, the meeting/hearing will not be suspended or terminated if technological problems interrupt the virtual broadcast or affect remote attendance or participation, Kimberley Crocker unless otherwise required by law. Members of the public with particular interest in any specific item on this agenda, which includes Pearson an applicant and its representatives, should make plans for in-person vs. virtual attendance accordingly. David Bennett Members of the public who wish to access the meeting may do so in the following manner: Phone: Call (301)715-8592 or (312)626-6799. Webinar ID: 820 4394 4509 Passcode: 979174 John Keith To request to speak: Press *9 and wait to be recognized. Zoom Webinar. hM.sj/usO2Web.zusO2Web.zoom.usr/82043944509?iwd=M,ii M2kvUExKbU1RSOhmM01Zb3r' -'- Abigail Archer Passcode: 979174 To request to speak: Tap Zoom "Raise Hand", then wait to be recognized. When required by law or allowed by the Chair, persons wishing to provide public comment or otherwise participate in the meeting, may do so by accessing the meeting. remotely, as noted above. Additionally, the meeting will be broadcast live, in real time, via Live broadcast (Brewster Government TV Channel 18), Livestream (livestream.brewster-ma.gov) or Video recording (tv.brewster- ma.gov) Health Director 1. Call to Order Amy von Hone 2. Declaration of a Quorum Assistant Health 3. Recording Statement Director 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 Sherrie McCullough 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 Senior Department 6. Discuss and vote on draft letter on MWRC (MA Water Resources Authority) Assistant 7. Consent agenda: Tammi Mason a. Septic variance - 53 Bridle Path b. Septic variance -149 Fiddlers Lane c. Septic I/A system - 0 Old Chatham Road 8. Pressure Dose systems update 9. I/A System monitoring information update 10. COA Liaison position update 11. Review & approve minutes from: 8/16/23; 916/23; 9/20/23; 10/4/23 and 10/18/23 meetings 12. Liaison Reports 13. Matters not reasonably anticipated by the Chair 14. Items for next agenda 15. Next meeting: November 15, 2023 16. Informational items: a. Sea Camps monitoring well site plan b. Inspection report for White Rock Commons b. Monthly report for Pleasant Bay Health & Living Center C. Monthly report for Maplewood of Brewster d. Monthly report for Kings Landing e. Monthly report for Town of Brewster (formerly CCSC) September f. Monthly report for Town of Brewster (formerly CCSC) October g. Blood Drive flyer h. Monthly report for Serenity of Brewster I. Dispatch newsletter 17. Adjournment Date Posted: Date Revised: Received by Town Clerk: - 10/13/23 _ yam• ,tet 1 \\fileserverl6\rdocuments$\tmason\DeslCte}�1 JCWKgk bcx TOWN OF BREWSTER 2198 MAIN STREET BREWSTER, MA 02631 PHONE: (508) 896-3701 EXT 1120 FAx: (508) 896-4538 BRHEALTH c BREWSTER-MA.GOV www. BitEwaTER-MA.GO V Received: I0I2.123 Paid: (;4 if 10737 Abutter Deadline: iot+7-I23 R E C E i tj OCT2 ¢147, f" Ft AO IMENT BREWSTER HEALTH DEPARTMENT Application for Board of Health Variances XIn-House Local Upgrade Approval ❑Public Hearing Date: September 25, 2023 SUBJECT PROPERTY ADDRESS: 53 Bridle Path Road Map: 5 Parcel: 66 LC Plan: Lot: Book: 28738 Page: 271 LC Certificate: Name of Applicant: Michael & Cassandra Santos Mailing Address: 53 Bridle Path Road, Brewster, MA 02631 Telephone # _ Owner(s) of Record : Same above Mailing Address: Email: Design Engineer/Sanitarian: Michael Pimentel_ Firm/Company Name: JC Engineering, Inc. Mailing Address: _ 2854 Cranberry Highway, East Wareham, MA 02538 _ Telephone #: 508-273-0377 Email address: mpimentel�eng.org Signature: %C" — Applicant or Engineer New Construction ❑ Voluntary Upgrade ❑Addition/Alteration X Failed system ❑Real Estate Transfer ❑ I Design flow of existing system: _330 Design flow of proposed system:_ 330, Total sewage flow of site: 345.2 Conservation Commission approval required: yes ❑ no Order of Conditions/Det. Of Applicability attached ❑ of all Variances from State Reason for failure: Unknown — Total lot size (sf): . 16,148 s.f. Date of ConCom hearing: N/A TITLE 5, Sec. #: DescriRtion of Variances}. 310 CMR 15.221 71 A 1.7' waiver (3.0'- 4.7') for the maximum cover over the H-20 distribution box. 310 CMR 15.221 IZI A 3 0' waiver (3.0'- 6.0') for the maximum cover over the H-20 SAS. 310 CMR 15.211 A 4.6' waiver 10.0' - 5.4', for the setback from the joF osed SAS to the front prol}eeW line. Brewster Re4. #: Description of Variances Approved by: 'k! _?r _Date: Health Department ti N:1Health\13011 regsllnHouse Septic Local Upgrade Approval 20191Varianceapplication FINAL NONFILLABLE FORM 12.18.19.docx i 1% 11- 1 11 - PROVIDED BY OWNER -0.. 5-3 RoAl> CERTIFIED MAIL RETURN RECEIPT REQUESTED BREWSTER IN-HOUSE SEPTIC LOCAL UPGRADE APPROVAL NOTICE: Date: September 28, 2023 Re: 53 Bridle Path Road Map: 5 Lot: 66 Subject Address Dear Abutter: Please be advised that an application for septic local upgrade approvals from the regulations of the Massachusetts Department of Environmental Protection, Title 5 and/or the Town of Brewster Regulations for Subsurface Disposal of Sewage, has been submitted to the Brewster Health Department for approval. The following variances are requested: List of all variances from State and Town Codes Title 5, Sec # Description of Variance(S) _ 310 CMR 15.221; 7 A 1.7' waiver J3.0'- 4.7'1 for the maximum cover over the H-20 distribution box. 310 CMR 15.221(7 A 3.0' waiver 13.0'- 6.0'1 for the maximum cover over the H-20 SAS. 310 CMR 15.211 A 4.6' waiver ?10.0' - 5.4'. for the setback from the Qronosed SAS to the front-croyerb line. Brewster Re4l. # Descriotion of The application and plans are available for review and comment at the Brewster Health Department, Brewster Town Offices, 2198 Main Street Brewster, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:00 p.m. Sincerely, Applicant/Representative CC: Brewster Health Department N:\Health\BOH regs\InHouse Septic Local Upgrade Approval 2019\inhousevarianceabutternotification NONFILLABLE FORM 12.11.19.docx TOWN OF BREWSTER, MA BOARD OF ASSESSORS 2198 Main Street Brewster, MA 02631 Abutters List Within 65 feet of Parcel 5/66/0 -I 5 G,' RRIAGE DRIVE 5'% .. ft. 1 BUGGY'r' ' •' RO 11 CARRIAGE DRI = L 6/6810 i _ i• _ -i r,+ter '7 1 Certified by: Mm M. Ga[Wher, MAA Deputy Assessor 9/26/2023 Page 1 � I 'I I 5/82/0 5/7210 _ 1 't rl 10.iAGON WHEEL E 9WAGON.WHEELLAW � 1 Ke+ Parcel ID _ Owner _ _ Location Mailirg Street_ Mailiry� ST_ ZipCd/Country 2405 5-52-0-R MUSSO GARY F & 11 CARRIAGE DRIVE 18 HALLMARK LANE HARWICH MA 02645-2053 (21-80-32) BRAY-HAYES MAIRIN R 2392 5-65-0-R EBERHARDT ERNEST ETAL 18 CARRIAGE DRIVE 1a CARRIAGE DRIVE BREWSTER MA 02631 (21-80-19) 2391 5-66-0-R SANTOS MICHAEL & CASSANDRA 53 BRIDLE PATH ROAD 53 BRIDLE PATH ROAD BREWSTER MA 02631 (21-80-18) 2411 5-67-0-R STONE ERIC W 221 BUGGY WHIP ROAD 221 BUGGY WHIP ROAD BREWSTER MA 02631 (21-80-49) 2331 5-68-0-E BREWSTER CONSERVATION TRUST 0 BUGGY WHIP ROAD 36 RED TOP ROAD BREWSTER MA 02631 (21-50) TRUSTEES _ 2412 5-71-0-R BAIN LAWRENCE R & DEBORAH A 62 BRIDLE PATH ROAD 13 ACADEMY HILL LANE SOUTH DENNIS MA 02660 (21-80-50) 2390 5-72-0-R SLAVEN ROBIN L & SCOTT T 9 WAGON WHEEL LANE 9 WAGON WHEEL LANE BREWSTER MA 02631 (21-80-17) _ 2380 5-82-0-R VANBUSKIRK KAREN L 10 WAGON WHEEL LANE 10 WAGON WHEEL LANE BREWSTER MA 02631 (21-80-7) 9/26/2023 Page 1 0 g. co 0 /,v PCORP 0 vt P'll a- 19 150" Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth brewster-ma. ov WWW.BREWSTER-MA.GOV AGENDA ACTION ITEM FORM BOH Variance Agenda Item r_1 In -House Local Upgrade Approval Z Other: F1 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: November 1, 2023, Consent Agenda Project Location: 53 Bridle Path Road Assessors' Map & Parcel: 5/66 Owner's Name & Address: Michael & Cassandra Santos 53 Bridle Path Road Brewster, MA 02631 Applicant: same as owner Date Requested: October 2, 2023 Title 5 Variance Request: YesN NoF_1 Board of Health Variance Request: Yes El No R Other: Yes El No 7 1. Property lies outside Zone 11 and outside the District of Critical Planning (DCPC) 2. Property lies outside an Environmentally Sensitive Area (ESA) 3. Town Water 4. Upgrade of existing Title 5 system due to failure of existing system. Assistant Health Director's Comments: Approve with following comments and conditions. I . The existing 16,148 SF residential property consists of an existing 3 -bedroom dwelling serviced by town water and a Title 5 septic system installed in 1973 approved for a three-bedroom total capacity flow. The existing system is in failure. The applicant proposes to upgrade the system to a Maximum Feasible Compliant Title 5 septic system. The proposed septic system will consist of an existing 1500 -gallon Septic Tank, a new H-20 Distribution Box, and five LC -6 H-20 Leach Chambers with stone. The system will be vented. Total daily flow provided will be 345.2 gallons per day. N:\HealthT0H Meeting Notes\BOH Hearing Notes\53 Bridle Path Road Agenda.Variance Action Item Form 02.29.2023.docx 2. Due to lot constraints the Distribution Box and the Soil Absorption System (SAS) will be greater than 3' below the final grade. In addition, the proposed SAS will not meet the required ten -foot set back to the front property line. 3. The following variances are requested: Title 5: a. 310 CMR 15.221(7) (Maximum Cover); A 1.7' waiver (3.0' — 47) for the maximum cover over the H-20 Distribution Box. b. 310 CMR 15.221(7) (Maximum Cover); A 3.0' waiver (3.0'-6') for the maximum cover over the H-20 SAS. c. 310 CMR 15.211; (Minimum Setback Distances); A 4.6' waiver (10.0' — 5.4') for the setback from the proposed SAS to the front property line. Town of Brewster: None 4. Approval with the following conditions: a. Approve the septic variance as requested above with the following conditions: i. Any future additional flow to the residential structure beyond the existing grandfathered 3- bedroom capacity will need further BOH review. A copy of the BOH Approval Letter 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. ii. Variance will expire one (1) year from the date of the BOH Approval. N:\Health\BOH Meeting Notes\BOH Hearing Notes\53 Bridle Path Road Agenda.Variance Action Item Form 02.29.2023.docx co a- 00 03 N 0 0 C: co 2 F_ We 7////%, 'ek 0 4- 0. co cc, j . Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth-iu-brewster-ma.. ov WWW.BREWSTER-MA.GOV Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R. S. Assistant Director Tammi Mason Senior Department Assistant Notice of Board of Health Variance Approval/Deed Restriction October 13, 2023 Michael & Cassandra Santos — Applicant 53 Bridle Path Road Brewster, MA 02631 RE: 53 Bridle Path Road Brewster, MA Assessors' Map: 5 Parcel: 66 Deed Reference Book: 28738 Page: 271 Plan Reference Book: 268 Page: 72 Lot: 18 Owner of Record: Michael Santos & Cassandra Santos Dear Mr. and Mrs. Santos: On October 13, 2023, the Brewster Health Department reviewed and approved the following variances for the septic system upgrade at the above referenced address per engineered plans by JC Engineering, Inc., dated September 25, 2023. Title 5: a. 310CMR 15.221(7) (Maximum Cover). A I.Twaiver(3.0'-4.7') for the maximum cover over the H-20 Distribution Box. b. 3 10 CMR 15.221(7) (Maximum Cover). A 3.0' waiver (3.0'-6') for the maximum cover over the H-20 SAS. c. 3 10 CMR 15.211 (Minimum Setback Distances). A 4.6' waiver (10.0' — 5.4') for the setback from the proposed SAS to the front property line. Town of Brewster: None In granting the above variance, the Health Department imposes the following Order of Conditions: 1. Any additional flow above the existing three (3) Bedroom capacity to the residential structure will require further review by the Board of Health. 2. Prior to issuance of the Certificate of Compliance, this Variance Approval Letter must be properly recorded at the Barnstable County Registry of Deeds and a recorded copy of same shall be furnished to the Brewster Health Department as N:\Health\BOH Decision Letters\Septic Variance In -House Decisions\Title 5 Brewster Approvals\53 Bridle Path Road InHouseApproval Deed Restriction 10.13.2023.doc proof of the recording. 3. Variances shall expire within one (1) year of the date of this approval. Please feel free to contact me if you have any comments or questions on the above. I can be reached at the Health Department, 508-896-3701, ext. 1120 Sincerely, .1.11 ii�1 � I f { �� I ���' . 1 . Sherrie McCullough, R.S. Assistant Health Director cc: JC Engineering, Inc., 2854 Cranberry Highway, East Wareham, MA 02538 File N:\Health\BOH Decision Letters\Septic Variance In -House Decisions\Title 5 Brewster Approvals\53 Bridle Path Road InHouseApproval Deed Restriction 10.13.2023.doc T -o. F. EL -=88.4'± FINISH GRADE FND. EL.= 5.0't -"ISTD 4" SEWER PIPE ROPOSED EXTENSION RISER VITH COVER OVER INLET & IUTLET TO WITHfN 6' OF F -G- F G. OVER TANK EL. = 85-' - 4-0' PR0POSE 0 4" SCH 40 PVC = - 611 3.1 3" DROIT MAX� , 91 --- - - _ - - T --� - - 2" DROP MtN 3' X3"1 1411 flTRACI! OR TO PROVIDE ECIFIED DROP BETWEEN _ET AND OUTLET *CONTRACTOR TO VERIFY I - SLIEVATION PRIOR TO ANY Ilk, W"wv FNclowrimp IF rmir-PRFS". CONTRACTOR CONTRACTOR SHALL SHALL VERIFY SIZE 48"VERIFY CONDITION OF AND CONDITION OF EXISTING TFES EXISTING SEPTIC AND REPLACE AS TANK NECESSARY i SEWER PIPE \- OUTLET TEE GAS BAFFLE EXISTING 1,500 GALLON CONCRETE SEPTIC TANS Illi I OANK JtILE NOT TO ;SCALE N # PROPOSED FIVE (5 LC- LEACHIN CHAMBERS w? STONE SWING -TIES DESCRIPTION HC -1 HC - CORNER OF STONE (1) 28.3' 49-4 CORNER OF STONE (2) 28.1' 56,6 CORNER OF STONE (3) 48.6' 68,6 CORNER OF STONE (4) 50-9' 67.4' CORNER OF STONE (5) 53-4' 60-4' CORNER OF STONE (6) 44.0' FINISH GRADE OVER D -BOX .;t- 77,54 11 REMOVABLE WATEWTIGHT COVER OVER RISER TO WITHIN 6" OF FINISHED GRADE 6" DIA. OUTLET(S) 4.70' MAX - 4" INLET TEE -%,, Eli NOTE 22) L = 5I± PROVIDE WATERTIGHT 4" PVC IN FROM �JOINTS (TYP.) SEPTIC TANK C OUT TO LEP. ACHI C FACILITY 71.0 yl4 MIN. 71.6 6" CRUSHED STONE OVER MECHANICALLY COMPACTED BASE OUTLET DI TR13UTION BOX TO BE INSTALLEO ON A LEVEL STABLE BASE. FIRST TWO FEET OF OUTLET PIPES TO BE LAID LEVEL. CROSS SECTION VIEW DISIW 41 if 1' IN X DETAIL NOT TO SCALE t- 82 4 ro A~� wv PROX w t7- L�' 4 _ w EDGE DIF PAVEMENT 13RIDLE PAT} cI SITE PLAN SOLE: 1'" = 10' FINISH GRADE OERCHAMBER T 77.50'-78.33' GENERAL NOTES SLOPE c % MIN. OVER SYSTEM ; 314" TO 1-112" DOUBLE WASHED STONE TO GROWN OF PIPE I. UNLE=SS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION 4" SCHEDULE 40 PVC MIN SLOPE 1% PVC VENT PIPE WITH METHODS $HALL HE IN ACCORDANCE WITH TITLE 5 OF THE STATE EN iRONMENTAL CHARCOAL FILTER OF 118" TO 1IZ' DOUBLE WASHED CGDE AND ANY APPLICABLE LOCAL RILES. STONE OR GEOTEXTILE FILTER FABRIC 2, ANY GHANG,ES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE TOP OF SAS = 72.33' 6,00' b AX_ 71.50' (EEE NOTE 2-2) I BREAKOUT EL = 7 .0 ' I o CD 0 0 0 1-00' o o CD CDC� VAR -0' -VARIES I - GROUhID WATER ELEV.= DESIGN ENGINEER. PLACE H-20 RISER ON 3 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL CHAMBERS wlP1PED SYSTEM UNLESS OTHERWISE NOTED. 4NLETS TO WITHIN B" OF FINISHED GRA€?E� TO PREVE INT BREAKOUT, THE PROPOSED FINISHED GLADE SHALL NOT BE LESS THAN ELEVATION = 72,00' FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE SAS- UNLESS A oma# 40 MIL GEOMEMBRAINE LINER IS PLACE AT LEAST FIVE FEET FRom S.A.& AND THE TOP OF THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION, 5. SLOPE ALL SOLID PIPE AT 1.0°% MINIMUM. 5. THIS SYSTEM IS NOT DESIGNEOTORS 1 dUL' CDo � 7- LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK cC�l f 1LLING WHEN SYSTEM IS NEARLY COMPLETE AN€3 {BEADY FOR INSPECTION, SYSTEM I NOT TO BE BACK FILLED WITHOUT FIRST O$TAINiNG APPROVAL FROM BOARD pF WEALTH VAR- 1fpkR- VAR, AND DESIGN ENGINEER. S. ELEVATIONS BASED ON N.A. .D. 1988 DATUM. SEE BENCHMARK LOCATION SHOWN ON PLAN. (TYP.) < 63.80' VARIES 9. CONTRACTOR SHALL, VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION THROUGH DIG -SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 5' MIN, 1 -888 -CNG -SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES LC -6 CHAMBERS CHAMBER END VIEW TO THE DESIGN ENGINEER. TYPICAL CHAMBER PROFILE1 10. ALL JOINTS WHERE P1 PE ENTERS ANP EXITS CONC. STRUCTURES SHALL 13 MACE WATERTI GHT_ H-20 LC- CHAMBER DETAILS 11. NO DETERMINATION HAS BEEN MAD AS TO COMPLIANCE WITH DEEDED OR ZONING _ - T TO SCALE_ _ -~ REGULATIONS. OWNERIAPPLICANT IS TO OBTAIN SUCH DETERMINATION FROM SAS DIM. SCALE: 1" = 10' MOTES: 1. MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT- 211 CONTRACTOR SHALL VERIFY SDI GONDIT IONS IN THE LOCATION OF THE PROPOSED LE=ACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. 3. ENTIRE PROPERTY IS NOT LOCATED WITHIN A MASS DEP ZONE !I. 4. SWI NG', TJ ES SHOWN ON THIS PLAN ARE PROVIDED ONLY AS A COURTESY FOR THE INSTALLED, INSTALLER SHALL VERIFY SWING TIE MEASUREMENTS IN THE FIELD PRIOR TO INSTALLING THE SYSTEM. CONTRACTOR SHALL NOTIFY ENGINEER IF MEASUREMENTS APPEAL TO BE: INCORRECT IN THE FIELD, TEST #T ATA APPROPRIATE AUTHORITY. -rj' ` ■ r _ � ��x � �,' 12. ALL SEPTIC Y�`Isi� COMPONENTS SHALL WITHSTAND H-10 LOADINGUNLESS LOCATED i, 13PERC NO. NIA ■ • ,♦I UNDER MORE THAN 3 FEET OF DOVER OR LOCATED UNDER PAVEMENT, NT, DRIVES. OR _ INSPECTOR,Amy Amy vonHone (BOH) TRAVELE D VIIAYS IN HICFI CASE THEY SMALL WITH TAfVJ] H-20 LOADING EVALUATOR' Michie! PirrrerMtel, ELT, CSI= 3 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES - I C.8E- APPROVAL DATE; Oct. 27, 1999 � - --�t - 14. WHERE REQUIRED, CONTRACTOR SMALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE Red Top j9J?Q0 DATE: August8l,2023 MATERIAL IN AREA UENEATH AND FOR 8 FT. ON ALL BIDES OF LEACHING FACILITY, I - � � r.�. TEST; PIT 4t.1 & REPLACE ALL UNSUITABLE JIAATERIAL WITH CLEAN COARSE SAND EFiEE FI�OIV4 CLAY, • i'• LOCI 1 + ELEV TOP = 74' FINES OR OTHER UN UITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15. 255(3). tJ 15- CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN _ I ELEV WATER = < 63-8(Y SITE CONDITIONS FROM THOSE SHOWN PR10R TO CONTINUATION OF WORK, to )o PERC RATE:z 15. PROPOSED PROJECT IS LOCATED WITHIN ■ �' , � Dryi � ASSESSOR'S MAP 5 LOT 66 `H t ( DEPTH OF PERC nil OWNER OF RECORD. MICHAEL � CASSANDRA SANTOS ..-� •' �x` TEXTURAL CLASS: * �_ ADORES$: 53 BRIDLE PATH ROAD ' l L 3 ! ioi } LOCUS PLAt4 SCALE: 1" =1040' DESIGN DATA NUMBER OF BEDROOMS (EXISTING) 3; NUMBER OF BEDROOMS (DESIGN) 3 DESIGN FLOW _ 110 GAUDAYMEDROOM TOTAL DESIGN FLOW 330 - GAUDAY DESIGN FLOW x 200 ° = 664 GAUDAY USE EXISTING 1.500 GALLON SEPTIC TANK SAS SIZING: INSTALL 5 - L CKAMBERS W/ STONE BIDEWALL CAPACITY (TOTAL PERIMETER) (2' HIGH) (0.74 GPD/S-F.) = GALJDAY (82.93') ( 2' ) ( 0.74 GPD/ S_ F.) = 122-5 GAUDAY BOTTOM CAPACITY (TOTAL FOOTPRINT) (0.74 GPDIS-F-) � GAUDAY (301 S_ F.) (0.74 GPDIS,F.) 222.7 GAUDAY TOTALS: TOTAL NUMBER OF CHAMBERS 5 TOTAL LEACHING AREA 466.5 SQ.FT. TOTAL LEACHING CAPACITY 345-2 GAL.10AY ct b J 1 krmil rrlid riff REPAIA OF Sj;irrif SYNUM ONLY, due is fio�e and i�oc741 xp'ic .711enCM, Hn9hi or Ircum rerinr u1w �Pilrural Yc rcyuli „c ... ..... is � i0 Krrr;l�,4 iyrii'II �. RE ERVED F R 13OA0," F HEALTH USE'. I Iillcnt PPRO E y l I ti2c, N�rno 0. 74 BO' C Fill (Medium Sand) 3" 72-13' C* Med. to Coifse $and 2, Ve 696 10% gravel) 132" 1 53.80' No Mottling, Standing or Wiping Observed ST P I T DATA PERC NO. NIA INSPECTOR- Amy vonHorle (BOH) EVALUATOR: Michael Plmentel, EIT. CSE C -S. E. APPROVAL DATE: Oct. 27. 4999 DATE: August 31. 2023 TEST PJT #: 3 & 4 ELEV TOP = 76-00' ELEV WATER = < 55.00' PERC RATE _ < 2 min -!inch DEPTH OF PERC;-- 5Q" - 78" TEXTURAL CLASS. I IIIIIIC+� 32" sa" Pere 7$" C FIII (Medium Sand) 1 Med. to Coarse Sand 2-5Y 76-00' BRE STER, MA FEMA FLOOD ZONE x COMMUNITY PANEL 0 2600jC0582,1 17. DEED DEFERENCE: BOOK 28738. PAGE 271 1S. PLAN REFERENCE: P. B. 258, PG. 7 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 20. PROPERTY LINE INFORMATION IS ONLY APPJROXIMATE. THJS PLAN IS TO HE USED ONLY FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. 21. OWNER f APPLICANT ! CONTRACTOR SHALL BE RESPONSIBLE TO 013TAIN ANY AND ALL REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. �. IN ACCORDANCE WITH 310 CMR 15.441 -15.446, THE FOLLOWING LOCAL UPGRADE APPROVALS ARE REQUESTED FROM 310 CMR 195.721(7): (1-) A 1.7' WAIVER (3.0' -4-7') FOR THE MAXIMUM COVER OVER THE H-20 D -L30 . (2.) A 3.0' WAIVER (3.0'- 6.0') FOR THE MAX MUM COVER OVER THE H-20 SAS. 2* IN ACCORDANCE WITH 310 CMR 15,401 -15.405, THE FOLLOWING LOCAL. UPGRADE APPROVAL IS JREQUESTED FROM 314 CMR 15.211: (1.) A 4 6 WAIVER (10.0' - 5.4') FOR THE SETBACK FROM THE PROPOSED SAS TO THE FRONT PROPERTY LINE. 73.33' I 7100, 59.50' 132"' ' 65.I7p' No Mottling, Standing or Weeping Observed 50x0' 50 50 0 ■ LEGEND EXISTING SPOT GRADE EXISTING CONTOUR PROPOSED CONTOUR PROPOSED SPOT GRADE EXISTING GAS LINE EXJSTING UNDERGROUND UTILITIES EXISTING WATER LIVE EXISTfNG LANDSCAPED AREA TEST PIT LOCATION EXISTING 1,800 GALLON SEPTIC TANK PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE PROPOSED H-20 DISTRIBUTION BOX PROPOSED H-20 LC LEACHING CHAMBER RE11.DATE I BY APP'1 - DESCRIPTION PROPOSED SEPTIC SYSTEM UPGRADE PREPARED FOR I'rrrprl v„Ii71 nor sEl'h!R QF HIMC ,rsT�:n+ MICHAEL _ CASSANDRA S NTO Stub and lx col n-plk: surkons, Apord of liolth r , it ppro+nl lx mNifvl rnr Iws roi on oitJL ibrL iruslrvmlionl.'ul LtrJ;nuls to suhugm rarililde5 Lnwor s9rilcturV5lll�#Illr, , Brtw!sfur FlicilLh DcF*rimont LOCATED AT A ]POV-tr7 BRIDLE PATH ROAD {lw� 2 W,�' BREISTER, MA 02631 SCALE: 1 INCH = 10 FT. DATE- SEPTEMBER 25, 2023 Ucc ill 2L' 4Q FF..FT N L �, PREPARED ED BY a�uCAAL J ENGINEERING, INC. �b'JL �* NO. 1 o 2854 CRANBERRY HIGHWAY .17 ..;; :....:... EAST W REH M, 'MA 02538 08] 27x7.0 7 7 drawn By r�r�v �eslgru�d $y' hl�l� Cneckea By. JLC .fc)l� Np ��c� TOWN OF BREWSTER 2198 MAIN STREET BREWSTER, MA 02631 PHoNE: (508) 896-3701 ExT 1120 FAx:(508)896-4538 BRHEALTH _ PR '.,1STER MA.G0V WWW.BREWS A.99V Received: Paid: 75-00 Abutter Deadline: Date: September 18, 2023 SUBJECT PROPERTY ADDRESS: 149 Fiddler's Lane OFFICE OF HEALTH DEPORTMENT Application for Board of Health Variances kIn-House Local Upgrade Approval ❑Public Hearing Map: 48 Parcel: 34 Book:34993 page:265 LC Plan: PB 203 PG 127 Lot: 12 Name of Applicant: Joshua & Sarah Brunelle Mailing Address: 169 Fiddler's Lane, Brewster, MA 02631 Telephone # 774-722-0807 Owner(s) of Record &iRwr ! ', Goss Mailing Address: 149 Fiddlers Lane, Brewster, MA 02631 �,fr �pu ff/DlIvI; Noz Ae =± a1P-W LC Certificate: Email: brunelle98062gmail.com Design Engineer/Sanitarian: Jason C. Ellis Mailing Address: P.0 -Box 81, north Eastham, MA 02651 Firm/Company Name: J.C. Ellis Design Co. Inc. _ Telephone #: 508-240-2220 Email address: Jason@jcellisdesign.co- or New Construction ❑ Voluntary Upgrade ❑Addition/Alteration ❑ Failed system El Real Estate Transfer 12 Design flow of existing system: NSA _ Reason for failure: Groundwater Design flow of proposed system: 330_ Total sewage flow of site: 330 Total lot size (sf): 15,995 Conservation Commission approval required: yes [2 no ❑ Order of Conditions/Det. Of Applicability attached ❑ Date of ConCom hearing: 9-27-2023_ TITLE 5, S_ec._#: Descriztion of Variance(;sl 15.211 5' to lot line (Road) 15.240 16% reduction in size of leach area 15.248 1 No reserve Brewster Rem. #: Description of Variance sl Approved by: ��.AU Health Department add I Date: •��! �� % �� N:\Health\BOH regs\InHouse Septic Local Upgrade Approval 2019\Varianceapplication FINAL NONFILLABLE FORM 12.18.19.docx CERTIFIED MAIL RETURN RECEIPT REQUESTED BREWSTER IN-HOUSE SEPTIC LOCAL UPGRADE APPROVAL NOTICE: Date: September 18, 2023 Re: 149 Fiddler's Lane Subject Address Dear Abutter: Map: 48 Lot: Please be advised that an application for septic local upgrade approvals from the regulations of the Massachusetts Department of Environmental Protection, Title 5 and/or the Town of Brewster Regulations for Subsurface Disposal of Sewage, has been submitted to the Brewster Health Department for approval. The following variances are requested: List of all variances from State and Town Codes Title 5, Sec # Description of Variance(s) _ 5' to lot line (Road) 16% reduction in size of leach area No reserve Brewster Re , # Descri tion of Variance(s) I i The application and plans are available for review and comment at the Brewster Health Department, Brewster Town Offices, 2198 Main Street Brewster, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:10 p.m. Sincere) ' _ kpW�ant/Representati . CC: Brewster Health Department N:\Health\BOH regs\InHouse Septic Local Upgrade Approval 2019\inhousevarianceabutternotification NONFILLABLE FORM 12.11.19.dooc OREfW aT�4i TOWN OF BREWSTER, MA BOARD OF ASSESSORS 2198 Main Street Brewster, MA 02631 Abutters List Within 300 feet of Parcel 48/34/0 l r� F11n1 �� 0 Low ROAD. 48/71/0 83 SWAMP. ROAD , 95 FIDDLERS `48/31/0 97 FIDDLERS LA_N_FF-_, .� 48/70M 48/3210 67 SWAMP ROAD 113 FIDDLERS LPOE 4$133!0 � 12FIDDLERS l 48QtW LER 14 ER I S L�h1E i 48(37/0 --- J � 42'YIDDLERS 1ME `\ y 138Ff6DLERS " Boa• o ft Kel Parcel ID +2048 Owner _ T _ Location Mailini Street _ — — Mailing. Cily ST Zi, Cd/Coun -. 48-30-0-R WUILLEMIER ERIC & ROBERTA A 95 FIDDLERS LANE 87 SENTINEL HILL ROAD ATTLEBORO MA 02703 (18-04) 2047 48-31-0-R COLLIER ROBERT E 97 FIDDLERS LANE 177 WOODWARD AVENUE LAST PROVIDENCE RI 02914 (18-43) _ 2059 48-02-0-R FLEMING PAULA M & BENISON FRANCIS J 113 FIDDLERS LANE 40 FALKLAND STREET BRIGHTON MA 02135 (18-56) _ 2058 48-33-0-R MARTELL JOHN & CHRISTINE 121 FIDDLERS LANE 46 HARJEAN ROAD BILLFRICA MA 01821 (1855) 2043 48-340-R GOSS BRIAN 149 FIDDLERS LANE 149 FIDDLERS LANE BREWSTER MA 02631 (18-38-1) _ 2042 48-35-0-R BRUNELLE JOSHUA A & SARAH J 169 FIDDLERS LANE 169 FIDDLERS LANE BREWSTER MA 02631 (18-38) 2030 48-36-0-R BRUNELLE JOSHUA A & SARAH J 0 LOWER ROAD REAR 169 FIDDLERS LANE BREWSTER MA 02631 (18-28-2) 2057 48.37-0-R MAYER PETER G & FRANCES M 142 FIDDLERS LANE 142 FIDDLERS LANE BREWSTER MA 02631 (1854) 2056 48-38-0-R FERRIS JOHN W 138 FIDDLERS LANE 36 FRENCH STREET HINGHAM MA 02043 (I M3) 2788 48-70-0-R DANIELS FREDERICK M & VICKI P 67 SWAMP ROAD 69 ELNA DRIVE TOLLAND CT 06084 (24-6-3) 2789 48-71-0-R BRONSDON CHRISTOHPHER TRUSTEE 83 SWAMP ROAD 2044 DAWN VIEW GLEN ESCONDIDO CA 92026 (24-64) BRONSDON FAMILY IRREVOCABLE TRUST 6/6/2023 Page 1 t f ? f I ( i { t -i i 12- 12- Ki�weo � Jvlol Goryl Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 0263 1-1 898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth brewster-ma., ov WWW.BREWSTER-MA.GOV AGENDA ACTION ITEM FORM BOH Variance Agenda Item ❑ In -House Local Upgrade Approval Other: in 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: November 1, 2023, Consent Agenda Project Location: 149 Fiddler's Lane Assessors' Map & Parcel: 48/34 Owner's Name & Address: Brian Goss 149 Fiddler's Lane Brewster, MA 02631 Applicant: Joshua & Sarah Brunelle 169 Fiddler's Lane Brewster, MA 02631 Date Requested: September 21, 2023 Title 5 Variance Request: Yes® No❑ Board of Health Variance Request: Yes❑ No® Other: Yes ® No ❑ 1. Property lies in an Environmentally Sensitive Area (ESA) — wetlands within 300' 2. Property lies within the Cape Cod Bay Embayment 3. Property to be serviced by Town Water 4. New Title 5 Septic Design for Existing 3 Bedroom Dwelling Health Director's Comments: Approve with following comments and conditions. 1. The proposed septic plan design will service an existing three (3) -bedroom residential dwelling and will be serviced by well water. The lot (15,995 sf) is located within the Cape Cod Bay Watershed and a defined Environmentally Sensitive Area (ESA) due to wetlands within 300' of the property. The proposed septic system will consist of a 1500 -gallon Septic Tank, a 1000- N:\Health\BOH Meeting Notes\BOH Hearing Notes\149 Fiddlers Lane Agenda. Action Item Form 11.01.2023.docx gallon pump chamber, a Distribution Box, and 37.5' x 10' Leach Field for a maximum septic capacity of 3 -Bedrooms. 2. The following variances are requested: Title 5: a. 310 CMR 15.211 (Minimum Setback Distances): A 5' variance (proposed 5' separation provided) from the setback between the proposed SAS and the front property line. b. 310 CMR 15.240 (4) (Soil Absorption System): A 16% reduction of the required size of SAS (proposed 74% capacity provided). c. 310 CMR 15.248 (Reserve Area): No Reserve Area provided. Town of Brewster: None 3. Approval with the following conditions: a. Maximum 3 -Bedroom capacity approved. Any proposed renovations/additions/increased septic flow will require further review by the Board of Health. b. Prior to issuance of the Certificate of Compliance, this Variance Approval Letter must be properly recorded at the Barnstable County Registry of Deeds and a recorded copy of same shall be furnished to the Brewster Health Department as proof of the recording. c. Variances shall expire within one (1) year of the date of this approval. N:\Health\BOH Meeting Notes\BOH Hearing Notes\149 Fiddlers Lane Agenda. Action Item Form 11.01.2023.docx u7 (V a� a M CD rn M 0 0 M W a� 0 U I cu 2) a Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth n.)-brewste WWW.BREWSTER-MA.GOV Health Department Amy L. von Hone, RS., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Notice of Board of Health Variance Approval/Deed Restriction October 17, 2023 Joshua & Sarah Brunelle — Applicant 169 Fiddlers Lane Brewster, MA 02631 RE: 149 Fiddlers Lane, Brewster, MA Assessors' Map: 48 Parcel: 34 Deed Reference Book: 34993 Page: 265 Plan Reference Book: 203 Page: 127 Lot: 12 Owner of Record: Brian Goss Dear Mr. and Mrs. Brunelle: On October 17, 2023, the Brewster Health Department reviewed and approved the following variances for the septic system upgrade at the above referenced address per engineered plans by J. C. Ellis Design, dated Revised October 11, 2023. Title 5: a. 310 CMR 15.211 (Minimum Setback Distances): A 5' variance (proposed 5' separation provided) from the setback between the proposed SAS and the front property line. b. 310 CMR 15.240 (4) (Soil Absorption System): A 16% reduction of the required size of SAS (proposed 74% capacity provided). c. 310 CMR 15.248 (Reserve Area): No Reserve Area provided. Town of Brewster: None In granting the above variances, the Health Department imposes the following Order of Conditions: 1. Any additional flow above the existing three (3) Bedroom capacity to the residential structure will require further review by the Board of Health. 2. Prior to issuance of the Certificate of Compliance, this Variance Approval Letter must be properly recorded at the Barnstable County Registry of Deeds and a recorded copy of same shall be fumished to the Brewster Health Department as proof of the recording. N:\Health\BOH Decision Letters\Septic Variance In -House Decisions\Title 5 Brewster Approvals\149 Fiddlers Lane InHouseApproval Deed Restriction 10.17.2023.doc 3. Variances shall expire within one (1) year of the date of this approval. Please feel free to contact me if you have any comments or questions on the above. I can be reached at the Health Department, 508-896-3701, ext. 1120. Sincerely, Amy L. von Hone, R.S., C.H.O. Health Director cc: JC Ellis Design, P.O. Box 81, North Eastham, MA 02651 File N:\Health\BOH Decision Letters\Septic Variance In -House Decisions\Title S Brewster Approvals\149 Fiddlers Lane InHouseApproval Deed Restriction 10.17.2023.doc LOCUS MAP NOT TO SCALE 1 DESIGN CALCULATIONS SECTION DETAIL - COMPONENTS_ PROPOSED H-20 CEL- EL. 22.0'± NOT TO SCALE SEPTIC TANK PROPOSED H-20 PROPOSED PROPOSED SOIL ABSORPTION SYSTEM EL25.8 ± DISTRIBUTION BOX 37.5' LONG x 10' WIDE x 0.5' DEEP LEKCH FIELD • - �, �- :.I'-11�-_-1I -1 I =J I1- I -I T - =TTT T-ji - COVER2. OF 1/6' TO 1/2' INSPECTION-� WAN 6' DOUBLE WASHED PEASTONE I SPEC OF GRACE �� EL. 24.6' 3/4• To 1 1/z• DOU WASHED STONE 5.07' EL. 23.9' ^•...,,•..�,� EL �. � 16.93' EL ADJ. � 18.83' I �� 25'8' REFERENCE WEII ='CGW-138 ZONE A SURVEY PLAN REFERENCE: TANK WIDTH = 6.0' TANK WIDTH 6.0' 1 1 /2• FLOW LEACH JUNE 2023 LEVEL = 26.9' ADJUSTMENT FACTOR = 1.9' FLOW RATE: PLAN BOOK 203 PAGE 127 TANK LENGTH = 11.5' TANK LENGTH = 7.66' STONE -BARRIER FIELD 3 BEDROOM DWELLING = 330 G/P/D REQUIRED THIS PLAN IS FOR SEPTIC SYSTEM DEPTH OF TANK IN WATER = 3.48' DEPTH OF TANK IN WATER = 3.78' '• �= NOTES (110 G/P/D PER BEDROOM x 3 BEDROOMS) DESIGN PURPOSES ONLY. GALLONS PER CU.FT. = 7.48 GALLONS PER CU,FT. - 7.48 THIS PLAN IS NOT FOR BOUNDARY 1 GALLON = 8.345 LBS. WATER 1 GALLON = 8.345 LBS. WATER 1. PRECAST SEPTIC TANK AND PUMP CHAMBER TO BE H-20 RATED. NO GARBAGE GRINDER ALLOWED DETERMINATION. (6.0)(11.5)(3.48) = 240.12 CU. FT, (6.0)(7.66)(3.78) = 173.72 CU. Fi. 1-2 TON FILL AREA 2. ELEVATION DATUM IS FROM MA GIS. r 240.12(7.48) = 1,796.09 GAL. PROPOSED SEPTIC TANK: PROPERTY OWNER AND 173.72(7.48) - 1,299.49 GAL BOULDERS 3. MUNICIPAL WATER IS AVAILABLE. 43 LBS 988 345) = 14 09(8 CONTRACTORS TO VERIFY 1,796..,.. 1,299.49(8.345) = 10,844.25 LBS. 330 G/P/D x 2 = 660 G/P/D REQUIRED ••--• ,.21,1' 4. ALL CONSTRUCTION LCONFORM WITH 310 CMR 15.000 ALL WATER LINES AND GAS it - USE 1500 GALLON SEPTIC TANK Iry- (STING GRAD?. AND ALL OTHER APPLICABLE LOCAL, STATE AND FEDERAL -I1 1 I=' _ -I I CODES AND REGULATIONS. UTILITIES ON PROPERTY. THIS PLAN REQUIRES CONSERVATION COMMISSION APPROVAL , PROPOSED SOIL ABSORPTION SYSTEM: WORK LIMIT TO BE STAKED SILT FENCE AND STRAW WADDLE. 5. INSTALLER/CONTRACTOR TO REVIEW do VERIFY ALL PERC RATE = <2 MIN/IN - CLASS I SOIL DISTRIBUTION DISTURBED AREAS IN BUFFER ZONE TO BE REVEGETATED WITH GROUNDWATER AT WALL DETAIL ELEVATIONS AND DETAILS AND REPORT ANY DISCREPANCIES BOTTOM: (37.5)(10) = 375 S.F. DISTRIBUTION. �� UNE TYP. CONSERVATION GRASS SEE MIX. EL. 16.06 (5/23/2023) _ TO DESIGNER PRIOR TO CONSTRUCTION OR ASSUME ALL (375)(0.74) = 277.5 G/P/D PROVIDED BOX PROVIDE EROSION CONTROL FABRIC ON SLOPES. - PCL 36 N 88'48.50" E - RESPONSIBILITY. / --+ . 6. INSTALLER/CONTRACTOR IS RESPONSIBLE FOR MAINTAINING USE: (1) 37.5' LONG x 10' WIDE x 0.5' DEEP INSPECTION 70.00'- SAFE WORK AREA, VERIFING ALL UTILITIES AND NOTIFYING LEACH FIELD AS SHOWN IN DETAIL \ �E FLOW BARRIER I20 1 1 - BORDERING' DIG SAFE PRIOR TO CONSTRUCTION. 16% REDUCTION IN REQUIRED SIZE OF S.A.S. i \ VEGETATED 7. ANY CHANGES TO OR DEVIATIONS FROM THIS PLAN MUST 5. PCL. 33 \� -WETLAND BE APPROVED IN WRITING BY J.C. ELLIS DESIGN CO. AND DEEP HOLE DATA EXCAVATION L _ _ _ BOARD OF HEALTH. 8. FINISH COVER OVER COMPONENTS IS NOT TO EXCEED 3' `� - - ` \ 1 PAUL SHEA PER 310 CMR 15.000. PERFORMED BY: JASON C. ELUS, R.S., S.E. f f �' J ---DELINEATION 9• ALL ABANDONED SEPTIC SYSTEM COMPONENTS TO BE WITNESSED BY: SHERRIE MCCOLLOUGH, BREWSTER BOH FIELD 3?S' ` Hp A A6 18 PUMPED DRY AND FILLED WITH CLEAN SAND OR REMOVED TEST DATE: JUNE 6, 2023 / Q. f 2x _ ,A5 # AND REPLACED WITH CLEAN SAND. �`\ x w 10. ALL COMPONENTS TO BE PROVIDED WITH WATERTIGHT ^0� N O0- ' PROPOSED Z ACCESS PORTS WITHIN 6' OF FINISH GRADE 1 EL�v DEPTH 2 ELEv S.A.S. DETAIL 6;65 CONTOUR TYP. _ N \ 3 11. ALL SEPTIC TANKS, DISTRIBUTION BOXES AND PIPING TO / -o c BE INSTALLED WATERTIGHT. 0.00' 21.1' 0.00' 21.09' PROPOSED 21.4' 2X7 ''L�- LP. /SHED h 12. NO KNOWN WELLS EXIST WITHIN 100' OF PROPOSED A A PUMP CHAMBER PROPOSED a 13. THIS IS NOT A CERTIFIED PLOT PLAN AND UNDER NO LOAMY SAND LOAMY SAND BLEACH AREA. OULDERED �� 5 SEPTIC TANK Y.• fxjS TANK m• CIRCUMSTANCES IS THIS PLAN TO BE USED FOR BUILDING 1OYR5/a toYRS/4 RET, _WALL--.JHjI2 lO�FIC NG ' ` N OR ZONING PURPOSES 1.08' 20.02' 1.0' 1 20.09' , , - I Ii31M . i i��ORA60E B - - - EL. 19.8' OR PUMP CHAMBER PROPOSED 1,500 GALLON BUOYANCY CALCUALTIONS: MONO H-20 W/ BOOTS TANK WEIGHT = 16,500 LBS. SEPTIC TANK 0.1' BUOYANCY CALCUALTIONS: 1GYR7/6 WEIGHT = 23,000 LBS/ PERC RATE I UPLIFT = 14,988.43 LBS. <2 MIN./IN. INSTALL GAS BAFFLE AT OUTLET . 35� INSTALL EFFLUENT FILTER IN OUTLET TEE PROPOSED SOIL ABSORPTION SYSTEM EL25.8 ± DISTRIBUTION BOX 37.5' LONG x 10' WIDE x 0.5' DEEP LEKCH FIELD • - �, �- :.I'-11�-_-1I -1 I =J I1- I -I T - =TTT T-ji - COVER2. OF 1/6' TO 1/2' INSPECTION-� WAN 6' DOUBLE WASHED PEASTONE I SPEC OF GRACE �� EL. 24.6' 3/4• To 1 1/z• DOU WASHED STONE 5.07' EL. 23.9' ^•...,,•..�,� EL �. � 16.93' EL ADJ. � 18.83' I �� 25'8' REFERENCE WEII ='CGW-138 ZONE A SURVEY PLAN REFERENCE: TANK WIDTH = 6.0' TANK WIDTH 6.0' 1 1 /2• FLOW LEACH JUNE 2023 LEVEL = 26.9' ADJUSTMENT FACTOR = 1.9' FLOW RATE: PLAN BOOK 203 PAGE 127 TANK LENGTH = 11.5' TANK LENGTH = 7.66' STONE -BARRIER FIELD 3 BEDROOM DWELLING = 330 G/P/D REQUIRED THIS PLAN IS FOR SEPTIC SYSTEM DEPTH OF TANK IN WATER = 3.48' DEPTH OF TANK IN WATER = 3.78' '• �= NOTES (110 G/P/D PER BEDROOM x 3 BEDROOMS) DESIGN PURPOSES ONLY. GALLONS PER CU.FT. = 7.48 GALLONS PER CU,FT. - 7.48 THIS PLAN IS NOT FOR BOUNDARY 1 GALLON = 8.345 LBS. WATER 1 GALLON = 8.345 LBS. WATER 1. PRECAST SEPTIC TANK AND PUMP CHAMBER TO BE H-20 RATED. NO GARBAGE GRINDER ALLOWED DETERMINATION. (6.0)(11.5)(3.48) = 240.12 CU. FT, (6.0)(7.66)(3.78) = 173.72 CU. Fi. 1-2 TON FILL AREA 2. ELEVATION DATUM IS FROM MA GIS. r 240.12(7.48) = 1,796.09 GAL. PROPOSED SEPTIC TANK: PROPERTY OWNER AND 173.72(7.48) - 1,299.49 GAL BOULDERS 3. MUNICIPAL WATER IS AVAILABLE. 43 LBS 988 345) = 14 09(8 CONTRACTORS TO VERIFY 1,796..,.. 1,299.49(8.345) = 10,844.25 LBS. 330 G/P/D x 2 = 660 G/P/D REQUIRED ••--• ,.21,1' 4. ALL CONSTRUCTION LCONFORM WITH 310 CMR 15.000 ALL WATER LINES AND GAS it - USE 1500 GALLON SEPTIC TANK Iry- (STING GRAD?. AND ALL OTHER APPLICABLE LOCAL, STATE AND FEDERAL -I1 1 I=' _ -I I CODES AND REGULATIONS. UTILITIES ON PROPERTY. THIS PLAN REQUIRES CONSERVATION COMMISSION APPROVAL , PROPOSED SOIL ABSORPTION SYSTEM: WORK LIMIT TO BE STAKED SILT FENCE AND STRAW WADDLE. 5. INSTALLER/CONTRACTOR TO REVIEW do VERIFY ALL PERC RATE = <2 MIN/IN - CLASS I SOIL DISTRIBUTION DISTURBED AREAS IN BUFFER ZONE TO BE REVEGETATED WITH GROUNDWATER AT WALL DETAIL ELEVATIONS AND DETAILS AND REPORT ANY DISCREPANCIES BOTTOM: (37.5)(10) = 375 S.F. DISTRIBUTION. �� UNE TYP. CONSERVATION GRASS SEE MIX. EL. 16.06 (5/23/2023) _ TO DESIGNER PRIOR TO CONSTRUCTION OR ASSUME ALL (375)(0.74) = 277.5 G/P/D PROVIDED BOX PROVIDE EROSION CONTROL FABRIC ON SLOPES. - PCL 36 N 88'48.50" E - RESPONSIBILITY. / --+ . 6. INSTALLER/CONTRACTOR IS RESPONSIBLE FOR MAINTAINING USE: (1) 37.5' LONG x 10' WIDE x 0.5' DEEP INSPECTION 70.00'- SAFE WORK AREA, VERIFING ALL UTILITIES AND NOTIFYING LEACH FIELD AS SHOWN IN DETAIL \ �E FLOW BARRIER I20 1 1 - BORDERING' DIG SAFE PRIOR TO CONSTRUCTION. 16% REDUCTION IN REQUIRED SIZE OF S.A.S. i \ VEGETATED 7. ANY CHANGES TO OR DEVIATIONS FROM THIS PLAN MUST 5. PCL. 33 \� -WETLAND BE APPROVED IN WRITING BY J.C. ELLIS DESIGN CO. AND DEEP HOLE DATA EXCAVATION L _ _ _ BOARD OF HEALTH. 8. FINISH COVER OVER COMPONENTS IS NOT TO EXCEED 3' `� - - ` \ 1 PAUL SHEA PER 310 CMR 15.000. PERFORMED BY: JASON C. ELUS, R.S., S.E. f f �' J ---DELINEATION 9• ALL ABANDONED SEPTIC SYSTEM COMPONENTS TO BE WITNESSED BY: SHERRIE MCCOLLOUGH, BREWSTER BOH FIELD 3?S' ` Hp A A6 18 PUMPED DRY AND FILLED WITH CLEAN SAND OR REMOVED TEST DATE: JUNE 6, 2023 / Q. f 2x _ ,A5 # AND REPLACED WITH CLEAN SAND. �`\ x w 10. ALL COMPONENTS TO BE PROVIDED WITH WATERTIGHT ^0� N O0- ' PROPOSED Z ACCESS PORTS WITHIN 6' OF FINISH GRADE 1 EL�v DEPTH 2 ELEv S.A.S. DETAIL 6;65 CONTOUR TYP. _ N \ 3 11. ALL SEPTIC TANKS, DISTRIBUTION BOXES AND PIPING TO / -o c BE INSTALLED WATERTIGHT. 0.00' 21.1' 0.00' 21.09' PROPOSED 21.4' 2X7 ''L�- LP. /SHED h 12. NO KNOWN WELLS EXIST WITHIN 100' OF PROPOSED A A PUMP CHAMBER PROPOSED a 13. THIS IS NOT A CERTIFIED PLOT PLAN AND UNDER NO LOAMY SAND LOAMY SAND BLEACH AREA. OULDERED �� 5 SEPTIC TANK Y.• fxjS TANK m• CIRCUMSTANCES IS THIS PLAN TO BE USED FOR BUILDING 1OYR5/a toYRS/4 RET, _WALL--.JHjI2 lO�FIC NG ' ` N OR ZONING PURPOSES 1.08' 20.02' 1.0' 1 20.09' ' PROPOSED 1,000 GALLON v' aS B MONO H-20 W/ BOOTS EL. 19.8' LOAMY SAND PUMP CHAMBER 19.85' BUOYANCY CALCUALTIONS: 1.83' 19.26' TANK WEIGHT = 16,500 LBS. C UPLIFT = 10,844.25 LBS. - MEDIUM SAND 1GYR7/6 PROPOSED SOIL ABSORPTION SYSTEM EL25.8 ± DISTRIBUTION BOX 37.5' LONG x 10' WIDE x 0.5' DEEP LEKCH FIELD • - �, �- :.I'-11�-_-1I -1 I =J I1- I -I T - =TTT T-ji - COVER2. OF 1/6' TO 1/2' INSPECTION-� WAN 6' DOUBLE WASHED PEASTONE I SPEC OF GRACE �� EL. 24.6' 3/4• To 1 1/z• DOU WASHED STONE 5.07' EL. 23.9' ^•...,,•..�,� EL �. � 16.93' EL ADJ. � 18.83' I �� 25'8' REFERENCE WEII ='CGW-138 ZONE A SURVEY PLAN REFERENCE: TANK WIDTH = 6.0' TANK WIDTH 6.0' 1 1 /2• FLOW LEACH JUNE 2023 LEVEL = 26.9' ADJUSTMENT FACTOR = 1.9' FLOW RATE: PLAN BOOK 203 PAGE 127 TANK LENGTH = 11.5' TANK LENGTH = 7.66' STONE -BARRIER FIELD 3 BEDROOM DWELLING = 330 G/P/D REQUIRED THIS PLAN IS FOR SEPTIC SYSTEM DEPTH OF TANK IN WATER = 3.48' DEPTH OF TANK IN WATER = 3.78' '• �= NOTES (110 G/P/D PER BEDROOM x 3 BEDROOMS) DESIGN PURPOSES ONLY. GALLONS PER CU.FT. = 7.48 GALLONS PER CU,FT. - 7.48 THIS PLAN IS NOT FOR BOUNDARY 1 GALLON = 8.345 LBS. WATER 1 GALLON = 8.345 LBS. WATER 1. PRECAST SEPTIC TANK AND PUMP CHAMBER TO BE H-20 RATED. NO GARBAGE GRINDER ALLOWED DETERMINATION. (6.0)(11.5)(3.48) = 240.12 CU. FT, (6.0)(7.66)(3.78) = 173.72 CU. Fi. 1-2 TON FILL AREA 2. ELEVATION DATUM IS FROM MA GIS. r 240.12(7.48) = 1,796.09 GAL. PROPOSED SEPTIC TANK: PROPERTY OWNER AND 173.72(7.48) - 1,299.49 GAL BOULDERS 3. MUNICIPAL WATER IS AVAILABLE. 43 LBS 988 345) = 14 09(8 CONTRACTORS TO VERIFY 1,796..,.. 1,299.49(8.345) = 10,844.25 LBS. 330 G/P/D x 2 = 660 G/P/D REQUIRED ••--• ,.21,1' 4. ALL CONSTRUCTION LCONFORM WITH 310 CMR 15.000 ALL WATER LINES AND GAS it - USE 1500 GALLON SEPTIC TANK Iry- (STING GRAD?. AND ALL OTHER APPLICABLE LOCAL, STATE AND FEDERAL -I1 1 I=' _ -I I CODES AND REGULATIONS. UTILITIES ON PROPERTY. THIS PLAN REQUIRES CONSERVATION COMMISSION APPROVAL , PROPOSED SOIL ABSORPTION SYSTEM: WORK LIMIT TO BE STAKED SILT FENCE AND STRAW WADDLE. 5. INSTALLER/CONTRACTOR TO REVIEW do VERIFY ALL PERC RATE = <2 MIN/IN - CLASS I SOIL DISTRIBUTION DISTURBED AREAS IN BUFFER ZONE TO BE REVEGETATED WITH GROUNDWATER AT WALL DETAIL ELEVATIONS AND DETAILS AND REPORT ANY DISCREPANCIES BOTTOM: (37.5)(10) = 375 S.F. DISTRIBUTION. �� UNE TYP. CONSERVATION GRASS SEE MIX. EL. 16.06 (5/23/2023) _ TO DESIGNER PRIOR TO CONSTRUCTION OR ASSUME ALL (375)(0.74) = 277.5 G/P/D PROVIDED BOX PROVIDE EROSION CONTROL FABRIC ON SLOPES. - PCL 36 N 88'48.50" E - RESPONSIBILITY. / --+ . 6. INSTALLER/CONTRACTOR IS RESPONSIBLE FOR MAINTAINING USE: (1) 37.5' LONG x 10' WIDE x 0.5' DEEP INSPECTION 70.00'- SAFE WORK AREA, VERIFING ALL UTILITIES AND NOTIFYING LEACH FIELD AS SHOWN IN DETAIL \ �E FLOW BARRIER I20 1 1 - BORDERING' DIG SAFE PRIOR TO CONSTRUCTION. 16% REDUCTION IN REQUIRED SIZE OF S.A.S. i \ VEGETATED 7. ANY CHANGES TO OR DEVIATIONS FROM THIS PLAN MUST 5. PCL. 33 \� -WETLAND BE APPROVED IN WRITING BY J.C. ELLIS DESIGN CO. AND DEEP HOLE DATA EXCAVATION L _ _ _ BOARD OF HEALTH. 8. FINISH COVER OVER COMPONENTS IS NOT TO EXCEED 3' `� - - ` \ 1 PAUL SHEA PER 310 CMR 15.000. PERFORMED BY: JASON C. ELUS, R.S., S.E. f f �' J ---DELINEATION 9• ALL ABANDONED SEPTIC SYSTEM COMPONENTS TO BE WITNESSED BY: SHERRIE MCCOLLOUGH, BREWSTER BOH FIELD 3?S' ` Hp A A6 18 PUMPED DRY AND FILLED WITH CLEAN SAND OR REMOVED TEST DATE: JUNE 6, 2023 / Q. f 2x _ ,A5 # AND REPLACED WITH CLEAN SAND. �`\ x w 10. ALL COMPONENTS TO BE PROVIDED WITH WATERTIGHT ^0� N O0- ' PROPOSED Z ACCESS PORTS WITHIN 6' OF FINISH GRADE 1 EL�v DEPTH 2 ELEv S.A.S. DETAIL 6;65 CONTOUR TYP. _ N \ 3 11. ALL SEPTIC TANKS, DISTRIBUTION BOXES AND PIPING TO / -o c BE INSTALLED WATERTIGHT. 0.00' 21.1' 0.00' 21.09' PROPOSED 21.4' 2X7 ''L�- LP. /SHED h 12. NO KNOWN WELLS EXIST WITHIN 100' OF PROPOSED A A PUMP CHAMBER PROPOSED a 13. THIS IS NOT A CERTIFIED PLOT PLAN AND UNDER NO LOAMY SAND LOAMY SAND BLEACH AREA. OULDERED �� 5 SEPTIC TANK Y.• fxjS TANK m• CIRCUMSTANCES IS THIS PLAN TO BE USED FOR BUILDING 1OYR5/a toYRS/4 RET, _WALL--.JHjI2 lO�FIC NG ' ` N OR ZONING PURPOSES 1.08' 20.02' 1.0' 1 20.09' 2i v' aS B 8 LOAMY SAND LOAMY SAND IOYR5/8 10YR5/8 2.08' - 19.02' 1.83' 19.26' C C MEDIUM SAND MEDIUM SAND 1GYR7/6 1GYR7/6 PERC RATE I I PERC O 25' <2 MIN./IN. <2 MIN./IN. 7.08' 14.02' 7.5 1 - • - -•- 13.59' GROUND WATER GROUND WATER ENCOUNTERED O 53' ENCOUNTERED O 50' EL 16.69' EL 16.95 N )A N 1R1 OP ! W' 1 e r C� 4 C^ 1rAR+► l JASON .LLI , R.S. - - J.C. ELLIS DESIGN SUBJECT: ' EXISTING 149 FIDDLERS LANE SE IC SYSTEM F/W04 A +' 2i" IV VARIANCE REQUESTS. 44 NF SHUT OFF 310 CMR 15.211 1. 5' FROM PROPOSED S.A.S. TO LOT LINE (ROAD) 31(010'R REQUIRED. UIRED.5' PROVIDED, 5' VARAINCE REQUESTED) 2. 16X REDUCTION IN REQUIRED SIZE OF S.A.S. (446 S.F. REQUIRED, 375 S.F. PROVIDED, 71 S.F. VARIANCE REQUESTED) 310 CMR 15.248 NO RESERVE AREA PROVIDED. �,.L_ BREWSTER, MA 'ag P PREPARED FOR: ' JOSHUA & SARAH BRUNELLE zi �20 169 FIDDLER'S LANE U. __ BREWSTER, MA 02631 17. SEPTIC TANK AND PUMP CHAMBER TO BE INSTALLED WATER PROOFED AND WATERTIGHT WITH RUBBER BOOTS. 18. INSTALL CLEANOUTS ALONG SEWER LINE BETWEEN SEPTIC TANK AND BUILDING AT ALL BENDS, JUNCTIONS AND 50' INCREMENTS. ` 2i v' aS 'al �\ h LEACH AREA TO BE PROVIDED WITH AT LEAST ONE 14 INSPECTION PORT CONSISTING OF A PERFORATED FOUR INCH PIPE PLACED VERTICALLY DOWN INTO THE STONE TO THE VX 30.5'1 '� per' - - = , NATURALLY OCCURING SOIL OR SAND FILL BELOW THE STONE. ORI( / 19 THE PIPE SHALL BE SAPPED WITH A SCREW TYPE CAP AND ACCESSIBLE WITHIN 3 OF GRADE. 15. EXCAVATE ALL UNSUITABLE SOIL, ONLY AS NECESSARY, 5' NC . ; • / A,• AYE% ! J l AROUND AND UNDER SA.S., DOWN TO C LAYER AND REPLACE F y v S.A . ED S.A.S. `Z �� '� � \h/ I 0 S ( = PCL 35 \ 4� WITH CLEAN MEDIUM SAND. f6. INSTALL 40 MIL POLY FLOW BARRIER AS SHOWN AROUND 19 S.A.S. FROM EL 25.5' DOWN TO EL. 20.5'. -. LOT 12 SEPTIC SYSTEM UPGRADE PLAN L/111 LN a was 3 I + j+� 15 995 S - - J.C. ELLIS DESIGN SUBJECT: ' EXISTING 149 FIDDLERS LANE SE IC SYSTEM F/W04 A +' 2i" IV VARIANCE REQUESTS. 44 NF SHUT OFF 310 CMR 15.211 1. 5' FROM PROPOSED S.A.S. TO LOT LINE (ROAD) 31(010'R REQUIRED. UIRED.5' PROVIDED, 5' VARAINCE REQUESTED) 2. 16X REDUCTION IN REQUIRED SIZE OF S.A.S. (446 S.F. REQUIRED, 375 S.F. PROVIDED, 71 S.F. VARIANCE REQUESTED) 310 CMR 15.248 NO RESERVE AREA PROVIDED. �,.L_ BREWSTER, MA 'ag P PREPARED FOR: ' JOSHUA & SARAH BRUNELLE zi �20 169 FIDDLER'S LANE U. __ BREWSTER, MA 02631 17. SEPTIC TANK AND PUMP CHAMBER TO BE INSTALLED WATER PROOFED AND WATERTIGHT WITH RUBBER BOOTS. 18. INSTALL CLEANOUTS ALONG SEWER LINE BETWEEN SEPTIC TANK AND BUILDING AT ALL BENDS, JUNCTIONS AND 50' INCREMENTS. ` v' aS ASSESSOR'S "=30' SCALE: 1 I Y P.O. BOX 81 MAP 48 PARCEL 34 N • NORTH EASTHAM, MA 02651 - -- i (508)240-2220 DATE: JUNE 6, 2023 SHEET 1 Of 1 Email: joson*jcellisdesign.com ■s1�d 3� REV: OCTOBER 11, 2023 v' aS C� e� G 4] I Y r_ ° o ! a =r��a C6? O FIM ■s1�d 3� cr_ C W c a was 3 Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 0263 1-1 898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealtha brewster-ma. ov W W W.BREW STER-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: November 1, 2023, Consent Agenda Project Location: O Old Chatham Road Assessors' Map & Parcel: 86/64 Owner's Name & Address: Tulumello Santo T. & Ernestine, c/o Leona Tulumello 2617 Potomac Drive Flower Mound, TX 75028 Applicant: Same as Owner Date Requested: September 25, 2023 Title 5 Variance Request: Yes ❑ No FA Board of Health Variance Request: Yes ❑ No Other- Yes N No ❑ 1. Property lies within the Zone II and the District of Critical Planning (DCPC) 2. Property lies outside an Environmentally Sensitive Area (ESA) 3. Property lies within the Cape Cod Bay Embayment 4. Property to be serviced by Well Water 5. New Title 5 Septic Design for New Construction using Innovative/Alternative Treatment Assistant Health Director's Comments: Approve with following comments and conditions. The proposed septic plan design will service a new two (2) -bedroom residential dwelling and will be serviced by well water. The new single-family dwelling will be built on an 18,900 SF lot that lies within Zone II and the DCPC. A Brewster Board of Health Nitrogen Loading Calculations Spreadsheet has been submitted. Based on the calculations the Average Nitrogen Load will be 4.79 ppm. The proposed septic system will consist of a 1500 -gallon Fast 0.5 Septic N:\Health\BOH Meeting Notes\BOH Hearing Notes\0 Old Chatham Road Lot 15 Agenda. Action Item Form 10.23.2023.docx Tank, a new H-20 Distribution Box, and three 500 -gallon H-10 Leach Chambers. Required daily effluent will be 220 gallons per day. Total daily flow provided will be 340 gallons per day. 2. The following variances are requested: Title 5: None Town of Brewster: None 3. Approval with the following conditions: 1. Installation of a MicroFAST 0.5 Unit under DEP General Approval with Nitrogen Reduction (Transmittal #X232831, dated December 29, 2010, and revised March 20, 2015) 2. Throughout its life, the MicroFAST 0.5 Unit shall be under an operation and maintenance contract with a certified operator for a minimum of one (1) year. A signed copy of the most current contract must always be on file at the Brewster Health Department and the Barnstable County Department of Health and the Environment (BCHDE). The MicroFAST unit shall be registered with BCDHE annually per the Barnstable County I/A Monitoring Program. 3. The monitoring program for the wastewater treatment system shall follow the parameters schedule as outlined in the above DEP General Approval Letter. Copies of the inspection and maintenance reports are to be submitted to the BCDHE within thirty (30) days of the inspection date. Data provided to the BCDHE must be provided in a format acceptable to BCDHE. 4. The proposed dwelling and the septic system have been approved for a maximum of two (2) bedrooms, 2,000 square feet of lawn area, and maximum 19 ppm/ Total Nitrogen in the sewage effluent based on the Brewster DCPC Nitrogen Loading requirements. 5. Prior to issuance of the Certificate of Compliance, certification of the septic system by the MicroFAST Unit consultants and the Design Engineer to the Health Department is required. N:\Health\BOH Meeting Notes\BOH Hearing Notes\0 Old Chatham Road Lot 15 Agenda. Action Item Form 10.23.2023.docx October 20, 2023 Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealthig brewster-ma.,_ov W W W.BREWSTER-MA.GOV Health Department Amy L. von Hone, R.S., C.H.O. Director Notice of Board of Health Approval/Deed Restriction Cape Cod Renovation — Applicant 0 Old Chatham Road Brewster, MA 02631 Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant RE: 0 Old Chatham Road, Brewster, MA Assessors' Map: 86 Parcel: 64 Deed Reference Book: 2566 Page: 57 Plan Reference Book: 260 Page: 51 Lot: 15 Owner of Record: Tulumello Santo T. & Ernestine, c/o Leona Tulumello, 2617 Potomac Drive, Flower Mound, TX 75028 Dear Mr. & Ms. Tulumello: The Brewster Health Department is in receipt of plans and specifications for the septic system construction at 0 Old Chatham Road, Brewster. The septic system plan designed by Ryder & Wilcox, Inc., P.E. & P.L.S. dated September 18, 2023, and revised on October 19, 2023, has been reviewed by this Department and approves of the request as shown on the plan: Proposed construction of a new two (2) bedroom single family dwelling lies within the Brewster District of Critical Planning Concern (DCPC), Zone ll, and the Cape Cod Bay Embayment. The new septic system has been approved with the following conditions: 1. Installation of a MicroFAST 0.5 Unit under DEP General Approval with Nitrogen Reduction (Transmittal #X232831, dated December 29, 2010, and revised March 20, 2015) 2. Throughout its life, the MicroFAST 0.5 Unit shall be under an operation and maintenance contract with a certified operator for a minimum of one (1) year. A signed copy of the most current contract must always be on file at the Brewster Health Department and the Barnstable County Department of Health and the Environment (BCHDE). The MicroFAST unit shall be registered with BCDHE annually per the Barnstable County I/A Monitoring Program. 3. The monitoring program for the wastewater treatment system shall follow the parameters schedule as outlined in the above DEP General Approval Letter. Copies of the inspection and maintenance reports are to be submitted to the BCDHE within thirty (30) days of the inspection date. Data provided to the BCDHE must be provided in a format acceptable to BCDHE. N:\Health\BOH Decision Letters\IA Approval Letters\0 Old Chatham Road Lot 15 Road MicroFAST Approval 10.202023.doc 4. The proposed dwelling and the septic system have been approved for a maximum of two (2) bedrooms, 2,000 square feet of lawn area, and maximum 19 ppm/ Total Nitrogen in the sewage effluent based on the Brewster DCPC Nitrogen Loading requirements. 5. Prior to issuance of the Certificate of Compliance, certification of the septic system by the Micro FAST Unit consultants and the Design Engineer to the Health Department is required. 6. Prior to issuance of the Certificate of Compliance, this Approval Letter must be properly recorded at the Barnstable County Registry of Deeds and a recorded copy of same shall be furnished to the Brewster Health Department as proof of the recording. Please feel free to contact me if you have any comments or questions on the above. I can be reached at the Health Department, 508-896-3701, ext. 1120, Monday through Friday, during the business hours of 9:00 a.m. to 10:30 a.m. Sincerely, y� Sherrie McCullough, R.S. Assistant Health Director cc: Ryder & Wilcox, Inc., 3 Giddiah Hill Road, PO Box 439, So. Orleans, MA 02662 File N:\Health\BOH Decision Letters\IA Approval Letters\0 Old Chatham Road Lot 15 Road MicroFAST Approval 10.202023.doc ,SI77E PLAN 9"_.30 ' BZ,V0hrGf14RA" TOP ,OF MAG NAIL ELS = 112.12 (NA VD 88) 1 q 0 UTILITY POLE , .�� do q lip Q� /4;�" / CATCF BASIN EXCAVATE FOR 5' AROUND CHAMBERS AS REQUIRED TO REMOVE ALL LOAMY SAND AND SANDY LOAM ABOVE MEDIUM -COARSE SAND LAYER. BACKFILL WITH J 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 . INSPECTION N EXISTING L CHING PIT > 10' FROM 1 LOT LINE 10, �W3 IN I 'r" PROPOSED f HI41. ALARM/CONTROL f f/ OBLOVIER \ ,''` ,p PANEL T 9l /r 01/` �`. RE`S`o0s Y�3 ,�` ,`s� �<`',QL4 EXISTING LEACHING SYSTEM (PER APPROVED PLAN) Cb Yr 30.5' Of LOT 16' ���_ EXISTING 18,900 s.F± LEACHING PIT 0.43 Ac.± > 1 0' FROM r ` OT LINE-- ,, �i� E , 0SED Ey 3 • i ) � 1 1 \``Y ` I * g�' ►�� EXISTI t LEA.CHING �' C� ABUTTER'S SYSTEM\(PER `s?o • EXISTING t FOUNDATION AS --BUILT TIES) , cry, WELL SCALED 09y �j . FROM CPP APPROXIMATE l ! EXISTING N AND I ' WELL _ _ 10p�' FROM EX ST NG WELL ZONE DCPC BOUNDARY --^ ELE�`�/�. - -� DTII' ® ELECTRIC ' LE METER i EXISTING�� WELL 0 ' ZONING DISTRICT RM/DCP�/ZONE II `\ BUff. DI G HEIGHT CAL�LATIONS GENERAL NOTES: No. 1 LOC�TION lYf4P DEPTH (IN.) 1. SYSTEM IS DESIGNED IN ACCORDANCE WITH "COMMONWEALTH OF MASS., DEPT. OF SOIL TEXTURE Not to Scale \0 - 48 ENVIRONMENTAL PROTECTION, 310 CMR 15.00; THE STATE ENVIRONMENTAL CODE, TITLE 5: 112.4- 111.8 112.9 - 108.9 48• - 132 STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE AND MEDIUM/- COARSE/SAND 108.9 - 101.9 CRICKET LOAMY SAND EXPANSION OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS" AND THE TOWN OF 30 - 48 C1 gR LANE 48 - 132 BREWSTER REGULATIONS. MEDJU T COARSE `SAND 108.8 - 101.8 CLQ �O• 2 NO WELLS OR WATER SUPPLIES ARE KNOWN TO EXIST WITHIN 100 FEET OF THE PROPOSED 3 SOIL ABSORPTION SYSTEM. ALL WELLS KNOWN TO EXIST WITHIN 150 FT. OF THE SYSTEM P ARE SHOWN. 3. PRIOR TO BACKFILLING COMPLETED SYSTEM, NOTIFY THE ENGINEER AND THE HEALTH DEPARTMENT FOR INSPECTION. PROVIDE 24 HOURS (M)N.) NOTICE. a 4. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO EXCAVATION.r o 5. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH. a FREEMANS yygr E,A6 NO ABSORPTION SYSTEMS ARE KNOWN TO EXIST WITHIN THE EXISTING WELL PROTECTION TOrrrr�y ONE.OIL 7. THROUGHOUT ITS LIFE, THE MicroFAST SYSTEM SHALL BE UNDER AN OPERATION AND ASSR'S MAP 86 PARCEL�64 MAINTENANCE AGREEMENT IN ACCORDANCE WITH THE DEPARTMENT" OF ENVIRONMENTAL P.B. 260 PG. 51 (1972) PROTECTIONS GENERAL USE APPROVAL AND BREWSTER BOARD OF HEALTH REQUIREMENTS. SOIL TYPE: CARVER COARSE SAND 7YPICA.L SY,ST �f PROFILE' NOT TO SCALE *NOTE: FINAL BLOWER LOCATION TO BE DETERMINED BY ALL COVERS AND INSPECTION PORTS SHALL TANK & D -BOX TO BE INSTALLED ON A CONTRACTOR AND OWNER. UNDERGROUND BLOWER BE MARKED WITH MAGNETIC MARKING TAPE LEVEL, STABLE BASE (MIN. 6" STONE BASE) VAULT SHALL BE UTILIZED, CONTACT J&R SALES OR A COMPARABLE MEANS IN ORDER TO (508-823-9566) FOR UNDERGROUND BLOWER VAULT LOCATE THEM ONCE BURIED. SPECIFICATIONS. 21 " DIA. COVERS COVERS TO GRADE PER TO GRADE FAST SPECIFICATIONS. TOP OF COVER TO FOUNDATION 17'.1 WITHIN 6 p EV. = 113.5 10 MIN. -� OF GRADE INV. 3 mo EL -"' 1 i' (mar,/ run)109.20 NOTE Q OUTLET PIPE TO BE LEVEL FOR 2' J a___-�_- - - 4' DIA. 4 � DIrL INV. EL. SGH. 40 P,r� N `. SGH. 40 ® ® ® ® OO P.vc 111.00 �, K ®l n ., SETTLING INV. EL. as va E2 Ko 4 CAST IRON OR SGH.! 40 ZONE tiINV. EL.109.35 p P. V C. PIPE 1 10.25 v INV. EL. °°°a Is FIST TANK 0..5 - 1500 GALLON INV.EL., 109.55 H-10 MONOTANK BY SHOREY 110.50 PRECAST OR APPROVED EQUAL ALL TEES SHALL BE CAST IRON NO GARBAgEIRINDER OR SCH. 40 P.V.C. PIPE OR ALLOWED WITHYTHIS DESIGN. CAST -IN-PLACE CONCRETE. PROVIDE GAS BAFFLE ON 24 ,OS'ORPTION ChT,4ffBER, .VT7 _L (ff TO) PROVED TEE. (500 -GAL. 'ACME PRECAST" UNITS H-1 Q RATED, OR EQUAL) NOT TO SCALE 3/4'-1 112" UAY TZ,S'T IIDL ' D-4 T.4 ���, DffSICN A4 TA DOUVL WSTONE ED 2'MIN.1/8'° 1/2" ELEV FIN 13.68 �=� , MINIMUM OF (1} AVG. XISTING GRADE ELEV. 112.5 NUMBER OF BEDROOMS: 12) INSPECTION COVER DOUBLE WASHED \� � REQUIRED PER UNIT STONE {TYP.} OR DATE OF TEST HOLES: 7/V_/ 023 -`� MAX: ALLOWABL .RtDGE ELEV. 142.5 ESTIMATED DAILY EFFLUENT. 220 GPD (1 TO WITHIN 6' APPROVED FILTER „ NO WATER ENCOUNTERED `�-- *�---�-`�~ OF FINISHED GRADE FABRIC COVER INSP. BY: D. QUINN R&W , . McCULLOUGH HEALTH DEPT MINIMUM BUILDING SETBACKS TOTAL LEACHING AREA AS PROPOSED: } ( ) ( ) / SIDEWALL: 2(L+W) x D = 160 S.F. (EXCLUD. . TOP SOIL) FRONT (OLE) CHATHAM ROAD) - 30' BOTTOM: L x W = 300 S.F. BOTTOM OF PERC AT 55° (C2 -LAYER) <2MW./1N. / e.. ®®®® � ®®® as $a ° a a SIDE AND REAR - 20 , LEACHING CAPACITY AS PROPOSED: a '° ° y ®®®®®® ®®® as as No. s / (EFFLUENT LOADING RATE = 0. 4 GPD/SF) ° o a �;n ®®®®®® ®®® °aa ' 2� EFFECTIVE PROPOSED BUILDING COVERAGE ,�� _ a a ° No. 1 0 - 5 DEPTH (IN.) SOIL HORIZON SOIL TEXTURE ELEVATION (FT.) \0 - 48 FILL 112.4- 111.8 112.9 - 108.9 48• - 132 C MEDIUM/- COARSE/SAND 108.9 - 101.9 B LOAMY SAND 111.1 - 110.3 30 - 48 BOTTOM OF PERC AT 55° (C2 -LAYER) <2MW./1N. / e.. ®®®® � ®®® as $a ° a a SIDE AND REAR - 20 , LEACHING CAPACITY AS PROPOSED: a '° ° y ®®®®®® ®®® as as No. s / (EFFLUENT LOADING RATE = 0. 4 GPD/SF) ° o a �;n ®®®®®® ®®® °aa ' 2� EFFECTIVE PROPOSED BUILDING COVERAGE ,�� _ a a ° DEPTH SOIL SOIL ELEVATION (IN.) HORIZON TEXTURE (FT.) 0 - 5 0 FIBRIC 112.8 - 112.4 5 - 12 E MEDIUM SAND 112.4- 111.8 12 - 20 A LOAMY SAND 111.8- 111.1 20 -- 30 B LOAMY SAND 111.1 - 110.3 30 - 48 C1 SANDY LOAM 110.3 - 108.8 48 - 132 L'2 MEDJU T COARSE `SAND 108.8 - 101.8 BOTTOM OF PERC AT 55° (C2 -LAYER) <2MW./1N. / e.. ®®®® � ®®® as $a ° a a SIDE AND REAR - 20 , LEACHING CAPACITY AS PROPOSED: a '° ° y ®®®®®® ®®® as as No. s / (EFFLUENT LOADING RATE = 0. 4 GPD/SF) ° o a �;n ®®®®®® ®®® °aa ' 2� EFFECTIVE PROPOSED BUILDING COVERAGE ,�� _ a a ° No. 4 DEPTH SOIL SOIL ELEVATION QN.) HORIZON TEXTURE (Fr.) . 0 - 4 0 FIBRIC 112.6 . 112.3 4 - 9 E MEDIUM SAND 11Z3 - 111.8 9 - 14 A LOAMY SAND 111.8 - 111.4 14 - 36 B LOAMY/SAND 111.4 - 109.6 36 - 1,321 C MEDIUMN PARSE 5AND 109.6 - 101.6 No. 4 DEPTH SOIL SOIL ELEVATION (IN.) HORIZON TEXTURE (FT.) 0 - 2 0 FIBRIC 112.1 - 111.9 2 - 6 E MEDIUM SAND 111.9 - 111.6 6 - 10 A LOAMY SAND 111.6 - 111.3 10 - 36 B LOAMY SAND, 111.3 - 109.1 36 - 132 C MEDIUM,• COARSE�SAND 109.1 - 101.1 BOTTOM OF PERC AT 63- (C -LAYER) <2MIN./1N. 1836 S.F. (9.77.) PROPOSED SITE COVERAGE BUILDING - 1836 S.F. DRIVEWAY - 659 S.F. 2495 S.F. L_'CFND } , �r SIDEWALL: 1 so X a. 74 - 118.4' cPD a aaa 1 o a a ® ® ® IL E ® ® ® a °°° a no DEPTH BOTTOM: 300 X 0. 74 = 222.0 GPD aaa ° ° o a aaa BOTTOM EL.= 107.2 TOTAL = 340 GPD 2.25' 25.5' 3 UNITS 2.25' Ytl s� (2. tr J L''► t',1 . �t�t u:l�ti...y 6' SIDES) (2.6' SIDES) ( 6 '� j EFFECTIVE LENGTH JO' EFFECTIVE WIDTH = 10' & ON -,SITE SEXACE TRTA771LfEN77 AND .DISPOSAL SYST-E f '`µ '`"" r Prepared for.•Cape Cod Renovation DAb�Ds v.ti.y:?ST(PHA?JIB �'�;.� - Brewster, rLl A. � � r'y -I. � `� Location. LYTTLE •Lot �5 Old Cl�attiam Road ` R der dPc �Yilcox Inc. P. �' do P.L. S: s c. � y :� S.UR�1tif L• I a 119 (Z3 Brewster I-lealth Department APPROVEA D IVamc i , Date 3 Ciddiali Hill Rd. f L Ar � ` > ,P O. Box 439 Scale: 1" IV -1-230 ' So. Orleans, ff,4., 0,268,2 Drawn by SfS Tel. (508) ,255- 831.2 Date 9/18/,20,23 Sheet 1 of 2 Fax. 508% 240-2306 Rev - 10/19/,2023 (added revisions) job No. 9328 TEST HOLE LOCATION EXISTING CONTOUR PROPOSED CONTOUR MicraFAST 0.5 SEPTIC TANK --�--- DISTRIBUTION BOX (H20 RATED r------- 30' x 10' x 2' ABSORPTION CHAMBER -� L ------J SYSTEM • C. B. CONCRETE BOUND _U_ UNDERGROUND UTILITY SERVICE (PROP.) } , �r SIDEWALL: 1 so X a. 74 - 118.4' cPD a aaa 1 o a a ® ® ® IL E ® ® ® a °°° a no DEPTH BOTTOM: 300 X 0. 74 = 222.0 GPD aaa ° ° o a aaa BOTTOM EL.= 107.2 TOTAL = 340 GPD 2.25' 25.5' 3 UNITS 2.25' Ytl s� (2. tr J L''► t',1 . �t�t u:l�ti...y 6' SIDES) (2.6' SIDES) ( 6 '� j EFFECTIVE LENGTH JO' EFFECTIVE WIDTH = 10' & ON -,SITE SEXACE TRTA771LfEN77 AND .DISPOSAL SYST-E f '`µ '`"" r Prepared for.•Cape Cod Renovation DAb�Ds v.ti.y:?ST(PHA?JIB �'�;.� - Brewster, rLl A. � � r'y -I. � `� Location. LYTTLE •Lot �5 Old Cl�attiam Road ` R der dPc �Yilcox Inc. P. �' do P.L. S: s c. � y :� S.UR�1tif L• I a 119 (Z3 Brewster I-lealth Department APPROVEA D IVamc i , Date 3 Ciddiali Hill Rd. f L Ar � ` > ,P O. Box 439 Scale: 1" IV -1-230 ' So. Orleans, ff,4., 0,268,2 Drawn by SfS Tel. (508) ,255- 831.2 Date 9/18/,20,23 Sheet 1 of 2 Fax. 508% 240-2306 Rev - 10/19/,2023 (added revisions) job No. 9328 October 25, 2023 Canyon Capital III LLC C/O Patrick Horsman 2067 Calle Espana #4 San Juan, PR 00911 Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth _ brewster-ma. ov WWW.BREWSTER-MA.GOV RE: Notice of Noncompliance — Innovative/Alternative Sewage System 298 Robbins Hill Road Brewster M38 L80 Dear Mr. Horsman: Health Department Amy L. von Hone, RS., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Certified Mail: 9589 0710 5270 1227 9975 69 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 �pHWgr �� Oma_ _ � ) "''aaanaa s�O FEB. '19e 190 Board Sharon Tennstedt Co -Chair Andrea Nevins Co -Chair Jill Beardsley Jay Green Penny Holeman Honey Pivirotto Laura Usher Alternate Members: Jan Crocker Eva Orman Elton Cutler, COA Director Cindy Bingham, Select Board Liaison TBN Finance Committee Liaison Marilyn Dearborn, Friends of Brewster Seniors Liaison Annie Rapaport, Program Coordinator Town of Brewster Council on Aging Board 2198 Main St., Brewster, MA 02631 (508)896-3701 Pursuant to the Brewster Board of Health Liaison Policy #44, dated August 16 2023, the Council on Aging Advisory Board voted 6-0 with (1) recusal on October 19 2023 to approve the appointment of a Board of Health liaison to our Board. Please inform us of the name of the appointed Liaison. Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealthu brewster-ma. zov W W W.BREWSTER-MA.GOV Board of Health Meeting Wednesday, August 16, 2023 at 6:30PM Town Hall, Room A Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Board members present: David Bennett, Chair; Kimberley Crocker Pearson, MS, MD, MPH, Vice Chair; John Keith, Penny Holeman, MPH, MA, MS and Abigail Archer Others present: Amy von Hone, R.S., C.H.O., Health Director Call to Order Meeting was called to order at 6:30PM. 2. Declaration of a Quorum Quorum present. 3. Recording statement Noted. 4. Chair announcements None. 5. Citizen's Forum None. 6. Pressure Dose letter update AVH - the office has not received any additional comments or paperwork, submitted to the Health Department, since the last meeting. DB - recalls from speaking with Amy that there was in package a letter from one party who did comply by providing an inspection/ receipt that the system was pumped, and the filter had been cleaned. COA Liaison position update and possible :,'-L DB - asked Amy to lead discussion AVH- conversion was put on hold from last week as the Board waited for Penny's ability to participate. Amy has received a response back from the Town Administration as to what the possible process can be for this Board to officially create a COA Liaison. It was recommended that the BOH use the Select Board Liaison Policy. If the Board is comfortable with the Select Board Policy from 2020, then we should take a vote on moving forward with that same policy. Amy will bring it back to Elton Cutler and COA Board to have them do the same type of process and approval before it becomes formal and official. It still needs to be a multi -step process. DB - did Penny have a chance to read the response from Amy? PH - has not read the response but will do so today. DB - should we proceed with accepting a motion to support the Committee with regards to this position and Penny being the liaison to the COA. KCP - Do we first need to adopt the Liaison policy and then we need to Vote on the position of the Liaison? AVH - We can vote on appointing Penny as the Liaison with agreement from the COA. There was a verbal agreement from the COA. Motion: Vote was to appoint Penny Holeman as the liaison to the COA Motion: John Keith Second: Abigail Archer Vote: 5-0 Action: Motion carried 8. I/A Enforcement Discussion C:\Users\tmason\AppData\Local\Ivlicrosoft\Windows\1NetCache\Content.Outlook\K2AFIU3R\Health Department AUG 16 Meeting Minutes V2.doc DB — confirmed that everyone reviewed the information in the package. What you have in your packages, is what Amy produced as part of the previous package, the spreadsheet shows the most recent average total nitrogen numbers for a select group of properties. We identified these properties to go through the approval process to screen whether a letter should go out to the property owners as was adopted by the BOH. DB — I must first recuse myself from any decision or vote as I was affiliated with one of the companies mentioned DB — I would like to go through these one at a time using the spreadsheet that we have and then take a vote with regards to issuing a letter DB — we are trying to keep these as anonymous as possible, I would ask you to refer to any specific project by the identification/permit number. In your package there was the flow chart for the compliance and monitoring I/A systems. PH — are we going to approve the flow chart, or has it been approved? DB — it has been approved PH — Currently the wording is: "Is property outside Zone 2". It should read: "Is the property inside Zone 2". Dave will make the update to the flow chart from outside to inside on the second box in the left-hand column. DB - This change should not take another vote DB — Amy has done a nice job of compiling the sensitive information and summarizing. AVH — We have not done a formal vote on the letter DB — We need to take a vote on the wording of the letter from the 8 16 23 meeting and follow the process outlined in the two flow charts with the new addendum wording from outside to inside Motion: Vote was on the wording of the letter Motion: Abigail Archer Second: Penny Holeman Vote: 5-0 Ael-:: •; Motion carried Brew MCG039 DB — Turn to Page: Sample I/A Systems and Systems Out of Compliance. DB — Brew MCG039 — FAS System - 2018 Installation of a Micro Fast, property which is in DCPC in Pleasant Bay and Herring Run Water Sheds Maximum 19 or 25, micro grams Because of the size of the Lot, they can go down to 19 micro grams, it is based on the square footing of the lot, depending on the square footage of the property you can request a reduction of nitrogen based on the square footage of the lot. 40,000 square feet for a 5 bedroom and then you adjust down from there. DB - Based on the Plan for this property the number of bedrooms approved: 4 on 18,000 square foot lot - This is a 19 part per million system, and this was limited to two bedrooms because they only have 18,000 square feet AVH — looking at System Design calculations — daily flow is at 200% capacity for the tank. However, what they have done on the plan and the System Design Flow is for 2 bedrooms the leaching capacity is for 3 bedroom and this was based on the 1995 Title V capacity. DB - Do they have enough square footage for a 3 bedroom? AVH — No, they do not have enough square footage. AVH — The easiest way to calculate is to calculate backwards. A 6 bedroom requires you have 40,000 square feet which is 6666 square feet per bedroom. 3 bedrooms would require just under 20,000 square feet. - This location does not have enough square footage to support 3 bedrooms. They can only have 2 bedrooms. DB — are we looking at 25 or 19 parts per million, they do have enough square footage for 2 bedrooms. DB — systems have different capabilities and some need to be at 19 where others can be at 25 - The checklist was reviewed for this property and it was determined that a letter should be issued. - Will this system meet the new Title V requirements? No - The median number is 30, we are looking for something between ' and 25 parts per million DB - We do not know the efficiency or the occupancy of this property DB — I would accept a motion to issue a letter for this property. KCP — It is in a future NSA area and a current NSA area and DCPC. KCP - If the fix for the system is pricy based on the Watersheds that we are talking about they might need to be told that unless Brewster gets a Watershed permit as it relates to the Herring River, then they will be forced to upgrade their system. They need to look at it from a cost benefit perspective. We can assume that we are going to have a permit for the Herring River but if that does not happen, they would put a lot of money into the system. DB — there was commitment that there would be watershed permits and we would share costs. Who and how it gets picked is something the joint meeting with the Select Board will need to answer? DB — we are trying to prove that technology does exist and has full approval which it does not. JK —We expect that there will be a Herring River watershed permit. We are looking to add the permits over the next 5 to 7 years. DB — we do have several alternatives: we could buy credits from Harwich and this would not be an issue JK — we could easily find out that the nitrogen removal within the various water bodies in the Herring River Watershed are such that the existing properties do not need to do anything. DB —that is a discussion that is being held at the Wastewater Task Force right now. I just learned today that these overlapping watersheds have a partial contribution for each one and I think what we must keep, the committee must keep in mind that we have to account for build out and we cannot have any more nitrogen. We either deny people any rights to build on vacant property or we must reduce nitrogen across the board. Because you cannot add a 4 - bedroom house with 10 milligrams per kilograms of nitrogen with an I/A System and still maintain a level at 0 nitrogen balance. It is very problematic. JK — And there are lot of alternatives AA — These are big decisions ahead for the property owners, and we want to make sure that we are not be leading them astray or not giving them all the information. We went back and looked at the letter and I think we are directing them to bring your system into compliance. You should speak with your wastewater system operator with regards to any deficiencies. Go talk to an expert and if the expert is recommending to not use this system, then you have other options. KCP — What are the odds that these people who have received a letter will be calling the Board of Health and how will the BOH be addressing the phone calls? C:\Users\tmason\AppData\Local\Microsoft\Windows\1NetCache\Content.Outlook\K2AF1U3R\Health Department AUG 16 Meeting Minutes V2.doc AVH - Based on the response or lack of response from the Pressure Dose Letter I am not expecting a lot of phone calls with regards to these letters. And I agree with Abigail that we should direct the homeowner to reach out to their wastewater system operator and determine why they are not meeting the requirements and determine next steps. KCP - Is it possible that the operator might say to them that they need a new system? AVH - I doubt it. KCP - Okay, that was my concern. They could be told now that they need a new system and in two years, whatever happens, they could be told again that they need a new system. I think we want to be as conservative as possible. Maybe we want to generate some sort of a grace period pending the decision of the town as to which direction they are going to go watershed versus individual homeowners. AVH - and I agree that this Board should be sensitive to all these issues. There is still a big question mark. DB - I think the intent of this letter and the discussion with the engineers is to bring this all out the problem is we do not have any directive, so we do not know what our solution is. We cannot say "we are going to need 70 I/As there because there are 60 lots and how are we going to do that'. Which is the problem in other places. DB - the idea is to engage and inform them to have consultations with their representative to do the right thing for us but right now we have an outstanding approval for meeting 25 and they are not doing it. The intent is to have these discussions. DB - this letter is not an enforcement, but we are asking them to engage us in the discussions because we are going through all of this in the context of the new regulations, but you are not meeting the current regulations. You need to understand you have an obligation on this lot that needs to be addressed AA - what about customer that find out later that they could have tested out an I/A system? Had we known about this opportunity we might have made a different decision. Is there a role for us to put in a one pager about the new Title V regulations along with this letter? This would show that the BoH had done their due diligence in letting them know that there are changes coming. DB - there was a letter that was supposed to be going out to all homeowners stating what this regulation would mean to them and who might be affected and what the general concepts are which will be reviewed during our Monday meeting with the Select Board. DB - The Title V gave a way to any new systems installed in the past 5 years. Correct? AVH - I thought it was less. DB - In the next 5 years we need to meet this requirement. This conversation is to bring the awareness under the new Title V regulations in the context of what are the alternatives. Motion: Vote was to issue the letter Motion: John Keith Second Kimberley Crocker Peerum Vote: 5-0 Action: Motion carried Brew TH0007ADV - 2006 Installation of an Advantics AX20 Property is In Zone 2 DCPC ,: r r! Pleasant Bay Watershed Review property against the two flow charts Summary of the analytical results with a median of 30.85 Motion: Vote was to issue the letter Motion: Kimberley Crocker Pearson Second John Keith Vote: 5-0 Action: Motion carried Brew OLD078 200 Installation of a Single Air System Property is in a Zone 2 DCPC Private Well and Cape Cod Watershed - Reviewed what is Remedial Approval does not require the same level of testing - Reviewed property against the two flow charts - Summary property is within a nitrogen sensitive area; it does not meet the 300 -foot requirement - Has a private well did meet the 4 -bedroom 40,000 square foot requirement - Just doing a straight upgrade but they are on an undersized lot - This is a seasonal property total nitrogen is below the defined limits - If we do not send the letter, we would not exempt them from further testing. - Might want to ask for well testing to be done. Past test show nitrates less than 1%. The well is between the pond and septic system Motion: Vote was to NOT issue the letter Motion: John Keith Second Kimberley Crocker Pearson Vote: 5-0 Action: Motion carried BREW LON159 John drove the discussion as David had a previous relationship with one of the companies mentioned - Limit of 19 and the actual numbers reported have lows of 8 to highs of 79 - Reviewed the property against the flow charts - This is an older system: a BioClear System and the company does not do residential installation any more - 15,000 square foot lot and was designed for 2 -bedrooms and is in Zone 2 in the DCPC - The I/A system gave them the option to have a 2 -bedroom otherwise they would have been limited to a 1 -bedroom - Could be a seasonal property and is beyond capacity during the summer season. - The nitrate levels for 3 of the last 5 years are very high Motion: Vote was to issue the letter C:\Users\tmason\AppData\Local\Microsoft\Windows\1NetCache\Content.Outlook\K2AF1U3R\Health Department AUG 16 Meeting Minutes V2.doc Motion: Kimberley Crocker Pearson Second Penny Holeman Vote: 5-0 Action: Motion carried 9. Liaison Reports Opioid/Narcan updates KCP — recapped what was reviewed during the last meeting and new developments with regards to regulatory changes There is new acute treatment which includes Narcan (Naloxone) which is now available over the counter. Currently your insurance will pay for the Narcan until the end of September 2023. There is a new campaign out of the DEA called the One Pill Can Kill initiative which is targeted to young adults. Based on the information from the last meeting we have the go-ahead to make a brief informational video for the town website. KCP will be working on the video which will include a few slides with a voice over and will include how to access Narcan and how to administer Narcan when dealing with an Opioid overdose. The video should be up on the website by next month. JK — talked to two people who have interest in this topic: 1 an EMT in Orleans and 2 CEO of lower Cape Outreach. The EMT stated that the EMT, Police and Fire Departments should all always keep Narcan available. If we had the money, how could we get Narcan to the people or the families of the people at risk. KCP — talked to a CVS Pharmacist that does presentation to kids about the dangers of Opioids. DB — Narcan is the reactive way to save lives, what we need to do is educate the public. DB — are there Fentanyl test kits? Is there a way to identify Fentanyl laced products? KCP — there is color assay test which goes along with the 5 -panel quick screen. KCP — does not know the cost of the test but it used in the field and emergency room. DB — this is the leading cause of death among young people KCP — it is a designer drug that sole purpose is to get you addicted KCP —selling is now done by cell phones and all done by emojis which has made enforcing!-:! laws that much harder KCP — the One Pill Can Kill presentation is going out to schools to help raise awareness KCP — DEA has put a lot of work into the One Pill Can Kill campaign. DB — looking forward to hearing updates on the program with regards to our allocation of funds. Water Quality Review Committee DB — asked John for update JK — group is not meeting until 8/25 DB —there is a mound/sandpit across from the Captain's Golf Course that looks like it is being refurbished Health and Human Services / COA PH - during our last meeting there was a great deal of interest in the new watershed regulations that became effective in July. People want information and they do not know what to say to a potential buyer. We have a meeting scheduled to work on this next week. DB — I am not surprised, and I am looking forward to a statement being made by the town that you can paraphrase without going out on a limb. DB — I was surprised that the letter was not included in the.package at Thursday's meeting. Were we expecting that an announcement was going to go out? KCP — next meeting is on Thursday where these items will be reviewed, and the joint meeting will be the following Monday. JK — Mark Nelson is working on the supporting presentation Recycling Commission AA — recycling commission last met on July 18th and they have not met since that time so there is no additional update DB — on the Wastewater Committee we continue to meet and will make a presentation to the Selectmen which will make an update on policy and how we are proceeding with these items. This will include a statement to the public and a commitment by the town to address these issues one way or another. There will be more to review during the next meeting. DB — I would encourage you/Amy to ask any questions that you have during those meetings or bring into perspective what the Board of Health issues are, what are the capacities we are in enforcing I/A Systems. AVH — will everyone be able to make the meeting on the 26th? All responded yes. AVH — the meeting start time is 6:00 PM however the agenda has not been published DB — confirmed this is a joint meeting 10. Matters not reasonable anticipated by the Chair None. 11. Items for next agenda - Using Hawaii as an example — what is our local fire plan from the human perspective, can we put this on a future agenda based on draughts and some fire activity at Nickerson. What is our plan for turning off our power grid if required? Should we request a letter from Eversource for the plan, but we should ask the fire department first. Amy will check with fire and provide an update. C:\Users\tmason\AppData\Local\Microsoft\Windows\lNetCache\Content.Outlook\K2AF1U3R\Health Department AUG 16 Meeting Minutes V2.doc Warning systems for alerting Brewster residence Wildfire prevention plan, for example -controlled burns 12. Next meeting: September 6, 2023 Noted. Informational items noted. Meeting adjourned at 7:42 PM. *Accompanying documents in packet: Agenda, Opioid information, informational items C:\Users\tmason\AppData\Local\Microsoft\Windows\1NetCache\Content.Outlook\K2AFIU3R\Health Department AUG 16 Meeting Minutes V2.doc Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth-v brewster-ma.- ov WWW.BREWSTER-MA.GOV Board of Health Meeting Wednesday, September 6, 2023 at 6:30PM Town Hall, Room A Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Board members present: David Bennett, Chair; Kimberley Crocker Pearson, MS, MD, Vice Chair and Abigail Archer Board members absent: Penny Holeman, MPH, MA, MS, and John �- r r Others present: Amy von Hone, R.S., C.H.O., Health Director, Linda Cronin, Engineer 1. Call to order Meeting was called to order at 6:30PM 2. Declaration of a quorum Quorum was present. 3. Recording Statement Noted. 4. Chair announcements A request was made to delay the hearing for 0 Greenland Pond Road until later in the agenda. 5. Citizen's 1 n - 1, None. 6. Discuss and vote: 0 Greenland Pond Road M94 L29, new construction with proposed I/A Technology MicroFAST 0.5 General Approval for Nitrogen reduction Started at approximately 7:01 PM DB recused himself due to a potential conflict. There will not be a quorum to hear this so it will have to be moved until the next meeting in September (20th). The homeowner asked a few questions. 7. Consent Agenda: *In -House variance approval - 549 South Orleans Road AVH stated that this is an existing 3 -bedroom dwelling that was recently sold. The septic system failed, a new system was designed but because of contours and the location of existing plumbing, a variance was needed for the depth to the leaching facility. Motion: Approve the consent agenda. Motion: Kimberely Crocker Pearson Second: Abigail Archer Vote: 3-0 Action: Motion carried 8. Pressure Dose letter update N:\Health\from Shari\ SWORK FOLDERS\MEETINGS\BOH\Sept623m.doc AVH- did get an inspection report for 254 Robbins Hill Road. Information typically looked for is whether the mechanical pumps and alarms are working (which the report indicates) and level of effluent that is discharged out of the leaching lateral lines. The report shows that this system is functioning as it should. The office did receive a quote for one of the Town commercial properties for an inspection. They are still working on gathering information to provide to the Board. Another system (commercial - town property) has an issue with the leaching facility laterals that were not built up to grade. Access to those laterals is not easy at the moment. Perc-Rite (which is an I/A system, pressure dosed), are under contract to be inspected. If it is over 2000gpd, it must be done 4 times a year. If it is under 2000gpd, it must be done 1 time per year. We are receiving these reports. DB- moving forward, we want to make sure that the inspectors are certifying that the laterals are built up to grade and accessible. AVH- spoke about the RME program. DB- letters went out over a month ago. We should keep this on our agendas and maybe think about re -sending letters to those we have not heard from. 9. Vote on final CAPE Public Health Excellence Grant Intermunicipal Agreement (IMA) AVH - the document that was included in the packet was the same that the Board has seen before with 1 major change with regard to the outer cape towns. Language was added to address the agreement those towns already have. The document will need to come back for signatures from the Board. The Selectboard is reviewing this ,_ _ September 18th. Motion: Approve the final CAPE Public Health Excellence Grant Intermunicipal Agreement Motion: Kimberley Crocker Pearson Second: Abigail Archer Vote: 3-0 Action: Motion carried 10. I/A Enforcement of Non -Compliant systems update AVH- letters for 6 properties went out for non-compliance with nutrient removal. We have heard back from one of them, 39 McGuerty Road (FAST system). The operator has advised the owners to make a couple of tweaks. If the last set of samples comes in high, he will take an influent sample. Long Pond - last set of samples came in well below. The operator was asked to provide that information to AVH, and she will pass it on to the Board. DB -wants to make sure a formal response is received by the operator. AA- asked if anything was in the regulations with regards -r "a running average". DB - policy is running average of last 4 tests. AVH - 4 letters to go out still. Then we will need go back to the list. 11. First Annual Volunteer Fair - request for volunteers KCP will be at the fair. AVH stated that PH had said she would be there to represent the Board if she was not needed by the COA. 12. Review and approve minutes from 6/21/23, 7/5/23 & 7/19/23 Motion: Approve the 6/21/23, 7/5/23 & 7/19/23 minutes as written Motion: Kimberley Crocker Pearson Second: Abigail Archer Vote: 3-0 Action: Motion carried 13. Liaison Reports. KCP - Opioid group has not met yet. AA - Recycling Commission has not met since July. N:\Health\from Shari\MSWORK FOLDERS\MEETINGS\BOH\Sept623m.doc DB — WWTF Committee did meet with the Selectboard and there was commitment in town with Notice of Intents. Exemptions were filed. The consultants assured us that the plans we have for Pleasant Bay are sufficient on the permit for the short term (at least 5 years). 14. Matters not reasonably anticipated by the Chair AVH — noted that there have been a couple of mosquito pools in Eastham and Barnstable that have tested positive for West Nile Virus. DB — there is also a surge going on with Covid right now and he encouraged people to get their boosters. AVH — the annual flu clinic is on October 12th at Our Lady of the Cape Church. 15. Items for next agenda KCP — wants to speak briefly about the Deer Island NIPTY (??) permit. DB — Pressure Dose letter update and Greenland Pond IIA system. 16. Next meeting: September 20, 2023 Noted. Informational items were noted. Meeting adjourned at 7:40PM "Accompanying documents in packet: Agenda, I/A septic information for Greenland Pond, CAPE Public Health Excellence Grant information, informational items. NAHealth\from Shari\MSWORK FOLDERS\MEETINGS\BOH\Sept623m.doc noO Vk F- W a < .5% 0 -4%* .Z x! it�� V, I& 2 3: 0) i!i 0 5k PeORPORONS %/11 13. Ala 'NmIn fill i I w Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth - brewster-ma._�ov WWW.BREWSTER-MA.GOV Board of Health Meeting Wednesday, September 20, 2023 at 6:30PM Town Hall, Room 8 Board members present: David Bennett, Chair; Kimberley Crocker Pearson, MS, MD, MPH, MS; John Keith and Abigail Archer Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tanuni Mason Senior Department Assistant : Chair; Penny Holeman, MPH, MA, Others Present: Amy von Hone, R.S., C.H.O., Health Director, Linda Pinto, Engineer for 0 Greenland Pond Road I . Call to order The meeting was called to order at 6:30PM. 2. Declaration of a quorum All present. 3. Recording Statement Noted 4. Chair announcements None. 5. CItIzen's;-3-..— Beth Emanuleson, 43 Seamans Lane read a statement about her issues with the 2 donkeys at 6 Seamans Lane. She stated that she feels it is not acceptable to allow these animals to remain on this property and wants the Board to rescind the permit that was issued in October of 2022. DB -the Board cannot discuss this under "Citizen's forum". 6. Discuss and vote: 0 Greenland Pond Road M94 L29, new construction with proposed I/A technology MicroFAST 0.5 General Approval for Nitrogen reduction David Bennett recused himself and left the room. Linda Pinto, CSN Engineering presented this to the Board. It is a proposed 4 -bedroom dwelling with a FAST system that will meet the 5PPM. KCP — I/A is mandated because of DCPC and Zone 11. There is an 81X plan that will be done in the next few weeks to merge the 2 lots. KCP — asked which lot would be most disturbed. LP stated that it would be lot 7 that is most disturbed. KCP asked where the blower would be. LP it will be underground. AVH — lawn area needs to be labeled on the plan, as well as what the 2nd lot will be, where the vent and blower will be and add on to the plan that an electrical permit is required. MMealthUrom Shari\MSWORK FOLDERS\MEETINGS\BOH\Sept2O23m.doc AVH – read the conditions on the MicroFAST system: • Property is maxed out at 4 bedrooms • Maximum of 3000sf of lawn area • O &M agreement (for at least 1 year) If seasonal use, testing for total nitrogen needs to be twice a year A flow meter is recommended Access ports must have readily accessible and removable covers Approval letter needs to be recorded at the Registry of Deeds AA – asked if having a flow meter would help with potential issues in the future. AVH – potentially. Motion: Approve the IIA system with the condition that revised plans are submitted showing the 2 lots merged and the other items mentioned are submitted before a permit is released. Motion: John Keith Second: Penny Holeman Vote: 4-0 Action: Motion carried David Bennett returned to the meeting. 7. Consent Agenda: In-house variance approval – 432 Blueberry Pond Drive, 300' setback to pond Motion: Approve consent agenda Motion: Penny Holeman Second: Kimberley Crocker Pearson Vote: 5-0 Action: Motion carried 8. Pressure Dose letter update AVH -did receive a Title 5 inspection report for mm of the commercial properties in Town. It did not have information on the laterals. She spoke with the inspector, and — stated that he would go back to look at the specific items on the Pressure Dose inspection page. No other reports were received. 9. I/A Enforcement of Non-compliant systems review ., nu update: AVH- gave an update on letters that were sent out to non-compliant homeowners: 7 Thousand Oaks – no current O & M Contract and is out of compliance. The owner is currently trying to find an engineer • 56 McGuerty Road – operator made a proposal for a new contract for influent & effluent testing and gave it to the owner. They have not heard anything back yet. 1597 Long Pond Road – operator told AVH that the most recent testing was within limits. They will keep an eye on things. The homeowner stated that a pump had been replaced. KCP- asked if there was any information as to what is triggering this non-compliance. AVH- nothing is coming up as a factor. DB -asked if the Board wanted to take any action on any of these properties. AA -thinks waiting a certain number of days before action is taken would be best. 1s' letters went out on August 21st. The Board thought that 60 days would be acceptable. AVH- November 1 s' meeting would be appropriate to re -review (if there is no response before then). BREW-Sar050-FAS DB- last 4 readings were high. Motion: Send letter of non-compliance to homeowner Motion: Kimberely Crocker Pearson Second: John Keith Vote: 5-0 Action: Motion carried NAHealthlfrom ShariNSWORK FOLDERS\MEETINGSIBOMSept2023m.doe BREW-Tho54-FAS DB- The last 3 readings were ok, some being high. Motion: Send letter of non-compliance to homeowner Motion: John Keith Second: Kimberely Crocker Pearson BREW-Gre083-FAS AVH- this is a fairly new system. DB — quarterly data shows more above 30 than less. Motion: Send letter of non-compliance to homeowner Motion: Penny Holeman Second: Kimberley Crocker Pearson BREW-Low015-FAS Vote: 5-0 Action: Motion carried v0, a -• • Action: Motion carried DB- performance hasn't been great. AVH- use of the property is probably affecting the numbers. This one was only required to be tested once every 3 years per BOH approval. Motion: Refrain temporarily from sending a non-compliance letter to owners Motion: Penny Holeman Second: Abigail Archer Vote: 5-0 Action: Motion carried 10. Discuss MWRC Discharge Permit Renewal and EPA removal n. Outfall Monitoring Scientific Advisory Panel On hold until next meeting. 11. Review and approve minutes from 8/2/23 meeting Motion: Approve minutes from 8/2/23 meeting Motion: Abigail Archer Second: Kimberly Crocker Pearson Vote: 3-0-2 (DB & PH abstained) 12. Liaison Reports AA -Recycling Commission met yesterday. A'-••:, highlights were: DPW is continuing to look at re -organizing the flow of traffic through the Recycling Center • There are new textile recycling bins available • They are organizing a field trip to a material reuse facility to get some general understanding' PH — The COA meeting is tomorrow. DB — The WWTF has not had a meeting. KCP — The Opioid Committee has not been convened yet. JK- WQRC met on the 25th. The meeting was just a review of the Committee's responsibilities. 13. Matters not reasonably anticipated by the Chair DB- spoke about the survey that the Town is asking residents to complete about "communication." There is a meeting on Pleasant Bay on 10/21 at the Chatham Community Center from 9-2PM 14. Items for next agenda N:\Health\from Shari\MSWORK FOLDERS\MEETINGS\BOH\Sept2023m.doc DB- brought up the request under Citizen's forum. The Health Agent will go out and do an inspection to determine if the complaint about the donkeys is valid. AVH- spoke about the drainage basin and that she would check with the DPW Superintendent about it. KCP — MWRC AVH — 2 variance requests 15. Next meeting: October 4, 2023 Noted Meeting adjourned at 8;15PM. *accompanying documents in packet: agenda, information on non-compliant IIA Systems, Greenland Pond Road I/A information, information item NAHealth\from ShariWSWORK FOLDERS\MEETINGS\BOH\Sept2023m.doc Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 brhealth lbrewster-ma_.Lov WWW.BREWSTER-MA.GOV Board of Health Meeting Wednesday, October 4, 2023 at 6:30PM Town Hall, Room B Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Board members present: Kimberley Crocker Pearson, MS, MD, MPH, Vice Chair; Penny Holeman, MPH, MA, MS; John Keith and Abigail Archer Others present: Amy von Hone, R.S., C.H.O., Health Director, Sherrie McCullough, R.S., Assistant Health Director, Stephanie Sequin, Ryder & Wilcox and John O'Reilly, JM O'Reilly & Associates Call to order The meeting was called to order at 6:30PM. 2. Declaration of a quorum A quorum was present. 3. Recording Statement Noted. 4. Chair announcements 0Gm 5. Citizen's forum None. 6. Septic variance- 20 Captain Elijah Cobb Road- 300' setback to pond for building addition and septic system This started at 7:o0PM. Stephanie Sequin presented to the Board. This is an existing 5 -bedroom home on a 54,600sf lot on Cobb's Pond. The owners are proposing to enlarge the kitchen and add an inground pool. There is no increase in flow. The entire property is within 300' of the pond. Flow is towards the pond. SAS will be installed at the SW part of the lot. It will comprise of 3 shallow leaching trenches and will be perpendicular to groundwater flow. It will be installed as far away from the pond as possible. Variances requested are: To allow the proposed SAS to be 238' from Cobb's Pond To allow the reserve are to be 236' from Cobb's Pond To allow the top of the trench to be 4' below grade N:\Health\from Shari\MSWORK FOLDERS\MEETINGS\BOH\Oct423m.doc The system will be vented and H2O rated. KCP- asked if any thought was given to nutrient reduction. SS — from a financial standpoint this is already a very expensive system. AVH- noted that they will most likely get 10.5 feet of separation from the bottom of the SAS and groundwater. Motion: Approve variances as requested Motion: Penny Holeman Seconded: Abigail Archer Vote: 4-0 Action: Motion carried 7. Septic variance — 283 Hamilton Cartway — 300' setback to pond for building additions and septic system John O'Reilly presented to the Board. The existing 3 -bedroom home will be updated but remain a 3 bedroom. The existing system will be replaced. There are ponds on both sides, the system is downgradient from Greenland Pond and upgradient from Long Pond. A Drip Dispersal system is going to be installed because it allows for slow release of effluent and a good contact system to the soil below. System will be 5.5 feet above the estimated high groundwater (which has an adjustment of about 4 feet). System will have a 2 -compartment septic tank and pump chamber. System will have pressure dosing. There is a private well on the property that will be relocated. Property is 77,970sf. 40% of it is wetlands (to the east). The Conservation Commission approved this proposal last week. JK -asked how the Perc Rite System worked. JO- explained how it would be installed and noted that there will be a liner around the leaching area. KCP-spoke about the "access points on the pressure dose systems. AVH-explained it to the Board. Motion: Approve the variances as requested Motion: John Keith Second: Penny Holeman Vote: 4-0 Action: Motion carried 8. Health Department staff report: complaint investigation on mini donkeys at 6 Seamans Lane AVH-based on a complaint that was received, she and Sherrie McCullough, Assistant Health Director went out to do an inspection. They did speak with the homeowner. Property is in great shape. No violations found. No odors of significance. The owner is following what she was instructed to do when the permit was granted. Manure is picked up twice a day and taken off property. There is a drainage issue on the road in front of the property that is being addressed by the DPW. The catch basin does not flow directly into the pond. Per the DPW Superintendent, it was capped off years ago. KCP-the complaints brought up were resolved by this inspection. The owner is operating well within the requirements of the Animal Regulations. 9. Pressure Dose systems update AVH- no new inspections were received. A few inquiries from homeowners. The school is still working with their operator to see what can be done to get a proper inspection done. One of the I/A non-compliant systems has entered into a contract with an operator, and they are trying to determine why the numbers are so high. NAHeakh\from Shari\MSWORK FOLDERS\MEETINGS\BOH\Oct423m.doe 10. Presentation and discussion on MA Water Resources Authority (MWRC) and EPA's plan for removal of science advisory board of wastewater discharge Item was continued until the full Board is present. 11. Liaison Reports PH- COA is still waiting for MASS to analyze data for the 5 -year plan. AA- have not met since last meeting. 12. Matters not reasonably anticipated by the Chair None. 13. Items for next agenda Discussion on MWRA I/A data update 14. Next meeting: October 18, 2023 Noted. Informational items were noted. The meeting adjourned at 7:15PM. "Accompanying documents in packet: Agenda, information on 20 Captain Elijah Cobb Road variance requests, information on 283 Hamilton Cartway variance requests, summary of inspection on 6 Seamans Lane, informational items NAHealth\from ShaiiNSWORK FOLDERS\MEETINGS\BOH\Oct423m.doc a W �\\ Iq 0 A0 z �Ri 0 A, Town of Brewster 2198 MAIN STREET BREWSTER, MASSACHUSETTS 02631-1898 PHONE: 508.896.3701 EXT. 1120 FAX: 508.896.4538 b_rhealth-ii lxrewster-ma.�;ov WWW.BREWSTER-MA.GOV Board of Health Meeting Wednesday, October 18, 2023 at 6:30PM Town Hall, Room A Health Department Amy L. von Hone, R.S., C.H.O. Director Sherrie McCullough, R.S. Assistant Director Tammi Mason Senior Department Assistant Board members present: David Bennett, Chair; Kimberley Crocker Pearson, MS, MD, MPH, Vice Chair; Penny Holeman, MPH, MA, MS, and Abigail Archer Others present: Amy von Hone, R.S., C.H.O., Health Director 1 . Call to order The meeting was called to order at 6:30PM. 2. Declaration of a quorum There was a quorum present. 3. Recording statement Noted. 4. Chair announcements None. 5. Citizen's forum None. 6. Discuss and vote on MWRC (MA Water Resources Authority) KCP- The Environmental Protection Agency (EPA), which grants discharge permits to MWRA outfall @ Deer Island, has removed the Science Advisory Board (An independent group of scientists that have been looking at water quality and other data that has come out of the outfall over the past 28 years). Deer Island is a treatment plant just north of Boston, that treats about 330 million gallons of wastewater per day. The treated water is then pumped 91/2 miles offshore under the ocean and is diffused into the Massachusetts Bay. It is not a plant that is set up to treat contaminants of emerging concern. For the last 28 years, the EPA has required that an independent group of scientists (OMSAP) review all the data on the treated wastewater and any data that is collected in and around the outfall for potential effects on the Bay (I.E., fish health, algae blooms, oxygen levels in bottom waters and most recently contaminants of emerging concern) They did public a Treatise last year on how they felt the MWRA should go forward in terms of looking at chemical contamination in this part of the bay. In the permit this year, the EPA made a statement that the data shows that decades of wastewater discharge has not harmed Massachusetts Bay and the scientists service were no longer required. The independent scientists do not agree with that statement. She shared the location of Deer Island on a map and shared a slide show with the Board. WHealdiUrom ShariNSWORK FOLDERS\MEETINGS\BOlLOctl823m.doc People on the Cape should be concerned with ongoing discharges that are unanalyzed. She went over the unintended consequences from this which includes pharmaceuticals, caffeine, sucralose and PFAS. There have been 2 additional studies done on seabirds and bottom fish that have found that they have PFAS in them. What she would like to see is, prior to the November 28, 2023 public comment deadline for the EPA, the Board produce a statement that says, "Peer review is the cornerstone of all good science". She is hoping to convince the EPA to put into the permit that it needs some sort of external review. DB — a single letter from the BOH is not going to give much weight and asked what she was looking for from the Board. KCP-thinks that the Board and any Brewster resident could submit a comment to the EPA. DB — would like to see data on what the EPA is finding and where. KCP- environmental standards have not really been set. AA — we could either do a very specific letter or a general one. DB — doesn't think we know enough to write a specific letter but would be in favor of writing a general letter. Motion: Have Kimberley Crocker Pearson draft a letter to the EPA that voices a concern by the BOH of the stopping of monitoring and would like to see an independent peer review of the emerging contaminants. Motion: David Bennett Second: Abigail Archer Vote: 4-0 Action: Motion carried 7. Pressure Dose update AVH- there has not been a large response. We have had a few inquiries from inspectors that haven't done this type of inspection before. One of the Town properties is doing more research on how to adjust the laterals to be able to get an inspection done. DB -because the response has been poor, he thinks •, follow up letter should be sent to owners telling them that we are looking for responses. PH & AA would also like to see some follow-up. Motion: Discuss issuing second letters to the ones we have not heard back from at the 11/15/23 meeting. Motion: Kimberley Crocker Pearson Second: Penny Holeman Vote: 4-0 Action: Motion carried 8. I/A System monitoring information AVH- on the master sheet, a lot of spaces are blank and need to be filled in (property files need to be reviewed). High results = more information on the end of the sheet. There are still a handful of owners that have not responded yet. The 60 -day deadline will be at the end of October. She will either put this on the second meeting in November or the first meeting in December. BREW-COM44-FAS This system was installed in 2023 and the first test was at 22. The second test came back at 9.96. The Board is not sure there is enough data to get a good picture of how the system will function. They suggested to keep monitoring it. Motion: Do not issue a letter to the homeowner. Keep monitoring the system numbers. Motion: Penny Holeman Second: Kimberely Crocker Pearson David Bennett recused himself from discussion on the next property. BRE W-ROB298-Advantex 2021 reading was 84.3, 2022 reading was 6 and 2023 reading was 106. Vote: 4-0 Action: Motion carried It doesn't appear that they are testing as much as they are supposed to be. NAHealthUrom Shari\MSWORK FOLDERS\MEETINGS\BOH\Octl823m.doc AVH-this is a seasonal property. This property is an ESA area with a nitrogen component and that is why the BOH wanted it tested. Motion: Send letter of non-compliance to owners Motion: Abigail Archer Second: Penny Holeman Vote: 3-0 Action: Motion carried David Bennett rejoined the meeting. He stated that quarterly updates of the I/A spreadsheet from now on would be sufficient. 9. Liaison reports KCP-The Opioid Committee has not convened yet. PH-COA is meeting tomorrow and on the agenda is approval of the liaison appointment. AA -Recycling Commission has not met again since the last meeting. DB-WRTF is meeting on Monday. A draft letter for public information on watersheds is being presented. A presentation by the Brewster Ponds Coalition is being given and they are looking to have some money allocated at the town meeting to do some pond studies. It will be re -directed to the Pond Management Plan/. 10. Matters not reasonably anticipated by the Chair DB -spoke about the Citizens Petition for short term rentals that is on the warrant. AVH- is doing research on the cost and how it will be run. This will fall under the Health Department. AVH-there is information being circulated about the County's Substance Abuse newsletter and how people can subscribe to it. AVH-she and Peter Lombardi met with a representative of the consulting firm JSI, that the state has subcontracted with to help the state and individuals' communities with use of the opioid funds. Towns could pool the money with other towns to get more for the money. 11. Items for next agenda Draft letter for the MWRC. Consent agenda for in-house variances. Maybe a deeper discussion on the Citizens Petition 12. Next meeting: November 1, 2023 Noted. 13. Informational items: Items were noted. A. DB asked what this was about. AVH stated that the State is trying to bring all Health Department's up to minimum standards and that Barnstable County will be a training hub. KCP asked if there was any training for BOH members. PH stated that MAHB has training for new members. DB- MHOA also has some great training. David Bennett asked for the location of the monitoring wells at the former CCSC property. Meeting adjourned at 7:40PM. "accompanying documents in packet: agenda, MWRC information, I/A system information, informational items. NAHealth\from Shari\MSWORK FOLDERS\MEETINGS\BOH\Oct1823m.doc I F it � 0 'I J 9 + i � ♦ I 'b�. � f! � r � � r �.Jql ' � 1 �-� • k _- ! 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O'Reilly & Associates, Inc. Engineering & Land Surveying Services 1573 Main Street, 2nd Floor, P.O. Box 1773 Brewster, MA 02631 (508) 896-6601 Fax (508) 896-6602 LETTER OF TRANSMITTAL TO: DATE: JOB NUMBER: _ Department of Environmental Protection I 10/11/2023 I 18082W Attn: Title 5 Program One Winter Street, 5th Floor REGARDING: Boston, MA 02108 • White Rock Commons Subdivision, White Rock Road, Brewster shiging Method: Regular Mail ✓❑ Federal Express ❑ Certified Mail ❑ UPS ❑ Priority Mail ❑ Pick Up ❑ Express Mail ❑ Hand Deliver ❑ COPIES DATE DESCRIPTION , 1 08/25/23 DEP Approved Inspection Form SeptiTech Form Lab Results � I L For review and comment: ❑ REMARKS: cc: John M. O'Reilly, P.E., P.L.S. Board of Neu:..! Client For approval: ❑ As Requested: ❑ From: GJB If enclosures are not as noted, kindly notify us at once For your use: �✓ Zero Pollution Waste Water Systems �J Site/Address: White Rock Commons Subdivision White Rock Road Brewster, MA 02631 Date: 08/25/2023 RE VEDA C1C� 1 "� Za23 BREVVSTER HEALTH DEPARTMENT Time: 8:20 am Rep: Greg Brehm 1. Remove lids & covers on processor. Visually inspect media & spray pattern. GJB (Initial) 2. Exercise entire system in maintenance mode. GJB (Initial) a. Recirculation pump(s) b. Pumpback pump(s) c. Discharge pump(s) 3. Perform maintenance/cleaning tasks required for proper operation of unit. GJB (Initial) a. Spray headers b. Media c. Screen 4. Take effluent sample from sample tube GJB (Initial) 5. Record following values from controller read-out (Discharge Pump) GJB _ (Initial) Days Runtime: 13 13 Hours Runtime: 23 22 Seconds Runtime: 18017 2872.0 6. Record controller program version: Commercial GJB (Initial) 7. Record controller firmware version: V121 _ GJB (Initial) 8. List parts and supplies used: _ — GJB _ (Initial) 9. Return system to "run" mode GJB (Initial) 10. Re -install covers and lids on processor. GJB (Initial) 11. Check air intake muffler for obstruction and proper draw. GJB (Initial) General Notes and Remarks: The system is operating correctly mechanically Effluent quality passed field tests. Effluent sample collected for lab analysis. C:\Users\admlAppDetalL,wl\Micr=RkV,ndoiv\Temporary Inte elFiles\Conten(.Outlook\LQ2TPOQY\seplitch.doc Massachusetts Department of Environmental Protection Lj Bureau of Resource Protection - Title 5 � DEP Approved Inspection and O&M Form for Title 5 IIA il Treatment and Disposal Systems A. Installation Important: When White Rock Commons Subdivision filling out forms Owner on the computer, use only the tab White Rock Road _ — -- key to move your Facility Street Addressi cursor - do not Brewster _ 02631 use the return City Zip key. Mailing address of owner, if different: P.O. Box 3843 Street Address/PO Box: GX New Haven _ CT 06525 City State Zip (203) 312 - 3484 ext. Telephone Number B. Authorized Service Provider J. M. O'Reilly &Associates, Inc. O&M Firm 1573 Main Street - P.O. Box 1773_ _ Street Address Brewster _ MA City State (508) 896 - 6601 ext. Telephone Number Greg Brehm Certified Operator Name C. Facility/System Information 16149 _ Certification Number 02631 _ Zip BREW-Sou157-Sep Septitech M3000N _ DEP ID Manufacturer ID Model Number Unknown _ _ January 2016 Installation Date Start of Operation Approval Type: ® General ❑ Provisional ❑ Piloting ❑ Remedial Seasonal Residence – used less than 6 mo./year: ❑ Yes ® No D. Operating Information 08/25/2023 06/14/2023 Inspection Date Previous Inspection Date Sludge Depth (to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc • rev. 04-11-13 Page 1 of 3 Massachusetts Department of Environmental Protection -;' Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems r. rieiu i ebutiq Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other (specify): Odor: ❑ musty ® earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some 7.0 SU 4.0 m --/L 1.23 NTU pH 6 to 9 DO 2 or greater Turbidity 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 M Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ® BOD ❑ CBOD ® TSS ® TN ❑ Other (list below) See attached lab results Other 1 Other 2 G. Inspection and Maintenance Other 3 Description of any maintenance performed since previous inspection & during this inspection: Maintenance completed per manufacturer's checklist. Notes and Comments: The s- stem is o eratin , correctly mechanically t5aiom.doc • rev. 04-11-13 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts ori" ie Kaerptor in accordance with 257 CMR 2.00. Operator , 2ture 10/11/2023 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 31St of each year for the previous calendar year Piloting Use - within 45 days of inspection date Provisional Use — by March 31th of each year for the previous 12 months General Use — by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5th Floor Boston, MA 02108 t5aiom.doc • rev. 04-11-13 Page 3 of 3 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) Reeort Pre red for: Order #: G23004205 J.M. O'Reilly & Associates, Inc Report Dated: 9/14/2023 J.M. O'Reilly & Associates, Inc. Description: 8082W PO Box 1743 Brewster, MA, 02631 Laboratory ID#: Matrix: Waste Water Sample#: G23004205-001 Sampled: 8/25/2023 08:50:00 By: GJB Collection Address: Received: 8/2512023 10:01:00 By: tconnelly Sample Location: White Rock Rd HOA, Brewster Turn Around: Standard Biochemical Oxygen Demand - 5 Day incubation METHOD # ANALYST TESTED _ TIME ITEM RESULT UNITS RL MCL BOD - [11 ND mg/L 2.0 SM 52108 SEA 8/26/2023 Nitrate analysis ITEM RESULT UNITS RL MCL METHOD # ANALYST NITRATE 10 mg/L 0.10 10 EPA 300.0 CL Nitrite analysis ITEM RESULT UNITS RL MCL _ METHOD # ANALYST NITRITE ND mg/L 0.050 1 EPA 300.0 CL Total Kjeldahl Nitrogen analysis ITEM RESULT UNITS RL MCL _ METHOD # ANALYST TKN 1.1 mg/L 0.25 EPA 351.2 AB Total Suspended Solids analysis ITEM RESULT UNITS RL MCL _ METHOD # ANALYST Total Suspended Solids 2.8 mg/L 2.0 SM 2540D LAP Analyte analysis subcontracted to the following laboratories: — .I— W-8— —h _ hA_hAAnRA Approved By: Dan White On: 9/14/2023 8/25/2023 TESTED TIME 812512023 TESTED TIME 911/2023 14:23 TESTED TIME 8/25/2023 _i ND = None Detected RL= Reporting Limit MCL= Maximum Contaminant Level MDL = Minimum Detection Limit 3195 Main Street, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 - www.capecod.gov Page 1 of 1 i p lCaGCLY& Bo� (5V') Massachusetts Department of Environmental Protection # E P Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: SFARRENKOPF Transaction ID: 1622902 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1681.56K Status of Transaction: In Process Date and Time Created: 10/18/2023:11:59:08 AM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. rab rsmW UP 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 1383 SOUTH ORLEANS ROAD b. Street Address BRED WSTER C. City 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 b. Telephone Number 3. Sampling information: MA d. State 746 !—Permit Number 2. Tax identification Number 2023 SEP DAILY 3. Sampling Month & Frequency 02631 e. Zip Code jsmit�water.com c. e-mail address 19/1/2023 SNOT APPLICABLE a. Date Sampled (mm/dd/yyyy) b. Laboratory Name BEA/NSU WWTO PERSONNEL G. Analysis Performed By (Name) B. Form Selection 1 Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2023 Sep Daily T F All forms for submittal have been completed. 2. I— 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 Groundwater Permit DAILY LOG SHEET 2. Tax identification Number 2023 SEP DAILY 3. Sampling Month & Frequency gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine Uv Flow GPD Flow GPD Flow GPD pH Residual Intensity (mg/1) N 1 9710 6.6 66.6 2 9710 3 9710 4 9710 5 12547 7.0 i I 66.6 6 8013 7.2 66.6 7 10442 7.2 74.3 8 10516 7.0 66.6 9 10516 10 10516 11 16141 7.1 68.5 12 7674 6.8 66.6 1312750 6.8 66.6 14 15080 6.7 169.1 15 10947 6.6 66.6 16 10947 17 10947 18 16352 7.2 74.2 19 8823 7.0 74.2 20 14787 7.2 67.1 21 12996 6.9 74.3 22 13894 7.0 74.2 23 13894 24 13894 25 9771 6.6 66.6 26 5 6.9 169.8 27 16784 6.8 74.4 28 12112 6.6 66.6 29 10056 6.6 69.2 30 10056 31 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. F6D 6lu Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT A. Facility Information 1. Facility name, address: PLEASANT BAY HEALTH CTR a. Name 383 SOUTH ORLEANS ROAD b. Street Address BREWSTER MA C. City d. State 2. Contact information: OSEPH SMITH a. Name of Facility Contact Person 7742125005 b. Telephone Number 3. Sampling information: 746 1. Permit Number 2. Tax identification Number 2023 SEP MONTHLY 3. Sampling Month & Frequency 02631 e. Zip Code jsmith@nsuwater.com c. e-mail address 9/19/2023 ALPHA ANALYTICAL a. Date Sampled (mm/dd/yyyy) b. Laboratory Name ALPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2023 Sep Monthly J All forms for submittal have been completed. 2. I_ 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 T. Permit Number Groundwater Permit DISCHARGE MONITORING REPORT 2. Tax identification Number 2023 SEP MONTHLY 3. Sampling Month & Frequency D. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled 1. Parameter/Contaminant Units BOD MG/L TSS MG/L TOTAL SOLIDS MG/L AMMONIA -N MG/L NITRATE -N MG/L TOTAL NITROGEN(NO3+NO2+TKN) MG/L OIL & GREASE MG/L FECAL COLIFORM /100 ML CHLORIDE MG/L 2. Influent 3. Effluent 4. Effluent Method Detection limit 120 ND 2.0 54 ND 5.0 320 230 13 11.9 2.8 0.10 3.39 0.450 ND 4.0 2.0 2.0 42 1.0 infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environniental Protection 746 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit DISCHARGE MONITORING REPORT 2• Tax identification Number 2023 QUARTERLY 3 3. Sampling Month & Frequency MA 02631 d. State e. Zip Code jsmith@nsuwater.com c. e-mail address 3. Sampling information: 9/19/2023 ?ALPHA ANALYTICAL a. Date Sampled (mm/dd/yyyy) b. Laboratory Name ALPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2023 Quarterly 3 F All forms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 A. Facility Information Important:wnen filling out forms on 1. Facility name, address: the computer, use PLEASANT BAY HEALTH CTR only the tab key to a. Name move your cursor 383 SOUTH ORLEANS ROAD do not use the return key. b. Street Address r- BREWSTER C. City 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 b. Telephone Number MA 02631 d. State e. Zip Code jsmith@nsuwater.com c. e-mail address 3. Sampling information: 9/19/2023 ?ALPHA ANALYTICAL a. Date Sampled (mm/dd/yyyy) b. Laboratory Name ALPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2023 Quarterly 3 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 - - - -- - I Massachusetts Department of Environmental Protection * 746 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit DISCHARGE MONITORING REPORT 2• Tax identification Number 2023 QUARTERLY 3 Ljll� 3. Sampling Month & Frequency D. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit TOTAL PHOSPHORUS AS P 3.00 0.050 MG/L ORTHO PHOSPHATE 2.88 0.125 MG/L infeffrp-blank.doc rev 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. VQ FAW�XT Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit MONITORING WELL DATA REPORT A. Facility Information 1. Facility name, address: PLEASANT BAY HEALTH CTR a. Name 383 SOUTH ORLEANS ROAD b. Street Address BREWSTER C. City 2. Contact information: 746 1. Permit Number 2. Tax identification Number 2023 QUARTERLY 3 3. Sampling Month & Frequency MA '02631 d. State e. Zip Code JOSEPH SMITH a. Name of Facility Contact Person ,7742125005 lismith@nsuwater.com b. Telephone Number c. e-mail address 3. Sampling information: 49/11/2023 1ALPHA ANALYTICAL a. Date Sampled (mm/dd/yyyy) b. Laboratory Name ALPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency [Monitoring Well Data Report - 2023 Quarterly 3 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 Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2023 QUARTERLY 3 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 3.0 4.1 0.98 3.00 4.10 0.98 0.080 0.052 NITRATE -N 2.5 MG/L TOTAL NITROGEN(NO3+NO2+TKI 2.50 MGL TOTAL PHOSPHORUS ASP 0.150 MG/L ORTHO PHOSPHATE 0.005 MG/L 0.014 1.40 0.006 1.00 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 - MONITORING WELL DATA REPORT 2023 SEP MONTHLY IL71.3. Sampling Month & Frequency A. Facility Information Important:wnen filling out forms on 1. Facility name, address: the computer, use IPLEASANT BAY HEALTH CTR only the tab key to a. Name move your cursor 383 SOUTH ORLEANS ROAD do not use the return key. b. Street Address - BB REWSTER MA 02631 VCU'D 1 C. City d. State e. Zip Code 2. Contact information: TR:W�x JOSEPH SMITH a. Name of Facility Contact Person 7742125005 jsmith@nsuwater.com b. Telephone Number c. e-mail address 3. Sampling information: J19/11/2023 INOT APPLICABLE a. Date Sampled (mm/dd/yyyy) b. Laboratory Name BEA/NSU WWTO PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2023 Sep Monthly 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 746 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit MLlONITORING WELL DATA REPORT 2. Tax identification Number 2023 SEP 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 5.68 6.22 6.78 6.23 S.U. STATIC WATER LEVEL 11.49 11.55 11.50 11.77 FEET SPECIFIC CONDUCTANCE 178 310 382 147 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 Facility Information Important:when PLEASANT 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 2. Tax identification Number do not use the BREWSTER MA 02631 return key. C. City d. State e. Zip Code I 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 10/18/2023 Any person signing a. Signature b. Date (mm/dd/yyyy) a document under 314 CMR 5.14(1) or (2) shall make the ,ortin! Packa�-e Comments _ RkBE�NNETT following ENVIRONMENTAL ASSOCIATES, LLC. (BEA) HAS COMPLETED THE SEPTEMBER certification 2023 MONTHLY INFLUENT AND EFFLUENT SAMPLING OF THE AMPHIDROME WASTEWATER TREATMENT SYSTEM. MONTHLY WASTEWATER SAMPLING WAS COMPLETED ON 9/19/23. If you are filing LABORATORY RESULTS REPORTED ALL PARAMETERS WITHIN DISCHARGE PERMIT electronic -ally and LIMITATIONS. EFFLUENT PH WAS REPORTED WITHIN THE 6.5-8.5 RANGE THROUGHOUT THE want to attach MONTH. FLOW VOLUME MEASUREMENTS WERE ASSESSED DURING THE MONTH FROM THE SYSTEM'S EFFLUENT FLOW METER. DAILY FLOW REMAINED WITHIN THE 26,500 -GPD additional LIMITATION THROUGHOUT THE MONTH. THE MINIMUM, MAXIMUM AND AVERAGE GPD comments, select FLOWS REPORTED OVER THE COURSE OF THE MONTH WERE 5 GPD, 16,784 GPD AND the check box. 11,310 GPD, RESPECTIVELY. ON 9/26/23 ROBERT B. OUR CO. (SEPTIC HAULER'S LICENSE # SH -23-10) PUMPED 18,200 GALLONS FROM THE SYSTEM'S ANOXIC TANK. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 r� ANAL - I C A L ANALYTICAL REPORT Lab Number: L2354880 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: 09/28/23 Serial No:09282319:06 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 .I, % ti'aL Page 1 of 20 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Serial No:09282319:06 Lab Number: L2354880 Report Date: 09/28/23 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time L2354880-01 INFLUENT WATER BREWSTER, MA 09/19/23 13:00 L2354880-02 EFFLUENT WATER BREWSTER, MA 09/19/23 13:30 L2354880-03 EFFLUENT WATER BREWSTER, MA 09/19/23 13:30 Page 2 of 20 Receive Date 09/19/23 09/19/23 09/19/23 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Case Narrative Serial No:09282319:06 Lab Number: L2354880 Report Date: 09/28/23 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. Kelly O'Neill Authorized Signature: Title: Technical Director/Representative Date: 09/28/23 Page 3 of 20 ft,� I�•tp:;r;fofh)ICS fAISC=L: ANEOUS Page 4 of 20 Serial No:09282319:06 Serial No:09282319:O6 Project Name: PLEASANT BAY Lab Number: L235488O Project Number: K47810DA.S.WW.7O0 Report Date: 09/28/23 SAMPLE RESULTS Lab ID: L2354880-01 Date Collected: 09/19/23 13:00 Client ID: INFLUENT Date Received: 09/19/23 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 320 mg/I 13 NA 1.3 09/22/23 04:45 121,254013 DEW Solids, Total Suspended 54. mg/I 10 NA 2 - 09/21/23 17:27 121,2540D REM Nitrogen, Ammonia 11.9 mg/I 0.375 -- 5 09/28/23 15:15 09/28/23 17:26 121,4500NH3-BH AVT BOD, 5 day 120 mg/I 30 NA 15 09/20/23 14:20 09/25/23 11:25 121,52108 MKT Page 5 of 20 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 SAMPLE RESULTS Serial No:09282319:06 Lab Number: L2354880 Report Date: 09/28/23 Lab ID: L2354880-02 Date Collected: 09/19/23 13:30 Client ID: EFFLUENT Date Received: 09/19/23 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 230 mg/l 13 NA 1.3 09/22/23 04:45 121,25406 DEW Solids, Total Suspended ND mg/I 5.0 NA I - 09/21/23 17:27 121,2540D REM Chloride 42. mg/I 1.0 - 1 - 0912712316:33 121,4500CL-E TLH Nitrogen, Nitrite ND mg/I 0.050 - 1 - 09/20/23 07:43 44,353.2 KAF Nitrogen, Nitrate 2.8 mg/I 0.10 - 1 - 09/20/23 07:43 44,353.2 KAF Nitrogen, Total Kjeldahl 0.585 mg/I 0.100 1 09/27/2322:14 09/28/23 13:51 121,4500NH3-H KEP Phosphorus, Total 3.00 mg/I 0.050 - 5 09/24/23 20:53 09/24/23 22:51 121,4500P -E MEF Phosphorus, Orthophosphate 2.88 mg/l 0.125 -- 25 - 09/20/23 09:01 121,4500P -E KEP BOD, 5 day ND mg/I 2.0 NA 1 09/20/23 14:20 09/25/23 11:25 121,52106 MKT Oil & Grease, Hem-Grav ND mg/I 4.0 1 09/27/23 12:47 09/27/23 15:17 140,166413 JGM Page 6 of 20 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 SAMPLE RESULTS Lab ID: L2354880-03 Client ID: EFFLUENT Sample Location: BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units RL Microbiological Analysis - Westborough Lab Coliform, Fecal (MF) 2.0 col/100ml 2.0 Page 7 of 20 Serial No:09282319:06 Lab Number: L2354880 Report Date: 09/28/23 Date Collected: 09/19/23 13:30 Date Received: 09/19/23 Field Prep: Not Specified Dilution Date MDL Factor Prepared NA 2 Date Analytical Analyzed Method Analyst 09/19/2320:50 121,9222D JAI Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Method Blank Analysis Batch Quality Control Serial No:09282319:06 Lab Number: L2354880 Report Date: 09/28/23 General Chemistry -Westborough Lab for sample(s): 02 Batch: WG1832646-1 Chloride ND mg/I 1.0 1 Dilution Date Date Analytical Batch: Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst Microbiological Analysis Westborough Lab for sample(s): General Chemistry Westborough Lab for sample(s): 02 03 Batch: WG1829436-1 Nitrogen, Total Kjeldahl ND mg/l Coliform, Fecal (MF) ND col/100ml 1.0 NA 1 09/19/23 20:50 121,9222D JAI General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1829490-1 0.075 1 09/28/23 15:15 09/28/23 16:57 Nitrogen, Nitrite ND mg/I 0.050 1 - 09/20/23 04:44 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1829494-1 Nitrogen, Nitrate ND mg/l 0.10 - 09/20/23 04:49 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1829627-1 Phosphorus, Orthophosphate ND mg/I 0.005 1 - 09/20/2308:47 121,4500P -E KEP General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1829733-1 BOD, 5 day ND mg/l 2.0 NA 1 09/20/23 14:20 09/25/23 11:25 121,5210B MKT General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1830461-1 Solids, Total Suspended ND mg/I 5.0 NA 1 - 09/21/23 17:27 121,2540D REM General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1830581-1 Solids, Total ND mg/l 10 NA 1 - 09/22/23 04:45 121,2540B DEW General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1831342-1 Phosphorus, Total ND mgll 0.010 1 09/24/23 20:53 09/24/23 22:01 121,4500P -E MEF General Chemistry -Westborough Lab for sample(s): 02 Batch: WG1832646-1 Chloride ND mg/I 1.0 1 - 09/27/2315:14 121,4500CL-E TLH General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1832691-1 Oil & Grease, Hem-Grav ND mg/l 4.0 1 09/27/23 12:47 09/27/23 14:27 140,16646 JGM General Chemistry Westborough Lab for sample(s): 02 Batch: WG1832865-1 Nitrogen, Total Kjeldahl ND mg/l 0.300 1 09/27/23 22:14 09/28/23 12:52 121,4500NH3-H KEP General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1833135-1 Nitrogen, Ammonia ND mg/I 0.075 1 09/28/23 15:15 09/28/23 16:57 121,4500NH3-BH AVT J� A Page 8 of 20 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Serial No:09282319:06 Lab Control Sample Analysis Batch Quality Control Lab Number: L2354880 Report Date: 09/28/23 LCS LCSD %Recovery Parameter — _ %Recovery Qual %Recovery ::-ual Limits RPD Qual RPD Limits General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG 1829490-2 Nitrogen, Nitrite - 90-110 20 General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG1829494-2 Nitrogen, Nitrate 90-110 General Chemistry -Westborough Lab Associated sample(s): 02 Batch: WG1829627-2 Phosphorus, Orthophosphate 90-110 General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG1829733-2 BOD, 5 day 85-115 20 General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG1830461-2 Solids, Total Suspended 80-120 General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG1830581-2 Solids, Total 80-120 General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG1831342-2 Phosphorus, Total 80-120 Page 9 of 20 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Lab Control Sample Analysis Batch Quality Control LCS LCSD Parameter _ %Recovery %Recover -.- General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG1832646-2 Chloride General Chemistry - Westborough Lab Associated sample(s): 0-2 Batch: WG1832691-2 Oil & Grease, Hem-Grav General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG 1832865-2 Nitrogen, Total Kjeldahl General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1833135-2 Nitrogen, Ammonia Page 10 of 20 Serial No:09282319:06 Lab Number: L2354880 Report Date: 09/28/23 %Recovery Limits RPD RPD Limits 90-110 78-114 18 78-122 80-120 20 i kfth."a Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Matrix Spike Analysis Batch Quality Control Serial No:09282319:06 Lab Number: L2354880 Report Date: 09/28/23 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: WG1829490-4 QC Sample: L2354880-02 Client ID: EFFLUENT Nitrogen, Nitrite ND 4 4.1 102 80-120 20 General Chemistry -Westborough Lab Associated sample(s): 02 QC Batch ID: WG1829494-4 QC Sample: L2354880-02 Client ID: EFFLUENT Nitrogen, Nitrate 2.8 4 6.7 83-113 6 General Chemistry -Westborough Lab Associated sample(s): 02 QC Batch ID: WG1829627-4 QC Sample: L2354909-01 Client ID: MS Sample Phosphorus, Orthophosphate 0.026 0.5 0.515 80-120 20 General Chemistry -Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1829733-4 QC Sample: L2354864-01 Client ID: MS Sample BOD, 5 day ND 100 91 50-145 35 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1831342-4 QC Sample: L2354721-04 Client ID: MS Sample Phosphorus, Total 0.017 0.5 0.514 99 75-125 20 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1832646-4 QC Sample: L2350862-05 Client ID: MS Sample Chloride 11000 20 11000 p 0 58-140 7 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1832691-4 QC Sample: L2354991-01 Client ID: MS Sample Oil & Grease, Hem-Grav ND 39.2 41 105 78.114 18 General Chemistry -Westborough Lab Associated sample(s): 02 QC Batch ID: WG1832865-4 QC Sample: L2354880-02 Client ID: EFFLUENT Nitrogen, Total Kjeldahl 0.585 8 2.49 77-111 24 General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG1833135-4 QC Sample: L2355717-02 Client ID: MS Sample Nitrogen, Ammonia 0.635 4 4.32 80-120 20 Page 11 of 20 c,� Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Serial No:09282319:06 Lab Duplicate Analysis Batch Quality Control Lab Number: Report Date: L2354880 09/28/23 Parameter _ _ _ Native Samole DuAicate Sam. ile Units RPD Qual RPD Limits General Chemistry -Westborough Lab Associated sample(s): 02 QC Batch ID: WG1829490-3 QC Sample: L2354880-02 Client ID: EFFLUENT Nitrogen, Nitrite ND ND 20 General Chemistry -Westborough Lab Associated sample(s): 02 QC Batch ID: WG1829494-3 QC Sample: L2354880-02 Client ID: EFFLUENT Nitrogen, Nitrate 2.8 2.8 mg/I 6 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1829627-3 QC Sample: L2354909-01 Client ID: DUP Sample Phosphorus, Orthophosphate 0.026 0.026 mg/I 20 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1829733-3 QC Sample: L2354864-01 Client ID: DUP Sample BOD, 5 day ND ND I • 35 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1830461-3 QC Sample: L2354795-02 Client ID: DUP Sample Solids, Total Suspended 45 44 mg/I 32 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1830581-3 QC Sample: L2354853-01 Client ID: DUP Sample Solids, Total 400 390 mg/I 16 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1831342-3 QC Sample: L2354721-04 Client ID: DUP Sample Phosphorus, Total 0.017 0.019 mg/l 20 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1832646-3 QC Sample: L2350862-05 Client ID: DUP Sample Chloride 11000 11000 mg/l 7 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1832691-3 QC Sample: L2354991-01 Client ID: DUP Sample Oil & Grease, Hem-Grav ND ND mg/I 18 Page 12 of 20 % h_' Serial No:09282319:06 Lab Duplicate Analysis Project Name: PLEASANT BAY Batch Quality Control Lab Number: L2354880 Project Number: K47810DA.S.WW.700 Report Date: 09/28/23 Parameter _ _ _ Native Sample Dur.licate Samr,le Units RPD RPD Limits_ General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1832865-3 QC Sample: L2354880-02 Client ID: EFFLUENT Nitrogen, Total Kjeldahl 0.585 0.647 mg/I 24 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1833135-3 QC Sample: L2355717-02 Client ID: DUP Sample Nitrogen, Ammonia 0.635 0.617 mg/I 20 Page 13 of 20 17 ,A ,a., Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Were project specific reporting limits specified? Cooler Information Cooler Custody Seal B Absent Container Information Container ID Container Type L2354880 -01A Plastic 500ml H2SO4 preserved L2354880-01 B Plastic 950ml unpreserved L2354880 -01C Plastic 950ml unpreserved L2354880 -02A Plastic 500ml H2SO4 preserved L2354880 -02B Plastic 950ml unpreserved L2354880 -02C Plastic 950ml unpreserved L2354880 -02D Amber 1000ml HCl preserved L2354880 -02E Amber 1000ml HCl preserved L2354880 -03A Bacteria Cup Na2S203 preserved L2354880 -03B Bacteria Cup Na2S203 preserved Sample Receipt and Container Information YES Frozen DateMme Page 14 of 20 "Values in parentheses indicate holding time in days Serial No:09282319:06 Lab Number: L2354880 Report Date: 09/28/23 Analysis(') NH3-4500(28) TSC -2540(7), BOD -5210(2) TSS -2540(7) TKN-4500 (28), TP H OS -4500 (28) OPH OS-4500(2),TSC-2540(7), C L 4500(28), N 02-353(2), BOD -5210(2), NO3-353(2) TSS -2540(7) OG -1664(28) OG -1664(28) F-COLI-MF(.33) F-COLI-MF(.33) Initial Final Temp Cooler pH pH deg C Pres Seal B <2 <2 5.4 Y Absent B 7 7 5.4 Y Absent B 7 7 5.4 Y Absent B <2 <2 5.4 Y Absent B 7 7 5.4 Y Absent B 7 7 5.4 Y Absent B NA 5.4 Y Absent B NA 5.4 Y Absent B NA 5.4 Y Absent B NA 5.4 Y Absent Frozen DateMme Page 14 of 20 "Values in parentheses indicate holding time in days Serial No:09282319:06 Lab Number: L2354880 Report Date: 09/28/23 Analysis(') NH3-4500(28) TSC -2540(7), BOD -5210(2) TSS -2540(7) TKN-4500 (28), TP H OS -4500 (28) OPH OS-4500(2),TSC-2540(7), C L 4500(28), N 02-353(2), BOD -5210(2), NO3-353(2) TSS -2540(7) OG -1664(28) OG -1664(28) F-COLI-MF(.33) F-COLI-MF(.33) Serial No:09282319:06 Project Name: PLEASANT BAY Lab Number: L2354880 Project Number: K47810DA.S.WW.700 Report Date: 09/28/23 GLOSSARY Acronyms DL Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the limit of quantitation (LOQ). The DL includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) EDL Estimated Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The EDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. The use of EDLs is specific to the analysis of PAHs using Solid -Phase Microextraction (SPME). EMPC Estimated Maximum Possible Concentration: The concentration that results from the signal present at the retention time of an analyte when the ions meet all of the identification criteria except the ion abundance ratio criteria. An EMPC is a worst-case estimate of the concentration. EPA Environmental Protection Agency. LCS Laboratory Control Sample: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LCSD Laboratory Control Sample Duplicate: Refer to LCS. LFB Laboratory Fortified Blank: A sample matrix, free from the analytes of interest, spiked with verified known amounts of analytes or a material containing known and verified amounts of analytes. LOD Limit of Detection: This value represents the level to which a target analyte can reliably be detected for a specific analyte in a specific matrix by a specific method. The LOD includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) LOQ Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) Limit of Quantitation: The value at which an instrument can accurately measure an analyte at a specific concentration. The LOQ includes any adjustments from dilutions, concentrations or moisture content, where applicable. (DoD report formats only.) MDL Method Detection Limit: This value represents the level to which target analyte concentrations are reported as estimated values, when those target analyte concentrations are quantified below the reporting limit (RL). The MDL includes any adjustments from dilutions, concentrations or moisture content, where applicable. MS Matrix Spike Sample: A sample prepared by adding a known mass of target analyte to a specified amount of matrix sample for which an independent estimate of target analyte concentration is available. For Method 332.0, the spike recovery is calculated using the native concentration, including estimated values. MSD Matrix Spike Sample Duplicate: Refer to MS. NA Not Applicable. NC Not Calculated: Term is utilized when one or more of the results utilized in the calculation are non -detect at the parameter's reporting unit. NDPA/DPA - N-Nitrosodiphenylamine/Diphenylamine. NI Not Ignitable. NP Non -Plastic: Term is utilized for the analysis of Atterberg Limits in soil. NR No Results: Tenn is utilized when'No Target Compounds Requested' is reported for the analysis of Volatile or Semivolatile Organic TIC only requests. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration. The RL includes any adjustments from dilutions, concentrations or moisture content, where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision of analytical results in a given matrix and are expressed as relative percent difference (RPD). Values which are less than five times the reporting limit for any individual parameter are evaluated by utilizing the absolute difference between the values; although the RPD value will be provided in the report. SRM Standard Reference Material: A reference sample of a known or certified value that is of the same or similar matrix as the associated field samples. STLP Semi -dynamic Tank Leaching Procedure per EPA Method 1315. TEF Toxic Equivalency Factors: The values assigned to each dioxin and furan to evaluate their toxicity relative to 2,3,7,8-TCDD. TEQ Toxic Equivalent: The measure of a sample's toxicity derived by multiplying each dioxin and furan by its corresponding TEF and then summing the resulting values. TIC Tentatively Identified Compound: A compound that has been identified to be present and is not part of the target compound list (TCL) for the method and/or program. All TICs are qualitatively identified and reported as estimated concentrations. Report Format: Data Usability Report Page 15 of 20 Serial No:09282319:06 Project Name: PLEASANT BAY Lab Number: L2354880 Project Number: K4781ODA.S.WW.7O0 Report Date: 09/28/23 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, I -Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, C1-C3 Fluorenes, Phenanthrene, CI -C4 Phenanthrenes/Anthracenes, Anthracene, Fluoranthene, Pyrene, CI -C4 Fluoranthenes/Pyrenes, Benz(a)anthracene, Chrysene, CI -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 ofthe 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 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 ofthe calibration curve and/or linear range ofthe 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 16 of 20 Serial No:09282319:06 Project Name: PLEASANT BAY Lab Number: L2354880 Project Number: K47810DA.S.WW.700 Report Date: 09/28/23 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 17 of 20 Serial No:09282319:06 Project Name: PLEASANT BAY Lab Number: L2354880 Project Number: K47810DA.S.WW.700 Report Date: 09/28/23 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 18 of 20 Alpha Analytical, Inc. Facility: Company -wide Department: Quality Assurance Title: Certificate/Ar}nroval Program Summa- Certification umma Certification Information The following analytes are not included In our Primary NELAP Scope of Accreditation: Serial_No:09282319:06 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 8260D: NPW: 1,2,4,5-Tetramethylbenzene; 4-Ethyltoluene, Azobenzene; SCM: lodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4- Ethyltoluene. EPA 8270E: NPW: Dimethylnaphthalene,1,4-Diphenylhydrazine, alpha -Terpineol; SCM: Dim ethylnaphthalene,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-Tdmethylbenzene, 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 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, SM251013, SM2540C, SM23206, 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, 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, SM9221 E, EPA 1600, EPA 1603, SM922213. Mansfield Facility: Drinking Water EPA 200.7: Al, Ba, Cd, Cr, Cu, Fe, Mn, Ni, Na, Ag, Ca, Zn. EPA 200.8: Al, Sb, As, Ba, Be, Cd, Cr, Cu, Pb, Mn, Ni, Se, Ag, TL, Zn. EPA 245.1 Hg. EPA 522, EPA 537.1. Non -Potable Water EPA 200.7: Al, Sb, As, Be, Cd, Ca, Cr, Co, Cu, Fe, Pb, Mg, Mn, Mo, Ni, K, Se, Ag, Na, Sr, TL, Ti, V, Zn. EPA 200.8: Al, Sb, As, Be, Cd, Cr, Cu, Fe, Pb, Mn, Ni, K, Se, Ag, Na, TL, Zn. EPA 245.1 Hg. SM2340B For a complete listing of analytes and methods, please contact your Alpha Project Manager Document Type: Form Page 19 of 20 Pre-Qualtrax Document ID: 08-113 Serial No:09282319:06 CHAIN OF CUSTODY PME, tip, ; Debe Rodd In Lab: 1I �i ALPHA Job #: i L F M"..- ;A" Report Information Data Voliverables Billing Inforrnation © FAX ® ML 19 same as elle nt wo AQ g_ A7t1100A.s 1lvaeKlkaro TEL T W- Ma Erlisad, 10A �. a.aea�a2a ee: sasae�2-9aa Project Nam®.- Plvasarrt Bay ©A,t9Fx Q .Add, owverabfas port Ltniits Client Inforniatfon Projsd t-mabon: Brewster, HIAA ., — l Dilmly _ Chant: Bennett Environmental Associates Pr'ec�t 0., K47810VA41MAL700 1M1K}Kire9a: 1373 hAailk StrepQ T _ -- _EMtec Julanager. Jouch Smith Brewster MA 02631 1 ALPH41 _ Phone: 5+0"96-1706 Fax: 508-BWS109 Standard hush JONLYiF P9 ANALYSISRDVM + I --r 8MME KAtNOLM Email: sPatsenk NSl1UVatarcgm! F&ae*" 4 Dom ThoseWMPIM hen teenPrev+anIVwmlpedbyAtahet Due Daw Time; , 0 NotN"dod -.d 1 E3 Lai to do Other Prope+ct Spedfie Requiremetats/CommentsOete'ction Umds: O dE3 U*,to do At.PHA Lab 1D Sonpta id Ce>MWLe W Sampie SLlmplee's rh Z L a tnitift j � {Lab Use Ongg sale Tama Matrix C3 Kok z Inf mnt I; )30_0_ YUW Effluent Y C] iN ® IR M_ 0 ID 1 0 LEI Lt Etflue —_ _ GOWo . L~1 O10 DIU Li LJ El -�-r-10T. iEll 0- E] 1 :3 LJ '� ® 0' ❑ Li Container Typp P P ; P !' A w e. P1e6eN8tive ti Q a ba M +_ &WMM a"can Im P c�Eeieed kyr _ , . Date9+Time . Meneh and Mi. _ I ateimme Ira dUnrs do[is wa not A WN MW W"biWWf a aro :. `4 "Gn"-yso�M�.d fO71Y llo OI-0IRNJ) ! K,J i ' i _ xldjeS� e7 pa, ».1r�aet asWn waT.rm.. 10 Page 20 of 20 i� ALPHA .4 N A L' -I CAL ANALYTICAL REPORT Lab Number: L2352681 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: 09/20/23 Serial No:09202312:19 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: PLEASANT BAY Project Number: K47810DA.S.WW.700 Serial No:09202312:19 Lab Number: L2352681 Report Date: 09/20/23 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time L2352681-01 UG -1 WATER BREWSTER, MA 09/11/23 11:15 L2352681-02 DG -1 WATER BREWSTER, MA 09/11/23 12:10 L2352681-03 DG -2 WATER BREWSTER, MA 09/11/23 11:50 L2352681-04 DG -4 WATER BREWSTER, MA 09/11/23 12:35 Page 2 of 19 Receive Date 09/11/23 09/11/23 09/11/23 09/11/23 Serial No:09202312:19 Project Name: PLEASANT BAY Lab Number: L2352681 Project Number: K47810DA.S.WW.700 Report Date: 09/20/23 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. Authorized Signature: Cristin Walker Title: Technical Director/Representative Page 3 of 19 Date: 09/20/23 li-jORC.-..vACS A ,viISCELl.:,r)rOUS Page 4 of 19 Serial No:09202312:19 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 SAMPLE RESULTS Lab ID: L2352681-01 Client ID: UG -1 Sample Location: BREWSTER, MA Sample Depth: Serial No:092O2312:19 Lab Number: L2352681 Report Date: 09/20/23 Date Collected: 09/11/23 11:15 Date Received: 09/11/23 Field Prep: Not Specified Matrix: Water Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab Nitrogen, Nitrite ND mg/I 0.050 1 09/12/23 03:56 44,353.2 KAF Nitrogen, Nitrate 0.98 mg/I 0.10 1 09/12/23 03:56 44,353.2 KAF Nitrogen, Total Kjeldahl ND mg/l 0.300 - 1 09/18/23 14:35 09/19/23 17:10 121,4500NH3-H AVT Phosphorus, Total 0.080 mg/l 0.010 1 09/12/23 19:26 09/12/23 21:15 121,4500P -E EYA Phosphorus, Orthophosphate 0.052 mg/I 0.005 1 - 09/11/23 21:47 121,4500P -E AAS A Page 5 of 19 Serial No:09202312:19 Project Name: PLEASANT BAY Lab Number: L2352681 Project Number: K47810DA.S.WW.700 Report Date: 09/20/23 SAMPLE RESULTS Lab ID: L2352681-02 Date Collected: 09/11/23 12:10 Client ID: DG -1 Date Received: 09/11/23 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 — Nitrogen, Nitrite ND mg/I 0.050 -- 1 09/12/23 03:57 44,353.2 KAF Nitrogen, Nitrate 2.5 mg/I 0.10 1 - 09/12/23 03:57 44,353.2 KAF Nitrogen, Total Kjeldahl ND mg/I 0.300 1 09/18/23 14:35 09/19/23 17:13 121,4500NH3-H AVT Phosphorus, Total 0.150 mg/l 0.010 1 09112/2319:26 0911212321:16 121,4500P -E EYA Phosphorus, Orthophosphate 0.005 mg/I 0.005 — 1 09/11/23 21:48 121,4500P -E AAS Page 6 of 19 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 SAMPLE RESULTS Lab ID.- L2352681-03 Client ID: DG -2 Sample Location: BREWSTER, MA Sample Depth: Date Date Analytical Matrix: Water Prepared Analyzed Parameter Result Qualifier Units RL MDL General Chemistry - Westborough Lab 44,353.2 KAF Nitrogen, Nitrite ND mg/I 0.050 Nitrogen, Nitrate 3.0 mg/I 0.10 Nitrogen, Total Kjeldahl ND mg/I 0.300 Phosphorus, Total 0.014 mg/I 0.010 Phosphorus, Orthophosphate 0.006 mg/I 0.005 Page 7 of 19 Serial No:09202312:19 Lab Number: L2352681 Report Date: 09/20/23 Date Collected: 09/11/23 11:50 Date Received: 09/11/23 Field Prep: Not Specified Dilution Date Date Analytical Factor Prepared Analyzed Method Analyst 1 - 09/12/23 03:58 44,353.2 KAF 1 09/12/23 03:58 44,353-2 KAF 1 09/18/2314:35 09/19/2317:14 121,4500NH3-H AVT 1 09/12/23 19:26 09/12/23 21:17 121,4500P -E EYA 1 - 09/11/23 21:48 121,4500P -E AAS Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 SAMPLE RESULTS Lab ID: L2352681-04 Client ID: DG4 Sample Location: BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units RL General Chemistry - Westborough Lab Serial No:09202312:19 Lab Number: L2352681 Report Date: 09/20/23 Date Collected: 09/11/23 12:35 Date Received: 09/11/23 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst Nitrogen, Nitrite ND mg/I 0.050 -- 1 09/12/23 04:00 44,353.2 KAF Nitrogen, Nitrate 4.1 mg/l 0.10 1 - 09/12/23 04:00 44,353.2 KAF Nitrogen, Total Kjeldahl ND mg/l 0.300 1 09/18/23 14:35 09/19/23 1715 121,4500NH3-H AVT Phosphorus, Total 1.40 mg/l 0.050 -- 5 09/12/23 19:26 09/12/23 21:48 121,4500P -E EYA Phosphorus, Orthophosphate 1.00 mg/I 0.005 1 - 09/11/23 21:43 121,4500P -E AAS Page 8 of 19 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Method Blank Analysis Batch Quality Control Serial No:09202312:19 Lab Number: L2352681 Report Date: 09/20/23 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab for sample(s): 01-04 Batch: WG1826177-1 Phosphorus, Orthophosphate ND mg/I 0.005 1 09/11/23 21:44 121,4500P -E AAS General Chemistry - Westborough Lab for sample(s): 01-04 Batch: WG1826230-1 Nitrogen, Nitrite ND mg/I 0.050 1 - 09/12/23 03:05 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01-04 Batch: WG1826233-1 Nitrogen, Nitrate ND mg/I 0.10 1 - 09/12/23 03:07 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01-04 Batch: WG1826661-1 Phosphorus, Total ND mg/I 0.010 1 09/12/23 19:26 09/12/23 21:03 121,4500P -E EYA General Chemistry - Westborough Lab for sample(s): 01-04 Batch: WG1828610-1 Nitrogen, Total Kjeldahl ND mg/I 0.300 — 1 09/18/23 14:35 09/19/23 16:54 121,4500NH3-H AVT Page 9 of 19 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Lab Control Sample Analysis Batch Quality Control LCS LCSD %Recovery Parameter %Recovery Qual %Recove — - rY Gtual Limits General Chemistry - Westborough Lab Associated sample(s): 01-04 Batch: WG1826177-2 Phosphorus, Orthophosphate 90-110 General Chemistry - Westborough Lab Associated sample(s): 01-04 Batch: WG1826230-2 Nitrogen, Nitrite General Chemistry - Westborough Lab Associated sample(s): 01-04 Batch: WG1826233-2 Nitrogen, Nitrate General Chemistry - Westborough Lab Associated sample(s): 01-04 Batch: WG1826661-2 Phosphorus, Total General Chemistry -Westborough Lab Associated sample(s): 01-04 Batch: WG1828610-2 Nitrogen, Total Kjeldahl Page 10 of 19 Serial No:09202312:19 Lab Number: L2352681 Report Date: 09/20/23 RPD Oual RPD Limits 90-110 20 90-110 80-120 78-122 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.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): 01-04 QC Batch ID: WG1826177-4 Phosphorus, Orthophosphate 0.024 0.5 0.530 General Chemistry -Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG1826230-4 Nitrogen, Nitrite ND 4 4.1 Serial No:09202312:19 Lab Number: L2352681 Report Date: 09/20/23 MSD Recovery RPD %Recovery Qual Limits RPD Qual Limits QC Sample: L2352547-21 Client ID: MS Sample 80-120 20 QC Sample: L2352620-07 Client ID: MS Sample 80-120 20 General Chemistry -Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG18262334 QC Sample: L2352620-07 Client ID: MS Sample Nitrogen, Nitrate 3.4 4 7.2 83-113 6 General Chemistry -Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG1826661-4 QC Sample: L23526-20-07 Client ID: MS Sample Phosphorus, Total 0.047 0.5 0.566 104 75-125 20 General Chemistry -Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG1828610-4 QC Sample L2352681-01 Client ID: UG -1 Nitrogen, Total Kjeldahl ND 8 6.84 UE - - 77-111 24 Page 11 of 19 &'i Serial No:09202312:19 Lab Duplicate Analysis Project Name: PLEASANT BAY Batch Quality Control Lab Number: L2352681 Project Number: K47810DA.S.WW.700 Report Date: 09/20/23 Parameter _ Native Sample _ Duplicate Sample _Units RPD Qual RPD Limits _ General Chemistry - Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG1826177-3 QC Sample: L2352547-21 Client ID: DUP Sample Phosphorus, Orthophosphate 0.024 0.020 mg/I 20 General Chemistry - Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG1826230-3 QC Sample: L2352620-07 Client ID: DUP Sample Nitrogen, Nitrite ND ND mg/I NC 20 General Chemistry -Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG1826233-3 QC Sample: L2352620-07 Client ID: DUP Sample Nitrogen, Nitrate 3.4 3.4 mg/I 6 General Chemistry -Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG1826661-3 QC Sample: L2352620-07 Client ID: DUP Sample Phosphorus, Total 0.047 0.045 mg/I 20 General Chemistry -Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG1828610-3 QC Sample: L2352681-01 Client ID: UG -1 Nitrogen, Total Kjeldahl ND ND mg/I 24 Page 12 of 19 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Were project specific reporting limits specified? Cooler Information Cooler Custody Seal A Absent Container Information Container ID Container Type L2352681 -01A Plastic 250ml unpreserved L2352681 -01B Plastic 500ml H2SO4 preserved L2352681 -02A Plastic 250ml unpreserved L2352681 -02B Plastic 500ml H2SO4 preserved L2352681 -03A Plastic 250ml unpreserved L2352681 -03B Plastic 500ml H2SO4 preserved L2352681 -04A Plastic 250ml unpreserved L2352681 -04B Plastic 500ml H2SO4 preserved Sample Receipt and Container Information YES Frozen DateMme Serial No:09202312:19 Lab Number: L2352681 Report Date: 09/20/23 Analysis(*) OPHOS-4500(2), NO2-353(2), NO3-353(2) TKN-4500 (28 ), TP H OS -4500 (28) OPHOS4500(2), N 02-353(2), NO3-353(2) TKN-4500(28), T P H OS -4500(28) OPHOS-4500(2), NO2-353(2), N 03-353(2) TKN-4500(28),TPHOS-4500(28) OPHOS-4500(2), NO2-353(2), N 03-353(2) TKN-4500 (28), TP H OS -4500 (28) Page 13 of 19 *Values in parentheses indicate holding time in days .2APkA initial Final Temp Cooler pH pH deg C Pres Seal A 7 7 3.0 Y Absent A <2 <2 3.0 Y Absent A 7 7 3.0 Y Absent A <2 <2 3.0 Y Absent A 7 7 3.0 Y Absent A <2 <2 3.0 Y Absent A 7 7 3.0 Y Absent A <2 <2 3.0 Y Absent Frozen DateMme Serial No:09202312:19 Lab Number: L2352681 Report Date: 09/20/23 Analysis(*) OPHOS-4500(2), NO2-353(2), NO3-353(2) TKN-4500 (28 ), TP H OS -4500 (28) OPHOS4500(2), N 02-353(2), NO3-353(2) TKN-4500(28), T P H OS -4500(28) OPHOS-4500(2), NO2-353(2), N 03-353(2) TKN-4500(28),TPHOS-4500(28) OPHOS-4500(2), NO2-353(2), N 03-353(2) TKN-4500 (28), TP H OS -4500 (28) Page 13 of 19 *Values in parentheses indicate holding time in days .2APkA Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Serial No:09202312:19 Lab Number: L2352681 Report Date: 09/20/23 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: 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: Tenn is utilized for the analysis of Atterberg Limits in soil. NR No Results: Term is utilized when 'No Target Compounds Requested' is reported for the analysis of Volatile or Semivolatile Organic TIC only requests. RL Reporting Limit: The value at which an instrument can accurately measure an analyte at a specific concentration. The RL includes any adjustments from dilutions, concentrations or moisture content, where applicable. RPD Relative Percent Difference: The results from matrix and/or matrix spike duplicates are primarily designed to assess the precision 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 14 of 19 Serial No:09202312:19 Project Name: PLEASANT BAY Lab Number: L2352681 Project Number: K47810DA.S.WW.700 Report Date: 09/20/23 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 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, 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 15 of 19 Project Name: PLEASANT BAY Project Number: K47810DA.S.WW.700 Serial No:09202312:19 Lab Number: L2352681 Report Date: 09/20/23 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 Page 16 of 19 Serial No:09202312:19 Project Name: PLEASANT BAY Lab Number: L2352681 Project Number: K47810DA.S.WW.700 Report Date: 09/20/23 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. Page 17 of 19 Alpha Analytical, Inc. Facility: Company -wide Department: Quality Assurance Title: Certificate/Am roval Program Summar Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Serial_No:09202312:19 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-Tetramethylbenzene; 4-Ethyltoluene, Azobenzene; SCM: lodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4- Ethyltoluene. EPA 8270E: NPW: Dimethylnaphthalene,1,4-Diphenylhydrazine, alpha -Terpineol; SCM: Dimethyl naphthalene, 1,4-Diphenylhydrazi ne. 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 -Tetra methyl benzene, 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, 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: At, 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: 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 18 of 19 Pre-Qualtrax Document ID: 08-113 Serial No:09202312:19 _ CHAIN OF CUSTODY PAGE 1 OF 1 Cltrle Reid In Lob. � 1� � � ALPRA Job Projert Intorniation Report Information Data DeliveTables Billing Information YMeeptwnau MA tNrr M#d SAA [� FAX � E MMI. � Sam as Clen1 Irtto r po /: +7fIMA 3 r;rr.: soa.aso TEL, Pmjed Marne: Pleasant 8a �' ❑ AC1Ex ❑ ,Atld"t oaMraelaa - Fes• 700;Fi1M Fx7L Client Information17 Project t.ocation: ®reinter, MA I • rt Limits F� .A� Client: Bannett EnvironmentalA9sociates -- Pro.ea *; K47810DA.S_VVW.70.0 - Address_ 1573 Main Sheat _Project Manetrer: JtMMph_Smith _ —I BrmsW MA ON31 ALuhA l3i;mg' — Phone: 608-896-1706 Turn -Around Time ANALY8MS Fax 508-896-5109 ® SEandam Cl Rush {ON6Y IF PK.APPEi{JVM SAMPLE KANDLING _ Email: sfaaenkvp �: NSUWater.com I � FftwOon E3 bonq, ❑ T ter+ Parufa•n8y r A r by �dpha I311� Gaarte: Time: 8 Not kerded - Other PnAect Spedit Requirernents/CCornmen=etection simile: I Erb to do , •y la Lob to do ws O am ALPHA Lab ID I Sample IQ Codledicn Sample Samglle�a (Lab UwOnIV) ]Lala Thne I+i dx InNI& z c JG4 of _ Gw 50 tw0 DIN I � Cc►rttainer I3re+sein rawwo al4w." Page 19 of 19 P■► p w 1 IIID S IIID 0 us Sir a■r rr■■jjjjjlt■EWEffn r r.1 M-11 MM ■ ■ l ■�I NI P IP - o .O Isa1.m�a l itacd �y.. a pl"" aunt 0"0ja t qi* wad—pm", sampler aw not br Wgwd In and WMWMM tree dock *root Owt tra iq wbjpuKla aro MO*W AilUrlrnoft vjmftnw we Mkiffo to Awwi P""401 Terat. Yti�D��arod SR,p+' LlMassachusetts Department of Environmental Protection eDF17 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: 1624340 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1686.96K Status of Transaction: In Process Date and Time Created: 10/20/2023:2:43:24 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DAILY LOG SHEET MIM 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 b. Telephone Number 3. Sampling information: 951 1. Permit Number 2. Tax identification Number 2023 SEP DAILY 3. Sampling Month & Frequency MA 02631 d. State e. Zip Code jsmith@nsuwater.com c. e-mail address 9/1/2023 NOT APPLICABLE a. Date Sampled (mm/dd/yyyy) b. Laboratory Name IBEA/NSU WWTO PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2023 Sep Daily j— 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 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 MIM 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 b. Telephone Number 3. Sampling information: 951 1. Permit Number 2. Tax identification Number 2023 SEP DAILY 3. Sampling Month & Frequency MA 02631 d. State e. Zip Code jsmith@nsuwater.com c. e-mail address 9/1/2023 NOT APPLICABLE a. Date Sampled (mm/dd/yyyy) b. Laboratory Name IBEA/NSU WWTO PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2023 Sep Daily j— 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 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 951 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit DAILY LOG SHEET 2. Tax identification umber 12023 SEP DAILY _ 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Effluent Reuse Irrigation Flow GPD Flow GPD Flow GPD 7129 7129 7129 7129 9210 7502 8383 6903 6903 6903 6367 9269 10752 4282 _ 5534 5534 5534 8495 6020 5062 6313 6497 I 6497 6497 9416 5339 8248 , 7145 6081 6081 Turbidity Influent pH 6.9 6.8 6_9 6.8 6_8 6.8 6_9 6.8 7.3 Effluent Chlorine UV pH Residual Intensity (mg/1) (%) 6.9� ,7.1 7.0 7.1 I I 6.8 7.0 6.9 7.0 6.8 7.2 6.8 6.7 6.8 6.9 6.8 I- 6.9 6.9 6.9 7.0 7.1 6.9 , 7.1 _�!1 7.0 6.9 6.9 7.0 6.8 6.8 6.9 _ gdpdis.doc • rev 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Li Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. S 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 SEP MONTHLY 3. Sampling Month & Frequency 'MAPLEWOOD AT BREWSTER a. Name 820 HARWICH ROAD b. Street Address BREWSTER MA 02631 C. City d. State e. Zip Code 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 b. Telephone Number jsmith@nsuwater.com c. e-mail address 3. Sampling information: 9/13/2023 1ALPHA ANALYTICAL a. Date Sampled (mm/dd/yyyy) b. Laboratory Name ALPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2023 Sep Monthly �I 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 951 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT 2023 SEP MONTHLY — 3. Sampling Month & Frequency D. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit BOD 63 ND _ 2.0 MG/L TSS 27 ND 15.0 MG/L TOTAL SOLIDS 320 MG/L AMMONIA -N 12.0 MG/L NI RATE -N 3.6 0.10 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 4.93 0.450 MG/L OIL & GREASE 32 4.0 MG/L infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection 951 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number LI Groundwater Permit DISCHARGE MONITORING REPORT I2. Tax identification Number 2023 QUARTERLY 3 3. Sampling Month & Frequency Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. tab A. Facility Information 1. Facility name, address: MAPLEWOOD AT BREWSTER a. Name 820 HARWICH ROAD b. Street Address BREWSTER C. City 2. Contact information: JOSEPH SMITH a. Name of Facility Contact Person 7742125005 b. Telephone Number 3. Sampling information: 3/2-023 a. Date Sampled (mm/dd/yyyy) ALPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection MA 02631 d. State e. Zip Code Ijsmith@nsuwater.com c. e-mail address ALPHA ANALYTICAL b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2023 Quarterly 3 T F All forms for submittal have been completed. 2. r This is the last selection. 3. F Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DISCHARGE MONITORING REPORT D. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled 951 1. Permit Number 2. Tax identification Number 2023 QUARTERLY 3 3. Sampling Month & Frequency 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit TOTAL PHOSPHORUS AS P 2.72 0.050 MG/L ORTHO PHOSPHATE 2.37 0.125 MG/L infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Important:When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. F 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: IMAPLEWOOD AT BREWSTER a. Name 820 HARWICH ROAD b. Street Address BREWSTER MA C. City d. State 2. Contact information: 951 1. Permit Number To& Ioeaurcncm-NYIAIIft�r 2023 QUARTERLY 3 3. Sampling Month & Frequency 02631 e. Zip Code FJOSEPH SMITH a. Name of Facility Contact Person 7742125005 Ijsmith@nsuwater.com b. Telephone Number c. e-mail address 3. Sampling information: 9/21/2023 1ALPHA ANALYTICAL a. Date Sampled (mm/dd/yyyy) b. Laboratory Name ALPHA ANALYTICAL PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2023 Quarterly 3 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 1951 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit MONITORING WELL DATA REPORT 2• Tax idenu icauon umber . 2023 QUARTERLY 3 _ 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. Para meterlContaminant MW -1 Units Well #: 1 NrrRATE-N 0.24 MGA - TOTAL NITROGEN(NO3+NO2+TKI 1.12 MGA - TOTAL PHOSPHORUS AS P 0.087 MG/L ORTHO PHOSPHATE 0.021 MG/L MW -2 MW -3 Well #: 2 Well #: 3 2.5 9.2 2.50 9.90 ND 0.110 0.013 0.012 MW -4 Well #: 4 Well #: 5 Well #: 6 9.1 9.10 0.035 mwdgwp-blank.doc • rev 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection 951 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit _. Fax identification Number MONITORING WELL DATA REPORT 2023 SEP MONTHLY 3. Sampling Month & Frequency A. Facility Information Important:when filling out forms on 1. Facility name, address: the computer, use IMAPLEWOOD AT BREWSTER only the tab key to a. Name move your cursor - 820 HARWICH ROAD do not use the return key. b. Street Address BREWSTER MA 102631 C. City d. State e. Zip Code IK2. Contact information: E I JOSEPH SMITH a. Name of Facility Contact Person 7742125005 jsmith@nsuwater.com b. Telephone Number c. e-mail address 3. Sampling information: 9/21/2023 NOT APPLICABLE a. Date Sampled (mm/ddlyyyy) b. Laboratory Name BEA/NSU WWTO PERSONNEL c. Analysis Performed By (Name) B. Form Selection 1. Please select Form Type and Sampling Month & Frequency Monitoring Well Data Report - 2023 Sep Monthly r All forms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form. gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 951 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit ' MONITORING WELL DATA REPORT 2. Tax identification Number 2023 SEP 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 6.36 6.28 6.59 6.32 S.U. STATIC WATER LEVEL 33.94 33.11 33.12 33.36 FEET SPECIFIC CONDUCTANCE 210.6 139.4 201.7 180.4 UMHOS/C mwdgwp-blank.doc • rev 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 ' Massachusetts Department of Environmental Protection 951 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Ll Groundwater Permit 2. Tax identification Number Facility Information Important:When IMAPLEWOOD AT BREWSTER filling out forms on a. Name the computer, use only the tab key to 820 HARWICH ROAD move your cursor - b. Street Address do not use the [BREWSTER MA 02631 return key. C. City d. State e. Zip Code 314 CMR 5.14(1) or Certification (2) shall make the "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in following accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. certification Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the 18W111 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." electronic -ally and SAMANTHA FARRENKOPF 10/20/2023 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 SEPTEMBER certification 2023 MONTHLY INFLUENT AND EFFLUENT SAMPLING OF THE BIOCLERE WASTEWATER TREATMENT SYSTEM. MONTHLY WASTEWATER SAMPLING WAS COMPLETED ON 9/13/23. If you are filing LABORATORY RESULTS REPORTED OIL & GREASE GREATER THAN THE DISCHARGE electronic -ally and PERMIT LIMIT. EFFLUENT RESAMPLING FOR ANALYSIS OF OIL & GREASE COMPLETED ON want to attach 9/26/23 REPORTED A CONCENTRATION OF NON -DETECT (ND). EFFLUENT PH WAS REPORTED WITHIN THE 6.5-8.5 RANGE THROUGHOUT THE MONTH. FLOW VOLUME additional MEASUREMENTS WERE ASSESSED DURING THE MONTH FROM THE SYSTEM'S EFFLUENT comments, select FLOW METER. DAILY FLOW REMAINED WITHIN THE 19,800 -GPD LIMITATION THROUGHOUT the check box. ITHE MONTH. THE MINIMUM, MAXIMUM AND AVERAGE GPD FLOWS REPORTED OVER THE OF THE MONTH WERE 4,282 GPD, 10,752 GPD AND 6,976 GPD, RESPECTIVELY R (COURSE gdpols 2015-09-15.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1 ALPHA ANALY�T1 CAL ANALYTICAL REPORT Lab Number: L2353364 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: 09/22/23 Serial No:09222309:20 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 -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:09222309:20 Lab Number: L2353364 Report Date: 09/22/23 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time Receive Date L2353364-01 INFLUENT WATER BREWSTER, MA 09/13/23 12:00 09/13/23 L2353364-02 EFFLUENT WATER BREWSTER, MA 09/13/23 11:30 09/13/23 Page 2 of 19 A HA �.. Serial No:09222309:20 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2353364 Project Number: K10842DA.S.WW.700 Report Date: 09/22/23 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. Authorized Signature: �kMelissa Sturgis Title: Technical Director/Representative Page 3 of 19 Date: 09/22/23 1(00�'GANICS 0 (\qlsc=LLni%A'Fous Page 4 of 19 Serial No:09222309:20 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Lab ID: L2353364-01 Dilution Client ID: INFLUENT Analytical Sample Location: BREWSTER, MA MDL Sample Depth: Prepared Analyzed Matrix: Water 20 Parameter Result Qualifier Units General Chemistry Westborough Lab 121,25406 Solids, Total 320 mg/I Solids, Total Suspended 27. mg/l Nitrogen, Ammonia 12.0 mg/I BOD, 5 day 63 mg/l Page 5 of 19 SAMPLE RESULTS Serial No:09222309:20 Lab Number: L2353364 Report Date: 09/22/23 Date Collected: 09/13/23 12:00 Date Received: 09/13/23 Field Prep: Not Specified Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 20 NA 2 09/18/23 05:31 121,25406 DEW 10 NA 2 - 09/18/23 08:34 121,2540D MRS 0.150 -- 2 09/21/2318:26 09/21/2319:50121,4500NH3-131-1 AVT 10 NA 5 09/14/2314:45 09/19/2312:15 121,521013 MKT Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Lab ID: L2353364-02 Client ID: EFFLUENT MRS Sample Location: BREWSTER, MA 09/21/23 18:19 Sample Depth: 121,4500NH3-BH AVT Matrix: Water Parameter Result Qualifier Units General Chemistry - Westborough Lab ' 1 Solids, Total Suspended ND mg/I Nitrogen, Ammonia 0.115 mg/I Nitrogen, Nitrite ND mg/I Nitrogen, Nitrate 3.6 mg/l Nitrogen, Total Kjeldahl 1.33 mg/I Phosphorus, Total 2.72 mg/I Phosphorus, Orthophosphate 2.37 mg/I BOD, 5 day ND mg/I Oil & Grease, Hem-Grav 32 mg/l Page 6 of 19 SAMPLE RESULTS Serial No:09222309:20 Lab Number: L2353364 Report Date: 09/22/23 Date Collected: 09/13/23 11:30 Date Received: 09/13/23 Field Prep: Not Specified Dilution Date RL MDL Factor Prepared Date Analytical Analyzed Method Analyst 5.0 NA 1 09/18/23 08:34 121,25401) MRS 0.075 1 09/21/23 18:19 09/21/23 20:07 121,4500NH3-BH AVT 0.050 1 09/14/23 05:33 44,353.2 KAF 0.10 -- 1 09/14/23 05:33 44,353.2 KAF 0.300 1 09/21/23 13:00 09/21/23 21:38 121,4500 1-13-1-1 AVT 0.050 -- 5 09/17/23 20:14 09/17/23 22:35 121,4500P -E MEF 0.125 25 09/15/2310:30 121,4500P -E KEP 2.0 NA 1 09/14/2314:45 09/19/2312:15 121,5210B MKT 4.0 -- 1 09/19/2313:37 09/19/2316:15 140,1664B JGM A. 7v� Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Method Blank Analysis Batch Quality Control Serial No:09222309:20 Lab Number: L2353364 Report Date: 09/22/23 General Chemistry -Westborough Lab for sample(s): 02 Batch: WG1830249-1 Nitrogen, Total Kjeldahl ND mg/I 0.300 1 09/21/23 13:00 09/21/23 21:15 121,4500NH3-H AVT General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1830265-1 Nitrogen, Ammonia ND mg/l 0.075 1 09/21/23 18:19 09/21/23 20:04 121,4500NH3-BH AVT General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1830268-1 Nitrogen, Ammonia ND mg/I 0.075 — 1 09/21/23 18:26 09/21/23 19:36 121,4500NH3-BH AVT Page 7 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: WG1827266-1 Nitrogen, Nitrite ND mg/l 0.050 1 - 09/14/23 03:44 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1827269-1 Nitrogen, Nitrate ND mg/I 0.10 1 - 09/14/23 03:49 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1827509-1 BOD, 5 day ND mg/l 2.0 NA 1 09/14/23 14:45 09/19/23 12:15 121,52106 MKT General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1827924-1 Phosphorus, Orthophosphate ND mg/I 0.005 1 09/15/23 10:26 121,4500P -E KEP General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1828471-1 Phosphorus, Total ND mg/I 0.010 1 09/17/23 20:14 09/17/23 21:47 121,4500P -E MEF General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1828549-1 Solids, Total ND mg/I 10 NA 1 - 09/18/23 05:31 121,25408 DEW General Chemistry Westborough Lab for sample(s): 01-02 Batch: WG1828615-1 Solids, Total Suspended ND mg/I 5.0 NA 1 - 09/18/23 08:34 121,2540D MRS General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1829239-1 Oil & Grease, Hem-Grav ND mg/l 4.0 1 09/19/23 13:37 09/19/23 15:46 140,1664B JGM General Chemistry -Westborough Lab for sample(s): 02 Batch: WG1830249-1 Nitrogen, Total Kjeldahl ND mg/I 0.300 1 09/21/23 13:00 09/21/23 21:15 121,4500NH3-H AVT General Chemistry - Westborough Lab for sample(s): 02 Batch: WG1830265-1 Nitrogen, Ammonia ND mg/l 0.075 1 09/21/23 18:19 09/21/23 20:04 121,4500NH3-BH AVT General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1830268-1 Nitrogen, Ammonia ND mg/I 0.075 — 1 09/21/23 18:26 09/21/23 19:36 121,4500NH3-BH AVT Page 7 of 19 Serial No:09222309:20 Lab Control Sample Analysis Project Name: MAPLEWOOD AT BREWSTER Batch Quality Control Lab Number: L2353364 Project Number: K10842DA.S.WW.700 Report Date: 09/22/23 LCS LCSD %Recovery Parameter _ _ %Recovery Qual %Recovery Qual Limits RPD ual RPD Limits General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG1827266-2 Nitrogen, Nitrite - 90-110 20 General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG 1827269-2 Nitrogen, Nitrate 90-110 General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG1827509-2 BOD, 5 day 85-115 20 General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG1827924-2 Phosphorus, Orthophosphate 99 - 90-110 General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG- 1828471-2 Phosphorus, Total - 80-120 General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1828549-2 -- Solids, Total - 80-120 - General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG 1828615-2 Solids, Total Suspended 80-120 Page 8 of 19 Lab Control Sample Analysis Project Name: MAPLEWOOD AT BREWSTER Batch Quality Control Project Number: K10842DA.S.WW.700 LCS LCSD Parameter _ %Recover-,- %Recover General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG 1829239-2 Oil & Grease, Hem-Grav General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG1830249-2 Nitrogen, Total Kjeldahl General Chemistry - Westborough Lab Associated sample(s): 02 Batch: WG 1830265-2 Nitrogen, Ammonia General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1830268-2 Nitrogen, Ammonia Serial No:09222309:20 Lab Number: L2353364 Report Date: 09/22/23 %Recovery Limits RPD RPD Limits 78-114 18 78-122 80-120 20 80-120 20 Page 9 of 19 e� Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.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): 02 QC Batch ID: WG1827266-4 Nitrogen, Nitrite ND 4 4.0 100 Serial No:09222309:20 Lab Number: L2353364 Report Date: 09/22/23 MSD Recovery RPD %Recovery Qual Limits RPD Qual Limits QC Sample: L2353294-07 Client ID: MS Sample 80-120 20 General Chemistry -Westborough Lab Associated sample(s): 02 QC Batch ID: WG1827269-4 QC Sample: L2353294-07 Client ID: MS Sample Nitrogen, Nitrate 3.2 4 6.8 90 83-113 6 General Chemistry -Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1827509-4 QC Sample: L2352705-12 Client ID: MS Sample BOD, 5 day ND 100 80 50-145 35 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1827924-4 QC Sample: L2353369-01 Client ID: MS Sample Phosphorus, Orthophosphate ND 0.5 0.487 97 80-120 20 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1828471-4 QC Sample: L2353532-01 Client ID: MS Sample Phosphorus, Total 0.071 0.5 0.577 101 75-125 20 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1829239-4 QC Sample: L2344660-89 Client ID: MS Sample Oil & Grease, Hem-Grav ND 39.2 33 78-114 18 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1830249-4 Nitrogen, Total Kjeldahl 1.29 8 5.24 49 Q Generd Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1830265-4 Nitrogen, Ammonia 0.115 4 3.44 83 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1830268-4 Nitrogen, Ammonia ND 4 3.18 Page 10 of 19 QC Sample: L2353259-02 Client ID: MS Sample 77-111 24 QC Sample: L2353364-02 Client ID: EFFLUENT 80-120 20 QC Sample: L2354191-03 Client ID: MS Sample 80-120 20 V-1 Serial No:09222309:20 Lab Duplicate Analysis Project Name: MAPLEWOOD AT BREWSTER Batch Quality Control Lab Number: L2353364 Project Number: K10842DA.S.WW.700 Report Date: 09/22/23 Parameter__ _ Native Sam l_le Duplicate Sam le Units RPD Qual RPD Limits General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1827266-3 QC Sample: L2353294-07 Client ID: DUP Sample Nitrogen, Nitrite ND ND mg/I NC 20 General Chemistry Westborough Lab Associated sample(s): 02 QC Batch ID: WG1827269-3 QC Sample: L2353294-07 Client ID: DUP Sample Nitrogen, Nitrate 3.2 3.2 mg/I 6 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1827509-3 QC Sample: L2352705-12 Client ID: DUP Sample BOD, 5 day ND ND mg/l NC 35 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1827924-3 QC Sample: L2353369-01 Client ID: DUP Sample Phosphorus, Orthophosphate ND ND mg/l NC 20 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1828471-3 QC Sample: L2353532-01 Client ID: DUP Sample Phosphorus, Total 0.071 0.066 mg/l 20 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1828549-3 QC Sample: L2352665-01 Client ID: DUP Sample Solids, Total 380 380 mg/I 16 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1828615-3 QC Sample: L2353387-01 Client ID: DUP Sample Solids, Total Suspended 250 560 mg/I '- Q 32 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1828615-4 QC Sample: L2353407-01 Client ID: DUP Sample Solids, Total Suspended 1100 1100 mg/I 32 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1829239-3 QC Sample: L2344660-88 Client ID: DUP Sample Oil & Grease, Hem-Grav ND ND mg/I 18 Page 11 of 1911'1e� Serial No:09222309:20 Lab Duplicate Analysis Project Name: MAPLEWOOD AT BREWSTER Batch Quality Control Lab Number: L2353364 Project Number: K10842DA.S.WW.700 Report Date: 09/22/23 Parameter _ _ _ Native Sample Duplicate Sample Units RPD RPD Limits___ General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1830249-3 QC Sample: L2353259-02 Client ID: DUP Sample Nitrogen, Total Kjeldahl 1.29 1.11 mg/I 24 General Chemistry - Westborough Lab Associated sample(s): 02 QC Batch ID: WG1830265-3 QC Sample: L2353364-02 Client ID: EFFLUENT Nitrogen, Ammonia 0.115 0.120 mg/I A 20 General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1830268-3 QC Sample: L2354191-03 Client ID: DUP Sample Nitrogen, Ammonia ND ND mg/I 20 Page 12 of 19 �1� Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Were project specific reporting limits specified? Cooler Information Cooler Custody Seal A Absent Sample Receipt and Container Information YES Container Information Initial Final Temp Container ID Container Type Cooler pH pH deg C Pres Seal L2353364 -01A Plastic 500ml H2SO4 preserved A <2 <2 3.9 Y Absent L2353364-01 B Plastic 950ml unpreserved A 7 7 3.9 Y Absent L2353364 -01C Plastic 950ml unpreserved A 7 7 3.9 Y Absent L2353364 -02A Plastic 500ml H2SO4 preserved A <2 <2 3.9 Y Absent L2353364 -02B Plastic 950ml unpreserved A 7 7 3.9 Y Absent L2353364 -02C Plastic 950ml unpreserved A 7 7 3.9 Y Absent L2353364 -02D Amber 1000ml HCl preserved A NA 3.9 Y Absent L2353364 -02E Amber 1000ml HCI preserved A NA 3.9 Y Absent Frozen Date/Time Page 13 of 19 *Values in parentheses indicate holding time in days Serial No:09222309:20 Lab Number: L2353364 Report Date: 09/22/23 Analysis(*) NH3-4500(28) TSC -2540(7), BOD -5210(2) TSS -2540(7) TKN-4500(28),TPHOS-4500(28), NH3-4500(28) 0PH0S-4500(2), NO2-353(2), BOD- 5210(2),NO3-353(2) TSS -2540(7) OG -1664(28) OG -1664(28) Serial No:09222309:20 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2353364 Project Number: K10842DA.S.WW.700 Report Date: 09/22/23 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 Scmivolatile 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 14 of 19 Serial No:09222309:20 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2353364 Project Number: K10842DA.S.WW.700 Report Date: 09/22/23 Footnotes 1 -The reference for this analyte should be considered modified since this analyte is absent from the target analyte list of the original method. Terms Analytical Method: Both the document from which the method originates and the analytical reference method. (Example: EPA 8260B is shown as 1,8260B.) The codes for the reference method documents are provided in the References section of the Addendum. Chlordane: The target compound Chlordane (CAS No. 57-74-9) is reported for GC ECD analyses. Per EPA,this compound "refers to a mixture of chlordane isomers, other chlorinated hydrocarbons and numerous other components." (Reference: USEPA Toxicological Review of Chlordane, In Support of Summary Information on the Integrated Risk Information System (IRIS), December 1997.) Difference: With respect to Total Oxidizable Precursor (TOP) Assay analysis, the difference is defined as the Post -Treatment value minus the Pre -Treatment value. Final pH: As it pertains to Sample Receipt & Container Information section of the report, Final pH reflects pH of container determined after adjustment at the laboratory, if applicable. If no adjustment required, value reflects Initial pH. Frozen Date/Time: With respect to Volatile Organics in soil, Frozen Date/Time reflects the date/time at which associated Reagent Water - preserved vials were initially frozen. Note: If frozen date/time is beyond 48 hours from sample collection, value will be reflected in 'bold'. Gasoline Range Organics (GRO): Gasoline Range Organics (GRO) results include all chromatographic peaks eluting from Methyl tert butyl ether through Naphthalene, with the exception of GRO analysis in support of State of Ohio programs, which includes all chromatographic peaks eluting from Hexane through Dodecane. Initial pH: As it pertains to Sample Receipt & Container Information section of the report, Initial pH reflects pH of container determined upon receipt, if applicable. PAH Total: With respect to Alkylated PAH analyses, the 'PAHs, Total' result is defined as the summation of results for all or a subset of the following compounds: Naphthalene, CI -C4 Naphthalenes, 2 -Methylnaphthalene, I -Methylnaphthalene, Biphenyl, Acenaphthylene, Acenaphthene, Fluorene, C1-C3 Fluorenes, Phenanthrene, C1-C4 Phenanthrenes/Anthracenes, Anthracene, Fluoranthene, Pyrene, 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 Qualit!ers 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 15 of 19 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Serial No:09222309:20 Lab Number: L2353364 Report Date: 09/22/23 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 16 of 19 Serial No:09222309:20 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2353364 Project Number: K10842DA.S.WW.700 Report Date: 09/22/23 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/A --roval Proi.ram Summa Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Serial_No:09222309:20 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 8260D: NPW: 1,2,4,5-Tetramethylbenzene; 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 -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 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, SM52201), 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). 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 Page 18 of 19 Pre-Qualtrax Document ID: 08-113 Serial_No:09222309:20 CHAIN OF CUSTODY PAW I QF 1 I We Reed In Lab: � :� ALPHA Job #: �!Project D916epien SlimpAe SampWa I Information Report Information Data r FAX EMAIL ❑ Sams as Oiarn info POP Kt W42DA. S Weerr mmugh, VA Nh'006K MA PPOfETCt Name: ttRHpleY'IGod 8t SPIWM6'�P od - — �:; T€L:505-M.MM 0 ADEx Add'I DelivMbise PAk: -nmm r -v . JU Client _ ' ±ro Location: Bi+ewster. MA • rt _ Client Sennett Environmental fAsseRciataa I PtOeet* K10842DA,S.VVW.700— Addimss: 1573 Mairum — _ PIMXCt. Manaaer,_Joseph Smith Brewster MA 02631 _ ALPkA-QLWe#: Phone: 506-896-17015 Turn -Around Time - - - - ANALYSIS_ Fax: 50840"1,01? ® Standard ❑ Rush {OM V IF PRE40PRO VEDi SAMPLE hM4NOUNG Email: 4FarrenkNSUWeter.CCrF1 i FW09ba, ij i] Tlre�ie npleslgvv 6o�nYrr.vvkl�s►r aiah d k r M Due pate' TIrn : 2 Wtanaa.d Other Prgert cific Requirements/CornmentolDetedon Limits: — c7 *coax PYurn I Q Li* to on I i" AI. 1M Lab ID tiI T. b U" orm Sample Ip IMP C I. Influent — I Effluent �OWJ — PJMfn Page 19 of 19 W ■ ■I U -M,l '1-91 -- I0 1 E-1 U 0IC n CoMalner 7tFle P ' P P P P ' P P - f�PB>yerVatiYe O O O �D.L- o O O 12"n CSI oWiyb 49MV arrleorrrpmetr. $aMGletTan DaWnrne Rei WNW Lige. Daberrow hmmerorrrd ftO fadewe nN " aM arty Iw ua r earM& Am& �er�+pba Q D916epien SlimpAe SampWa I W H � F D Time MBCPhR la NIS od H m O Z �OWJ — PJMfn Page 19 of 19 W ■ ■I U -M,l '1-91 -- I0 1 E-1 U 0IC n CoMalner 7tFle P ' P P P P ' P P - f�PB>yerVatiYe O O O �D.L- o O O 12"n CSI oWiyb 49MV arrleorrrpmetr. $aMGletTan DaWnrne Rei WNW Lige. Daberrow hmmerorrrd ftO fadewe nN " aM arty Iw ua r earM& Am& �er�+pba NA LY\71 CAL ANALYTICAL REPORT Lab Number: L2355580 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: 10/02/23 Serial—No: 10022313:11 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 20 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Serial No:10022313:11 Lab Number: L2355580 Report Date: 10/02/23 Alpha Sample Collection Sample ID Client ID Matrix Location Date/Time L2355580-01 MW -1 WATER BREWSTER, MA 09/21/23 08:30 L2355580-02 MW -2 WATER BREWSTER, MA 09/21/23 09:00 L2355580-03 MW -3 WATER BREWSTER, MA 09/21/23 09:30 L2355580-04 MW -4 WATER BREWSTER, MA 09/21/23 10:00 Page 2 of 20 Receive Date 09/21/23 09/21/23 09/21/23 09/21/23 Serial—No: 10022313:11 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2355580 Project Number: K10842DA.S.WW.700 Report Date: 10/02/23 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 20 f. Serial—No: 10022313:11 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2355580 Project Number: K10842DA.S.WW.700 Report Date: 10/02/23 Case Narrative (continued) Phosphorus, Orthophosphate L2355580-02: The Ophos result is slightly higher than the Total Phos result; however, the results are less than five times the reporting limits. Therefore, no further action was taken. Nitrogen, Total Kjeldahl L2355580-04: The sample has an elevated detection limit due to the dilution required by the sample matrix. 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: �e t�✓�Jt� Kelly O'Neill Title: Technical Director/Representative Page 4 of 20 Date: 10/02/23 INOROANICS B 6AISCEL� 40rOUS Page 5 of 20 Serial—No: 10022313:11 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 SAMPLE RESULTS Lab ID: L2355580-01 Client ID: MW -1 Sample Location: BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units RL General Chemistry - Westborough Lab Serial No:10022313:11 Lab Number: L2355580 Report Date: 10/02/23 Date Collected: 09/21/23 08:30 Date Received: 09/21/23 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst Nitrogen, Nitrite ND mg/I 0.050 1 09/22/23 05:50 44,353.2 KAF Nitrogen, Nitrate 0.24 mg/l 0.10 1 09/22/23 05:50 44,353.2 KAF Nitrogen, Total Kjeldahl 0.879 mg/I 0.300 -- 1 10/01/23 16:35 10/02/23 11:03 121,4500NH3-H KEP Phosphorus, Total 0.087 mg/l 0.010 1 09/26/23 19:48 09/26/23 21:14 121,4500P -E MEF Phosphorus, Orthophosphate 0.021 mg/I 0.005 1 09/22/23 08:00 121,4500P -E KEP Page 6 of 20 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 SAMPLE RESULTS Lab ID: L2355580-02 Client ID: MW -2 Sample Location: BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units RL General Chemistry - Westborough Lab Serial No:10022313:11 Lab Number: L2355580 Report Date: 10/02/23 Date Collected: 09/21/23 09:00 Date Received: 09/21/23 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst Nitrogen, Nitrite ND mg/I 0.050 1 09/22/23 05:52 44,353.2 KAF Nitrogen, Nitrate 2.5 mg/I 0.10 -- 1 - 09/22/23 05:52 44,353.2 KAF Nitrogen, Total Kjeldahl ND mg/l 0.300 1 10/01/23 16:35 10/02/23 11:04 121,4500NH3-H KEP Phosphorus, Total ND mg/I 0.010 1 09/26/23 19:48 09/26/23 21:16 121,4500P -E MEF Phosphorus, Orthophosphate 0.013 mg/l 0.005 — 1 - 09/22/23 08:00 121,4500P -E KEP Page 7 of 20 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 SAMPLE RESULTS Lab ID: L2355580-03 Client ID: MW -3 Sample Location: BREWSTER, MA Sample Depth: Matrix: Water Parameter Result Qualifier Units RL General Chemistry - Westborough Lab Serial No:10022313:11 Lab Number: L2355580 Report Date: 10/02/23 Date Collected: 09/21/23 09:30 Date Received: 09/21/23 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst Nitrogen, Nitrite ND mg/I 0.050 Nitrogen, Nitrate 9.2 mg/I 0.50 Nitrogen, Total Kjeldahl 0.702 mg/I 0.600 -- Phosphorus, Total 0.110 mg/l 0.010 Phosphorus, Orthophosphate 0.012 mg/I 0.005 Page 8 of 20 1 - 09/22/23 05:53 44,353.2 KAF 5 - 09/22/23 05:57 44,353.2 KAF 2 10/01/2316:35 10/02/2311:05 121,4500NH3-H KEP 1 09/26/2316:44 09/26/2318:04 121,4500P -E MEF 1 - 09/22/23 08:01 121,4500P -E KEP Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Lab ID: L2355580-04 Date Client ID: MW -4 Sample Location: BREWSTER, MA Prepared Sample Depth: Method Analyst Matrix: Water - Parameter Result Qualifier Units General Chemistry Westborough Lab 5 Nitrogen, Nitrite ND mg/I Nitrogen, Nitrate 9.1 mg/I Nitrogen, Total Kjeldahl ND mg/I Phosphorus, Total 0.035 mg/I Phosphorus, Orthophosphate 0.013 mg/I Page 9 of 20 SAMPLE RESULTS Serial No:10022313:11 Lab Number: L2355580 Report Date: 10/02/23 Date Collected: 09/21/23 10:00 Date Received: 09/21/23 Field Prep: Not Specified Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 0.050 - 1 - 09/22/23 05:54 44,353.2 KAF 0.50 5 09/22/23 06:04 44,353.2 KAF 0.600 2 10/01/2316:35 10/02/2311:06 121,4500NH3-H KEP 0.010 — 1 09/26/2316:44 09/26/2318:05 121,4500P -E MEF 0.005 1 - 09/22/23 08:01 121,4500P -E KEP Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Method Blank Analysis Batch Quality Control Serial No:10022313:11 Lab Number: L2355580 Report Date: 10/02/23 Page 10 of 20 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry Westborough Lab for sample(s): 01-04 Batch: WG1830557-1 f Nitrogen, Nitrite ND mg/I 0.050 1 09/22/23 03:20 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01-04 Batch: WG1830561-1 Nitrogen, Nitrate ND mg/I 0.10 -- 1 - 09/22/23 03:25 44,353.2 KAF General Chemistry - Westborough Lab for sample(s): 01-04 Batch: WG1830655-1 Phosphorus, Orthophosphate ND mg/I 0.005 1 09/22/23 07:57 121,4500P -E KEP General Chemistry Westborough Lab for sample(s): 03-04 Batch: WG1832158-1 Phosphorus, Total ND mg/I 0.010 -- 1 09/26/23 16:44 09/26/23 18:02 121,4500P -E MEF General Chemistry - Westborough Lab for sample(s): 01-02 Batch: WG1832216-1 Phosphorus, Total ND mg/I 0.010 -- 1 09/26/23 19:48 09/26/23 20:57 121,4500P -E MEF General Chemistry Westborough Lab for sample(s): 01-04 Batch: WG1834275-1 Nitrogen, Total Kjeldahl ND mg/I 0.300 -- 1 10/01/23 16:35 10/02/23 10:58 121,4500NH3-H KEP Page 10 of 20 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 Qual Limits General Chemistry - Westborough Lab Associated sample(s): 01-04 Batch: WG1830557-2 Nitrogen, Nitrite 90-110 General Chemistry - Westborough Lab Associated sample(s): 01-04 Batch: WG1830561-2 Nitrogen, Nitrate 90-110 General Chemistry - Westborough Lab Associated sample(s): 01-04 Batch: WG1830655-2 Phosphorus, Orthophosphate General Chemistry - Westborough Lab Associated sample(s): 03-04 Batch: WG1832158-2 Phosphorus, Total 105 General Chemistry - Westborough Lab Associated sample(s): 01-02 Batch: WG1832216-2 Phosphorus, Total General Chemistry - Westborough Lab Associated sample(s): 01-04 Batch: WG1834275-2 Nitrogen, Total Kjeldahl 90-110 80-120 80-120 78-122 Serial No: 10022313:11 Lab Number: L2355580 Report Date: 10/02/23 RPD Qual RPD Limits 20 Page 11 of 20 e� Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Matrix Spike Analysis Batch Quality Control Serial No:10022313:11 Lab Number: L2355580 Report Date: 10/02/23 Native MS MS Parameter _ _Sample Added Found MS MSD %Recovery Qual Found MSD Recovery RPD %Recovery Qual Limits RPD Qual Limits General Chemistry -Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG1830557-4 QC Sample: L2355-590-01 Client ID: MS Sample Nitrogen, Nitrite ND 4 4.1 102 80-120 20 General Chemistry -Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG18305-61-4 QC Sample: L2355590-01 Client ID: MS Sample Nitrogen, Nitrate ND 4 4.1 83-113 6 General Chemistry - Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG1830655-4 QC Sample: L2355580-04 Client ID: MW -4 Phosphorus, Orthophosphate 0.013 0.5 0.493 80-120 20 General Chemistry - Westborough Lab Associated sample(s): 03-04 QC Batch ID: WG1832158-4 QC Sample: L2355733-01 Client ID: MS Sample Phosphorus, Total ND 0.5 0.544 109 75-125 20 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1832216-4 QC Sample: 1-2354636-01 Client ID: MS Sample Phosphorus, Total 0.302 0.5 0.816 103 75-125 20 General Chemistry - Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG18342754 QC Sample: L2356249-01 Client ID: MS Sample Nitrogen, Total Kjeldahl 1.27 8 8.74 77-111 24 Page 12 of 20 Serial—No.: 10022313:11 Lab Duplicate Analysis Project Name: MAPLEWOOD AT BREWSTER Batch Quality Control Lab Number. L2355580 Project Number: K10842DA.S.WW.700 Report Date: 10/02/23 Parameter_ __ _ _ Native Sample _ ��licate Saml-le Units RPD Qual RPD Limits _ General Chemistry - Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG1830557-3 QC Sample: L2355590-01 Client ID: DUP Sample Nitrogen, Nitrite ND ND mg/I 20 General Chemistry - Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG1830561-3 QC Sample: L2355590-01 Client ID: DUP Sample Nitrogen, Nitrate ND ND mg/I NC 6 General Chemistry - Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG1830655-3 QC Sample: L2355580-03 Client ID: MW -3 Phosphorus, Orthophosphate 0.012 0.012 mg/I 20 General Chemistry - Westborough Lab Associated sample(s): 03-04 QC Batch ID: WG1832158-3 QC Sample: L2355733-01 Client ID: DUP Sample Phosphorus, Total ND ND mg/I NC 20 General Chemistry - Westborough Lab Associated sample(s): 01-02 QC Batch ID: WG1832216-3 QC Sample: L2354636-01 Client ID: DUP Sample Phosphorus, Total 0.302 0.304 mg/l 20 General Chemistry - Westborough Lab Associated sample(s): 01-04 QC Batch ID: WG1834275-3 QC Sample: L2356249-01 Client ID: DUP Sample Nitrogen, Total Kjeldahl 1.27 1.43 mg/I 24 Page 13 of 20 o''` Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Were project specific reporting limits specified? Cooler Information Cooler Custody Seal A Absent Container Information Container ID Container Type L2355580 -01A Plastic 250ml unpreserved L2355580 -01B Plastic 500ml H2SO4 preserved L2355580 -02A Plastic 250ml unpreserved L2355580 -02B Plastic 500ml H2SO4 preserved L2355580 -03A Plastic 250ml unpreserved L2355580 -03B Plastic 500ml H2SO4 preserved L2355580 -04A Plastic 250ml unpreserved L2355580 -04B Plastic 500ml H2SO4 preserved Sample Receipt and Container Information YES Frozen Date/Time Page 14 of 20 *Values in parentheses indicate holding time in days Serial No:10022313:11 Lab Number: L2355580 Report Date: 10/02/23 Analysis(*) O PHOS -4500(2), NO2-353(2), NO3-353(2) TKN-4500(28),TPHOS-4500(28) OP HOS-4500(2), NO2-353(2), NO3-353(2) TKN-4500 (28 ),TP H OS -4500 (28) OPHOS-4500(2), NO2-353(2),NO3-353(2) TKN-4500(28),TPHOS-4500(28) OPHOS-4500(2), NO2-353(2), NO3-353(2) TKN-4500(28),TP HOS-4500(28) Initial Final Temp Cooler pH pH deg C Pres Seal A 7 7 5.9 Y Absent A <2 <2 5.9 Y Absent A 7 7 5.9 Y Absent A <2 <2 5.9 Y Absent A 7 7 5.9 Y Absent A <2 <2 5.9 Y Absent A 7 7 5.9 Y Absent A <2 <2 5.9 Y Absent Frozen Date/Time Page 14 of 20 *Values in parentheses indicate holding time in days Serial No:10022313:11 Lab Number: L2355580 Report Date: 10/02/23 Analysis(*) O PHOS -4500(2), NO2-353(2), NO3-353(2) TKN-4500(28),TPHOS-4500(28) OP HOS-4500(2), NO2-353(2), NO3-353(2) TKN-4500 (28 ),TP H OS -4500 (28) OPHOS-4500(2), NO2-353(2),NO3-353(2) TKN-4500(28),TPHOS-4500(28) OPHOS-4500(2), NO2-353(2), NO3-353(2) TKN-4500(28),TP HOS-4500(28) Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.S.WW.700 Serial—No: 10022313:11 Lab Number: L2355580 Report Date: 10/02/23 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: Terre 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 15 of 20 Serial—No: 10022313:11 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2355580 Project Number: K10842DA.S.WW.700 Report Date: 10/02/23 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 ten butyl ether through Naphthalene, with the exception of GRO analysis in support of State of Ohio programs, which includes all chromatographic peaks eluting from Hexane through Dodecane. Initial pH: As it pertains to Sample Receipt & Container Information section of the report, Initial pH reflects pH of container determined upon receipt, if applicable. PAH Total: With respect to Alkylated PAH analyses, the 'PAHs, Total' result is defined as the summation of results for all or a subset of the following compounds: Naphthalene, CI -C4 Naphthalenes, 2 -Methylnaphthalene, 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(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 "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 16 of 20 Serial No:10022313:11 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2355580 Project Number: K10842DA.S.WW.700 Report Date: 10/02/23 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 17 of 20 Serial No:10022313:11 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2355580 Project Number: K10842DA.S.WW.700 Report Date: 10/02/23 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 18 of 20 Serial_No:10022313:11 Alpha Analytical, Inc. ID No.:17873 Facility: Company -wide Revision 20 Department: Quality Assurance Published Date: 6/16/2023 4:52:28 PM Title: Certificate/Ai i „roval Pro. ram Summa- Pa. e 1 of 1 Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: 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 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-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, 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: AI, Sb, As, Be, Cd, Cr, Cu, Fe, Pb, Mn, Ni, K, Se, Ag, Na, TL, Zn. EPA 245.1 Hg. SM2340B For a complete listing of analytes and methods, please contact your Alpha Project Manager. Document Type: Form Page 19 of 20 Pre-Qualtrax Document ID: 08-113 7J HA I O! LI UST ODY PArE , (O h EI tf ftec',d in Lab: — --- 0 FAX TIEL 50 95- d<th EL 90 d. MA P mject Name: Mapiawood at Brewster �tW �esa•axza �I. 9oe.ects..saaa C3 aDWx �ii�O�itil• FAS. S!4;2] •" � Project Location, Brewster, MA CiiertL Sennett Envimnirniental Assoc saes I Px4eet * K10Q42DA.S.WW -700 Address. 1573 Main St PraiW ManagLJmmNh Smith Phone: 5054W.1705 » ANALYSIS Fax: 5094M5109 SCOP ® SlarWani j Rush (ONLY IFFflE WR0VM Email; sfartrlattt�� r'F�SUMNa�ter.corn Thee mm*s neve Dean pre ly w*yzW by fthe Clue Clete: -rime: Other Project Specific RequirementWCornmentsMetection Limb., ALPHA Lab ID Saminda -I D _ Galodion Sample Sampter^f {Lab Undnlyp I Ram I Time M;J I Inlualf GW tomo- fVt9l1 2 _�] IOW MW -3 GW MW -4 ti GW �fdoontp{eley. Sampleaeen be I DetNT11 a ttW =Wed'By, Dolamme krft"s�jtl*WMCJ *Mft »� —swum ow .mb*ddm Ira _ Aiplw'�PgeMh4TatmM, tont na:mrnuwb tm aNraMr Page 20 of 20 Serial—No: 10022313:11 ALPHA Join #a .21 fata Defiverables Billing Informalion EMAk [3S&ffW as CIaM 0Tb I PD #.' K1 oe420A.S �! Add'i DW"raldls I�S�r�al i���Sf1ar M"WE ■ ■ MIN Cantalner Ti pe ' P Ptaservati e 0 RWwq fthed By: -felt pkc- _ SAMPLE HANDLING Fftwibn 0 mans 2 acne Nsadd 0 Lab mo de PM*rMKIMM a t.+b to da rha- MPOCI►r baft" . e - i Dno �fdoontp{eley. Sampleaeen be DetNT11 a ttW =Wed'By, Dolamme krft"s�jtl*WMCJ *Mft »� —swum ow .mb*ddm Ira _ Aiplw'�PgeMh4TatmM, _ ANAL - P ICA L ANALYTICAL REPORT Lab Number: L2356554 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.X.WW.700 Report Date: 10/05/23 Serial—No: 10052310:31 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: Project Number: Alpha Sample ID L2356554-01 Page 2 of 16 MAPLEWOOD AT BREWSTER K10842DA.X.WW.700 Sample Client ID Matrix Location EFFLUENT RESAMPLE WATER BREWSTER, MA Serial_No:10052310:31 Lab Number: L2356554 Report Date: 10/05/23 Collection Date/Time Receive Date 09/26/2312:30 09/26/23 Serial—No: 10052310:31 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2356554 Project Number: K10842DA.X.WW.700 Report Date: 10/05/23 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. Authorized Signature: *,k wlwu Caitlin Walukevich Title: Technical Director/Representative Date: 10/05/23 Page 3 of 16 , A4 INORGANICS s Wor1SCELLANE OUS Page 4 of 16 Serial—No: 10052310:31 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.X.WW.700 Lab ID: L2356554-01 Client ID: EFFLUENT RESAMPLE Sample Location: BREWSTER, MA Sample Depth: Method Analyst Matrix: Water Parameter Result Qualifier Units General Chemistry - Westborough Lab Oil & Grease, Hem-Grav ND mg/I Page 5 of 16 SAMPLE RESULTS Serial—No: 10052310:31 Lab Number: L2356554 Report Date: 10/05/23 Date Collected: 09/26/23 12:30 Date Received: 09/26/23 Field Prep: Not Specified Dilution Date Date Analytical RL MDL Factor Prepared Analyzed Method Analyst 4.0 -- 1 10/04/2312:32 10/04/2316:43 140,16646 JGM Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.X.WW.700 Method Blank Analysis Batch Quality Control Serial—No: 10052310:31 Lab Number: L2356554 Report Date: 10/05/23 Dilution Date Date Analytical Parameter Result Qualifier Units RL MDL Factor Prepared Analyzed Method Analyst General Chemistry - Westborough Lab for sample(s): 01 Batch: WG1835530-1 Oil & Grease, Hem-Grav ND mg/I 4.0 -- 1 10/04/23 12:32 10/04/23 15:44 140,166413 JGM Page 6 of 16 Serial—No: 10052310-.31 Lab Control Sample Analysis Project Name: MAPLEWOOD AT BREWSTER Batch Quality Control Lab Number: L2356554 Project Number: K10842DA.X.WW.700 Report Date: 10/05/23 LCS LCSD %Recovery Parameter %Recovry Qual %Recove e_ ual _ Limits RPD I _ RPD Limits _ General Chemistry - Westborough Lab Associated sample(s): 01 Batch: WG1835530-2 Oil & Grease, Hem-Grav Page 7 of 16 78-114 18 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.X.WW.700 Matrix Spike Analysis Batch Quality Control Serial_No:10052310:31 Lab Number: L2356554 Report Date: 10/05/23 Native MS MS MS MSD MSD Recovery RPD Parameter Sample Added Found %Recovery Qual Found _ _ _ _/oRecovery Qual Limits RPD_Qual Limits General Chemistry -Westborough Lab Associated sample(s): 01 QC Batch ID: WG1835530-4 QC Sample: L2356414-06 Client ID: MS Sample Oil & Grease, Hem-Grav ND 38.8 22 Q 78-114 18 k. Page 8 of 16 &c� Serial—No: 10052310:31 Lab Duplicate Analysis Project Name: MAPLEWOOD AT BREWSTER Batch Quality Control Lab Number: L2356554 Project Number: K10842DA.X.WW.700 Report Date: 10/05/23 Parameter _ Native Sample Du;>licate Samr-le Units RPD_ Qual RPD Limits General Chemistry - Westborough Lab Associated sample(s): 01 QC Batch ID: WG1835530-3 QC Sample: L2356414-05 Client ID: DUP Sample Oil & Grease, Hem -Gray Page 9 of 16 M 12 mg/I 18 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.X.WW.700 Were project specific reporting limits specified? Cooler Information Cooler Custody Seal A Absent Container Information Container ID Container Type L2356554 -01A Amber 1000ml HCI preserved L2356554-01 B Amber 1000ml HCI preserved Sample Receipt and Container Information YES initial Final Temp Cooler pH pH deg C Pres Seal A NA 4.4 Y Absent A NA 4.4 Y Absent Serial No:10052310:31 Lab Number: L2356554 Report Date: 10/05/23 Frozen Date/Time Analysis(*) OG -1664(28) OG -1664(28) Page 10 of 16 *Values in parentheses indicate holding time in days G<. Serial—No: 10052310:31 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2356554 Project Number: K10842DA.X.WW.700 Report Date: 10/05/23 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 Nol0052310:31 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2356554 Project Number: K10842DA.X.WW.7O0 Report Date: 10/05/23 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 ofthe following compounds: Naphthalene, CI -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, CI -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 (I Ox) 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 (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 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 Project Name: MAPLEWOOD AT BREWSTER Project Number: K10842DA.X.WW.700 Serial—No: 10052310:31 Lab Number: L2356554 Report Date: 10/05/23 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. 5 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 NoA 0052310:31 Project Name: MAPLEWOOD AT BREWSTER Lab Number: L2356554 Project Number: K10842DA.X.WW.700 Report Date: 10/05/23 REFERENCES 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 14 of 16 Alpha Analytical, Inc. Facility: Company -wide Department: Quality Assurance Title: Certificate/A roval Pro: ram Summa Certification Information The following analytes are not included in our Primary NELAP Scope of Accreditation: Serial—No: 10052310:31 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-Tetramethylbenzene; 4-Ethyltoluene, Azobenzene; SCM: lodomethane (methyl iodide), 1,2,4,5-Tetramethylbenzene; 4- Ethyltoluene. EPA 8270E: NPW: Dimethylnaphthalene,1,4-Diphenylhydrazine, alpha -Terpineol; SCM: Dimethyinaphthalene,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-l-pentene, Thiophene, 2-Methylthiophene, 3-Methylthiophene, 2-Ethylthiophene, 1,2,3-Trimethyl 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 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, SM52201), 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 Il, 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, 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: 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 _ *g� CHAIN OF CUSTODY PAGE 1 OF 1 Date Reed in LAO: t A Information •. — - 0 FAK Wesdierough, MA MAMMU q, NA Proecd blame: Maplewood at Sa n<ster TEL: 500-rie4m TEU 508-622.9010(! Q ADE% _.-oe..er�ra A" I Client • • PTC1�9Gt t.oCali0n; Srwaratar, MA Cnend; Sennett Ernvilmrnmerltal Associates _ Proect* K10G42D1A,X.%kygi,700— Address 1573 blain S1 Pmeat Mater, «losepr- Smith ®rewsler tell► 02631 I �IL�I{a Qu,-* Phom: 5W496-177 - — _ _ ANALYSIS Fax- 508411116-5109 _ _ 0 Standard E] Rauh (COLv IF IRK-APPRovEM Entail: starrsnkoL!;&N-S lWatet:0n1 �] ThM WfflP s `h M WW Prw*usI l *r%"d by Alpha Due Date: Time; C}tt'ter Project Specific Requirement nrrtrr ents0et0ction t.irnits: ALPHA tib ID {Lob Use OnW P. SLOR4" Page 16 of 16 Semple Ifs ^R7 I cdloann San** Samplers Oda 7MIta 1 Malrrx I InIders ' E1tiuent Res meie WW L I Reo UlMed Serial -No: 10052310:31 ALPHA Job 1tt: 0 £WtL I, 0 samie���iaat;rndo I Po#•K10+1342fhk.X - [3 Add'! €lelwersbles �' ifu ■INNIN ■ ■-- a m 1�0 ■ J� 5AWLE HANDLING PNPeat0rt 0 Dime V goof N.eN.d 0 Lab to da Pf*s"v#trea 0 Le4knti4r Mama speer" baba? 0 4 . - Phew P7 I.►i � - rr,eaa�iab+sAr, Semprasnn Datert7mebArw��XSA 9�e76cicrgl alert ". shy Wd laillsm lee rnahwd. A9 mr0w ' 01, A1pfaFaymaRTwms COASTAL engineering co. TECHNICAL SERVICES 260 Cranberry Highway Orleans, MA 02653 508.255.6511 P 508.255.6700 F Orleans I Sandwich I Nantucket coastalengineeringcompany.com To: Jacquelyn Linehan, Property Mgr. Date: King's Landing Apartments Via: 1200 South State Street Brewster, MA 02631 via email: ilinehan@poahcommunities.com Subject: King's Landing Apartments 3 State Street Brewster, MA Permit #934-1 Plans Copy of Letter We are sending the following items: Specifications ®Other TRANSMITTAL 10/16/2023 Project No. WBR007.00 ®Email RPick up nCertifled Fed Ex Copies Date No. , Description_ 1 09/2023 934-1Daily Log Sheet 1 09/22/2023 934-1 Monthly Discharge Report w/Laboratory Test Results 1 09/14/2023 934-1 Quarterly 5 Monthly Monitoring Well Report w/Laboratory Test results 6 Field-tested Data 1 10/13/2023 1 934-1 1 eDEP Electronic Receipt _ These are transmitted as checked below: F—Ifor approval ®for your use ®as requested 7for review & comment ❑ Remarks: Enclosed are the recent reporting forms for the wastewater treatment facility at the above -referenced location. Test results indicate good treatment of the effluent discharge. The average daily flow was approximately 10,611 gpd. None of the monitor wells exceeded the upper containment limits for any of the tested parameters. If you have any questions regarding this report or the WWTF, please do not hesitate to contact us. cc: Brewster Board of Health By: Chad A. Simmons, WWTPO CC Commission Joe Henderson, Horsley Witten Group, Inc. (via email) AquaPoint.3 LLC NOTE: If enclosures are not as noted, please contact us at (508) 255-6511 Orleans I Sandwich I Nantucket 260 Cranberry Highway, Orleans, MA 02653 508.255.6511 1 coastalengineeringcompany.com 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 934 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit DAILY LOG SHEET 2. Tax identification Number 2023 SEP DAILY 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Effluent Reuse Irrigation Flow GPD Flow GPD Flow GPD 9,631 8,856 9,203 9,386 10,603 10,117 13,401 9,161 9,496 10,865 10,667 10,971 10,258 10,119 10,071 9,850 9,509 13,184 10,506 10,848 10,248 10,472 10,056 10,614 1 10,5351 10,395 9,807 9,586 10,177 10,406 Turbidity Influent pH Effluent Chlorine UV pH Residual Intensity (mg/1) (%) -� 6.89 X7.24 ,�� • 6.93 7.29 6.91 7.32 6.97 7.68 7.09 7.78 7.01� 7.86 amw- 6.94 7.74 6.89 7.59 6.82 7.55 i 6.88 7.59 I�f 6.90 7.82 6.87 L77 ; 6.94 I I 6.91 � 7.69 vas I F � I I 7.03 7.77 - 6.96 7.72 I 6.94 7.74 71 7.07 7.6�, I } 8.88 7.58 gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 934 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit ' DISCHARGE MONITORING REPORT 2• Tax identification Number 2023 SEP MONTHLY 3. Sampling Month & Frequency D. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit BOD 1_60 8.2 2.0 MG/L TSS 42 9.9 5.5 MG/L TOTAL SOLIDS 250 MG/L AMMONIA -N 37.0 MG/L NITRATE -N 0.93 0.10 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 7.11 0.050 MG/L OIL & GREASE ND 4.0 MG/L infeffrp-blank.doc rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 AA t'h' C A L ANALYTICAL REPORT Lab Number: L2355947 Client: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 02653 ATTN: Chad Simmons Phone: (508) 255-6511 Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 Report Date: 10/03/23 Serial—No: 10032318:44 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 A�7 Page 1 of 20 INORGANICS Q: MiISC� LL."' tIp'OUS Page 5 of 20 Serial—No: 10032318:44 Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 SAMPLE RESULTS Lab ID: L2355947-01 Date Date Client ID: INFLUENT (COMPOSITE) MDL Sample Location: 3 STATE ROAD BREWSTER, MA Sample Depth: Analyst NA 1.3 Matrix: Water 121,25406 DEW Parameter Result Qualifier Units RL General Chemistry - Westborough Lab REM Solids, Total 250 mg/l 1 Solids, Total Suspended 42. mg/l 1 Nitrogen, Ammonia 37.0 mg/l 0.3 Nitrogen, Total Kjeldahl 41.2 mg/l 3. BOD, 5 day 160 mg/I 3 Page 6 of 20 3 0 75 00 0 Serial—No: 10032318:44 Lab Number: L2355947 Report Date: 10/03/23 Date Collected: 09/22/23 10:00 Date Received: 09/22/23 Field Prep: Not Specified < � Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst NA 1.3 09/29/23 04:19 121,25406 DEW NA 2 - 09/23/2318:58 121,2540D REM 5 10/02/2320:43 10/03/2317:10121,4500NH3-BH AVT 10 10/02/23 21:15 10/03/23 18:00 121,450ONH3-H AVT NA 15 09/22/23 22:59 09/28/23 04:50 121,5210B JRG < � Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 SAMPLE RESULTS Lab ID: L2355947-02 Date Analytical Client ID: EFFLUENT (COMPOSITE) Prepared Analyzed Sample Location: 3 STATE ROAD BREWSTER, NA 1.1 MA Sample Depth: 121,2540D REM 1 Matrix: Water 121,4500NH3-BH AVT Parameter Result Qualifier Units RL General Chemistry - Westborough Lab - 1 - Solids, Total Suspended 9.9 mg/l 5.5 Nitrogen, Ammonia 3.76 mg/I 0.075 Nitrogen, Nitrite 0.24 mg/l 0.050 Nitrogen, Nitrate 0.93 mg/l 0.10 Nitrogen, Total Kjeldahl 5.94 mg/I 0.300 BOD, 5 day 8.2 mg/l 2.0 Page 7 of 20 Serial—No: 10032318:44 Lab Number: L2355947 Report Date: 10/03/23 Date Collected: 09/22/23 10:00 Date Received: 09/22/23 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst NA 1.1 09/23/2318:58 121,2540D REM 1 10/02/2320:43 10/03/2317:11 121,4500NH3-BH AVT 1 - 09/23/23 05:01 44,353.2 KAF - 1 - 09/23/23 05:01 44,353.2 KAF -- 1 10/02/23 21:15 10/03/23 18:00 121,4500NH3-H AVT NA 1 09/22/23 22:59 09/28/23 04:50 121,52108 JRG Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 SAMPLE RESULTS Lab ID: L2355947-03 Client ID: EFFLUENT (GRAB) Sample Location: 3 STATE ROAD BREWSTER, MA Sample Depth: Method Analyst Matrix: Water Parameter Result Qualifier Units RL General Chemistry - Westborough Lab Oil & Grease, Hem-Grav ND mg/I 4.0 Page 8 of 20 Serial—No: 10032318:44 Lab Number: L2355947 Report Date: 10/03/23 Date Collected: 09/21/23 10:00 Date Received: 09/22/23 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst 1 10/02/2310:35 10/02/2314:11 140,166413 JGM M. o 0� ;,A A n w i Ar 1 0 A CHAIN OF CUSTODY AWE1Of1- Weeabamougk MA MAnitnauld, MA TEL NO.06.9220 TEL.50BA22-9300 FAX • .S Bq&9•93 ' A..tl =r L i .- & Project Name: Kings Landing Bramter I 1 Read Brewster MA Isleant: Coastal Ens'neerfM Co. Inc. Pf-_ect#: WBRO07.00, Address: 290 Crar ern SII ;hwa_ Prdl t Mana er; Chari A. Skamon+s Orleans, MA 02653 ALPHA Mole #: 2011601ravrl Phone: 508 25WIl 0 Fax: 508 255-6700 Standard [)Rrastl(ONLY rrFR&xjmLOvm Email: r slmmonw_ceec ecod.cam 0 Thmaa oalePle+ here been PtNou!ly erWyred byAlpre I>ue Daw lfim Q: Other Pr4*ct Speci[fc RequirernentsfCommeruWDetection Limits: Serial -No: 10032318:44 Oslo Re+ecl to I,ah: ALPHA Job ig: . Reportl formationInformation _ , 0 Presenralive I A I K Deliver lBy: a ved Dateffimenot © FAX MMIL �] Same as Clrerrl Indo PO #: 1 rkDEx ® Add'l oelliuerables I _[remc!nts1R_eR_rt Limits.I I I z eft _ ALPHA Lab 10Sompts IQ Coliectlon 0 Yes L p do ..-Are MCP Anal r.�,l Methods RenLlred? •y Yes Are CT RCP 113easmable ConMeme Pnaiowls Ra.-. ired7 ANALYS MS z (Lab Use Only) I Date I Tlime 1 I Millais m eq z SWPLE HAN RING , I 1 lnlfuenticomgositel �rMreUfoe WW ACAS I • _ 4 i] Ogre _( t:Rl+Fenl ,Comjlasitep _ _ — 921-222 roan C�15 M 1�±i Efluernt lily, . _ W21f23 I ia©a WYV M Not Nrod&d LT � H. t7 Lab no do pmwatRw 0 Lair to do fPla+ U vseuy to Mb%q 'LEASE ANSWER QUESTtflNS ABOVEI S YOUR PROJECT VIA MCP or CT RCP? aM"0}1,41 In �� ? •1 � - Wit• Relimuished �LII_I-0 0 ��7TC1 r] Di❑I❑,I7 N pool! 11111111 M M 3•hgd•aledRt COMM"• Mainer Type. 1 p P - _ _ , 0 Presenralive I A I K lBy: a ved Dateffimenot "' Isrr until any ombrgWH" !re I _ _ ! N I-- suban0led are lub*L 10 MpWs Payt"I Tema 1�- z eft _ ALPHA Lab 10Sompts IQ Coliectlon Sample Sarnplers ori � z (Lab Use Only) I Date I Tlime Matrix I Millais m eq z , I 1 lnlfuenticomgositel 9*1,21 00 1 WW ACAS I • _ ��,■�� _( t:Rl+Fenl ,Comjlasitep _ _ — 921-222 roan C�15 M 1�±i Efluernt lily, . _ W21f23 I ia©a WYV I CAS LT � H. 'LEASE ANSWER QUESTtflNS ABOVEI S YOUR PROJECT VIA MCP or CT RCP? aM"0}1,41 In �� ? •1 � - Wit• Relimuished �LII_I-0 0 ��7TC1 r] Di❑I❑,I7 N pool! 11111111 M M 3•hgd•aledRt COMM"• Mainer Type. 1 p P - _ _ , Plewa ptlnl deeAy, leglhty andwmR6NAy, Sirrrpl�roen MCI be bgged i1 Errd Wm avmMOmedlodwt Presenralive I A I K lBy: a ved Dateffimenot "' Isrr until any ombrgWH" !re I _ _ ! N I-- suban0led are lub*L 10 MpWs Payt"I Tema Massachusetts Department of Environmental Protection 934 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number . Groundwater Permit ax ident�.�cation ,. ,,, MONITORING WELL DATA REPORT 4 2023 QUARTERLY 3 3. Sampling Month & Frequency C. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant HW -1 HW -2 HW -3 HW -4 Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 NITRATE -N 12 1.4 0.92 DRY — - — MG/L TOTAL NITROGEN(NO3+NO2+TKI 1.817 1.784 1.27 DRY MG/L TOTAL PHOSPHORUS AS P 0.086 0.529 0.120 DR_ Y MG/L ORTHO PHOSPHATE 0.007 0.008 0.010 DRY MG/L mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 Massachusetts Department of Environmental Protection 934 Bureau of Resource Protection - Groundwater Discharge Program 1 Permit Number Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT — Ll, 2023 SEP 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 HWA Units Well #: 1 PH 6.35 S.U. STATIC WATER LEVEL 24.06 FEET SPECIFIC CONDUCTANCE 530 UMHOS/C HW -2 HW -3 HW -4 Well #: 2 Well #: 3 Well #: 4 6.34 6.45 DRY 22.76 _ I 21.68 DRY 980 600 DRY Well #: 5 Well #: 6 mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 - AIA L I C A L ANALYTICAL REPORT Lab Number: L2354103 Client: Coastal Engineering Company 260 Cranberry Highway Route 6A Orleans, MA 02653 ATTN: Chad Simmons Phone: (508) 255-6511 Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 Report Date: 09/27/23 Serial No:09272314:13 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 18 Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 SAMPLE RESULTS Lab ID: L2354103-01 Date Analytical Client ID-. HW -1 Prepared Analyzed Sample Location: 3 STATE ROAD BREWSTER, MA Sample Depth: 09/16/23 06:13 44,353.2 KAF Matrix: Water 09/16/23 06:24 44,353.2 Parameter Result Qualifier Units RL General Chemistry Westborough Lab KEP — 1 Nitrogen, Nitrite ND mg/I 0.050 Nitrogen, Nitrate 1.2 mg/I 0.10 Nitrogen, Total Kjeldahl 0.617 mg/l 0.300 Phosphorus, Total 0.086 mg/l 0.010 Phosphorus, Orthophosphate 0.007 mg/l 0.005 Page 5 of 18 Serial No:09272314:13 Lab Number: L2354103 Report Date: 09/27/23 Date Collected: 09/14/23 23:00 Date Received: 09/15/23 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst -- 1 09/16/23 06:13 44,353.2 KAF — 1 - 09/16/23 06:24 44,353.2 KAF 1 09/26/2323:23 09/27/2312:58 121,4500NH3-H KEP — 1 09/20/23 09:12 09/20/23 14:35 121,4500P -E RDS 1 - 09/16/2310:46 121,4500P -E KAF Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 SAMPLE RESULTS Lab ID: L2354103-02 Date Analytical Client ID: HW -2 Prepared Analyzed Sample Location: 3 STATE ROAD BREWSTER, MA Sample Depth: 09/16/23 06:14 44,353.2 KAF Matrix: Water 09/16/23 06:14 44,353.2 Parameter Result Qualifier Units RL General Chemistry - Westborough Lab KEP 5 Nitrogen, Nitrite ND mg/I 0.050 Nitrogen, Nitrate 1.4 mg/I 0.10 Nitrogen, Total Kjeldahl 0.384 mg/l 0.300 Phosphorus, Total 0.529 mg/l 0.050 Phosphorus, Orthophosphate 0.008 mg/1 0.005 Page 6 of 18 Serial No:09272314:13 Lab Number: L2354103 Report Date: 09/27/23 Date Collected: 09/14/23 23:15 Date Received: 09/15/23 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst 1 09/16/23 06:14 44,353.2 KAF -- 1 - 09/16/23 06:14 44,353.2 KAF 1 09/26/2323:23 09/27/2312:59 121,4500NH3-H KEP 5 09/20/23 09:12 09/20/23 14:36 121,4500P -E RDS -- 1 - 09/16/2310:47 121,4500P -E KAF Project Name: KINGS LANDING BREWSTER Project Number: WBR007.00 SAMPLE RESULTS Lab ID: L2354103-03 Date Analytical Client ID: HW -3 Prepared Analyzed Sample Location.- 3 STATE ROAD BREWSTER, MA Sample Depth: 09/16/23 06:16 44,353.2 KAF Matrix: Water 09/16/23 06:16 44,353.2 Parameter Result Qualifier Units RL General Chemistry - Westborough Lab KEP 1 Nitrogen, Nitrite ND mg/1 0.050 Nitrogen, Nitrate 0.92 mg/1 0.10 Nitrogen, Total Kjeldahl 0.349 mg/1 0.300 Phosphorus, Total 0.120 mg/I 0.010 Phosphorus, Orthophosphate 0.010 Mg/1 0.005 Page 7 of 18 Serial No:09272314:13 Lab Number: L2354103 Report Date: 09/27/23 Date Collected: 09/14/23 23:30 Date Received: 09/15/23 Field Prep: Not Specified Dilution Date Date Analytical MDL Factor Prepared Analyzed Method Analyst — 1 09/16/23 06:16 44,353.2 KAF — 1 - 09/16/23 06:16 44,353.2 KAF 1 09/26/23 23:23 09/27/23 13:00 121,4500NH3-H KEP 1 09/20/23 09:12 09/20/23 14:37 121,4500P -E RDS -- 1 - 09/16/2310:48 121,4500P -E KAF CHAIN OF CUSTOD i PAGE f OF 1 Project• s r+ Arwc V,TI c+94 011e ReWd 1n Leb: q lry Westborough, MA Manaiiatd, MA ` ❑ADD TEL, 5M-8"4220 7EL, 50"22-93WPiQject Name., flings Landing Brewster yrs^ -2m 4a 1'•-m F7IY2 71FiFdi -UW + InformationClient Prodeel Location: 3 State Roel Brewster MA statwPies Serial No:09272314:13 ALPHA Job 9: ® EMAIL PON: Client Coastal Eni;nswirig Co. lneo� #: WSR007^00 Address: 260 Cramtaerrr HfahwaY Manager: Chad A. Simmons Yes Nn -_— Crfeans• MA 02653 -- �L �t fA f�t+mte #: 20116t*1reui 0 yes 171 No Phone: 50 255-6511 Turn -Around ANALYSIS -T_..__ _ Fax: 506 255-6700 - ® Standard [3 RUSK MKy iF PRE-APPRUWA e �� ' Email: csimmerns�cebca�od.C4ft� [1 Tatae samples Jaye baso Pm-xaJy analyzed by Alptw Due Date, Time., Littler Project SpecMc Requir�emntstCorrlments0etection Limits: I CL Monitor wall HW -4 was dry. � ALPHA Lab ID (Lab•,�Lrfte Ofvy) HW -1 HW -2 i Sample ID Imo, HW4 •:WA - Waif Di rrr DISE ANSWER QUESTIONS ABOVE! S YOUR PROJECT 1A MCP or CT RCP? Pa�ga-J&uU EL r; — O I Qw4dICA sampta SamptarS V110 Titrw Malft I mitrals 0 Q6f11123 11.10VU CW ACC y A9t11f2$ 19:55P1A OW1423 11.3 pm m His td ■ IME ■E WINr"k Rr .ukeV SAMPLE HANDLING RNINUen 1300 U RotNeaQad 0 Lab to do i'mtan+ 000 © Lab to do 0 -- Please - Please Pmrl d*WY• k*UY not be fted Ws • andoornplNaly Sampleesen nd lilshMd Byr 17a1eiTlmtt aetsived 6y. _ []61.aF1 fine wmeround OTW sdodc wis M stnrtunUl any embipu *&ere 17 •� Y ; . � - #7 – � lfub�n14t4Y rra safyea m r 10/13/23, 3:47 PM eDEP - MassDEP's OnlineFiling System _ MassDEP Home i Contact i Privacy Policy �MassDEP's Online Filing System Usemame:CASDMR My . ' Nickname: COASTAL260 r Receipt Forms Signature Receipt a Summary/Receipt print receipt Exit Your submission is complete. Thank you for using DEP's online reporting system. You can select "My eDEP" to see a list of your transactions. DEP Transaction ID: 1616127 Date and Time Submitted: 10/13/2023 3:47:12 PM Other Email: DEP Transaction ID: 1616127 Date and Time Submitted: 10/13/2023 3:47:12 PM Other Email: DEP Transaction ID: 1616127 Date and Time Submitted: 10/13/2023 3:47:12 PM Other Email: DEP Transaction ID: 1616127 Date and Time Submitted: 10/13/2023 3:47:12 PM Other Email : DEP Transaction ID: 1616127 Date and Time Submitted: 10/13/2023 3:47:12 PM Other Email: Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 Daily Log Sheet(2023 SEP DAILY) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 https://edep.dep.mass.gov/eDEP/Pages/PrintReceipt.aspx 1/2 10/13/23, 3:47 PM eDEP - MassDEP's OnlineFiling System Monitoring Well Data Report(1 - 2023 Quarterly 3) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 Discharge Monitoring Report(1 - 2023 Sep Monthly) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 352432096 location: 3 STATE STREET Address: BREWSTER ZIP: 02631 Monitoring Well Data Report(1 - 2023 Sep Monthly) Form Name: Comments My eDEP MassDEP Home I Contact I Privacy Policy MassDEP's Online Filing System ver 17.1.0.0© 2023 MassDEP https://edep.dep.mass.gov/eDEP/Pages/PrintReceipt.aspx 2/2 COASTAL engineering co. TECHNICAL SERVICES 260 Cranberry Highway Orleans, MA 02653 508.255.6511 P 508.255.6700 F Orleans I Sandwich I Nantucket coastal engineeringcompany.com To: Brewster Town Hall Board of Health Department 2198 Main St Brewster, MA 02631 Subject: Cape Cod Sea Camps 3057 Main Street Brewster, MA GWDP 977-0 Plans 0 Copy of Letter We are sending the following items: Copies Date No. 1 09/2023 C16845.07 These are transmitted as checked below; TRANSMITTAL Date: 10/17/2023 Project No. C16845.07 Via: ®ist Class Mail Pick up Certified E]Fed Ex Specifications ® Other Description _ Daily Log Sheet (Not field-tested — Camp is Closed) _ Discharge Monitor Report (Not sampled — Camp is Closed) _ eDEP Electronic Receipt F-Ifor approval ®for your use Ejas requested F]for review 6 comment F] Remarks: Enclosed are the recent monthly reporting forms for the system at the above referenced location under GWDP 977-0. The laundromat has been shut down since the camp closed. No flow or pH was able to be recorded and the distribution box was not sampled. Please do not hesitate to contact us if you have any questions or comments. Cc: plombardi(@brewster-ma.gov By: John G. Schnaible NOTE: If enclosures are not as noted, please contact us at (508) 255-6511 Orleans I Sandwich I Nantucket on, Massachusetts Department of Environmental Protection 977 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. 1 ax ident6,cation Number DAILY LOG SHEET 2023 SEP DAILY 3. Sampling Month & Frequency C. Daily Readings/Analysis Information 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 Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine UV Flow GPD FIowGPD Flow GPD pH Residual Intensity (mg/1) (%) NS NS NS 'NS NS j NS NS NS NS INS NS _ ' NS — NS �! NS NS I NS — NS NS -h — NS I I ' I I NS NS u � - I NS _ NS ' �* �--� I NS NS� •� + +� NS NS - NS NS NS NS '- NS NS- _ j I LNs NS — — — I NS j NS r NS NS � NS NS NS ' I I NS t NS I I NS I r I F' NS NS NS NS NS - -- — - -- NS NS - - i NS a M1 NS - j :NS �I NS I I I NS I I I NS 1 I 1NS I I I I gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program LiL i-A Groundwater Permit MONITORING WELL DATA REPORT 977 1. Permit Number .. I ax Icientitication umber 2023 SEP 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 LAUNDRYEFFLU Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 TSS NS MG/L OIL & GREASE NS MG/L FOAMING AGENTS (MBAS) NS MG/L Well #: 5 Well #: 6 mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 1016/23, 10:45 AM nroMassIDEP's Online Filing System eDEP - MassDEP's OnlineFiling System MassDEP Home I Contact I Privacy Policy N Receipt V6 Forms Signature Receipt Summary/Receipt print receipt Exit Your submission is complete. Thank you for using DEP's online reporting system. You can select "My eDEP" to see a list of your transactions. DEP Transaction ID: 1616142 Date and Time Submitted: 10/6/2023 10:45:18 AM Other Email: DEP Transaction ID: 1616142 Date and Time Submitted: 10/6/2023 10:45:18 AM Other Email : DEP Transaction ID: 1616142 Date and Time Submitted: 10/6/2023 10:45:18 AM Other Email : Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 043070847 location: 3057 MAIN STREET Address: BREWSTER ZIP: 02631 Daily Log Sheet(2023 SEP DAILY) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 043070847 location: 3057 MAIN STREET Address: BREWSTER ZIP: 02631 Monitoring Well Data Report(1 - 2023 Sep Monthly) Form Name: Comments My eDEP MassDEP Home I Contact I Privacy Policy MassDEP's Online Filing System ver 17.1.0.0© 2023 MassDEP https://edep.dep.mass.gov/eDEP/Pages/PrintReceipt.aspx 1/1 COASTAL engineering co. TECHNICAL SERVIC 260 Cranberry Highway Orleans, MA 02653 508.255.6511 P 508.255.6700 F Orleans I Sandwich I Nantucket coastalengineeringcompany.com To: Brewster Town Hall Board of Health Department 2198 Main St Brewster, MA 02631 Subject: Cape Cod Sea Camps 3057 Main Street Brewster, MA GWDP 977-0 ❑ Plans ❑ Copy of Letter We are sending the following items: Copies Date No. 1 10/2023 C16845.07 1 10/2023 C16845.07 1 10/24/2023 C16845.07 These are transmitted as checked below: TRANSMITTAL Date: 10/24/2023 Project No. C16845.07 Via: ®1st Class Mail Pick up Certified E]Fed Ex 0 Specifications ® Other Daily Log Sheet (Not field-tested — Camp is Closed) Discharge Monitor Report (Not sampled — Camp is Closed) eDEP Electronic Receipt Ofor approval ®for your use [:]as requested for review Er comment F] Remarks: Enclosed are the recent monthly reporting forms for the system at the above referenced location under GWDP 977-0. The laundromat has been shut down since the camp closed. No flow or pH was able to be recorded and the distribution box was not sampled. Please do not hesitate to contact us if you have any questions or comments. Cc: plombardiC@brewster-ma.gov By: John G. Schnaible NOTE: noted, please contact us at (508) 260 Cranberry Highway, Orleans, MA 02653 r 506.255.6511 I coastalengineeringcompany.com Massachusetts Department of Environmental Protection 977 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. -ax identi cation Number DAILY LOG SHEET 2023 OCT DAILY L] 3. Sampling Month & Frequency C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine W Flow GPD Flow GPD Flow GPD pH Residual Intensity (mg/1) (%) 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 NS NS NS NS NS NS NS NS ~I NS NS NS NS NS �I NS NS NS NS NS NS NS NS NS _ it NS NS jNS NS NS NS NS _ INS _ NS _ I NS NS NS NS _ NS 1 NS NS NS NS NS NS NS NS NS NS NS NS NS NS NS NS NS NS NS NS NS NS NS NS NS NS gdpols.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 Massachusetts Department of Environmental Protection 977 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 113 2. Tax identil-cation Number MONITORING WELL DATA REPORT 2023 OCT 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 LAUNDRYEFFLU Units Well #: 1 TSS NS MG/L OIL & GREASE NS MG/L FOAMING AGENTS (MBAS) NS MG/L Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6 mwdgwp-blank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1 10/24/23, 7:41 AM r) r— P MassDEP's Online Filing System Receipt eDEP - MassDEP's OnlineFiling System MassDEP Home I Contact i Privacy Policy Usemame:CASDMR .� o Forms Signature Receelpi Summary/Receipt print receipt Exit Your submission is complete. Thank you for using DEP's online reporting system. You can select "My eDEP" to see a list of your transactions. DEP Transaction ID: 1625223 Date and Time Submitted: 10/24/2023 7:40:55 AM Other Email : DEP Transaction ID: 1625223 Date and Time Submitted: 10/24/2023 7:40:55 AM Other Email: DEP Transaction ID: 1625223 Date and Time Submitted: 10/24/2023 7:40:55 AM Other Email : Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 043070847 location: 3057 MAIN STREET Address: BREWSTER ZIP: 02631 Daily Log Sheet(2023 OCT DAILY) Form Name: Groundwater Discharge Monitoring Report Forms Facility Information: Tax Identification Number: 043070847 location: 3057 MAIN STREET Address: BREWSTER ZIP: 02631 Monitoring Well Data Report(1 - 2023 Oct Monthly) Form Name: Comments My eDEP MassDEP Home I Contact i Privacy Policy MassDEP's Online Filing System ver 17 1.0.0© 2023 MassDEP https://edep.dep.mass.gov/eDEP/Pages/PrintReceipt.aspx 1/1 BLOOD DRIVE Wednesday, November 8t" 11 am - 5 pm Brewster Police Department 631 Harwich Rd Wendy's gift card for all donors!! Appointments are required. F To make an appointment please visit our donor portal at haps://srt.capecodhealth.org/donorportal For information about the Nicholas G. Xiarhos Blood Donor Program, please visit www.capecodh ealth.org/give-blood Like us on Facebook: _ - www.facebook.com/capecodbloodcenter Massachusetts Department of Environmental Protection LlDEP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: EBELAIR Transaction ID: 1612210 Document: Groundwater Discharge Monitoring Report Forms Size of File: 770.25K Status of Transaction: submitted Date and Time Created: 10/20/2023:12:56:14 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 DISCHARGE MONITORING REPORT A. Facility Information 1. Facility name, address: 599 1. Permit Number 2. - ax identification Number 2023 SEP MONTHLY 3. Sampling Month & Frequency SERENITY BREWSTER WWTF a. Name 873 HARWICH ROAD b. Street Address BREWSTER MA 02631 C. City d. State e. Zip Code 2. Contact information: MAHEEN AKHTER a. Name of Facility Contact Person 6178526110 b. Telephone Number 3. Sampling information: 9/14/2023 a. Date Sampled (mm/dd/yyyy) (KRISTIN PHELAN c. Analysis Performed By (Name) B. Form Selection makhter@elevafionfinancialgroup.com c. e-mail address RI ANALYTICAL b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency Discharge Monitoring Report - 2023 Sep 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 599 F Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit ;'. rax ioentification Number DISCHARGE MONITORING REPORT 2023 SEP MONTHLY 3. Sampling Month & Frequency D. Contaminant Analysis Information • For "0", below detection limit, less than (<) value, or not detected, enter "ND" • TNTC = too numerous to count. (Fecal results only) • NS =Not Sampled 1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method Units Detection limit BOD 12 ND 3.0 MG/L TSS 17 ND 2.0 MG/L TOTAL SOLIDS 260 MG/L AMMONIA -N 5.9 MG/L NITRATE -N 2.9 0.050 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 4.4 , 0.50 MG/L OIL & GREASE 0.60 L50 MG/L infeffrp-blank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Groundwater Discharge Program Groundwater Permit DAILY LOG SHEET A. Facility Information Important:When filling out forms on 1. Facility name, address: the computer, use SERENITY BREWSTER WWTF only the tab key to a. Name move your cursor - 873 HARWICH ROAD do not use the return key. b. Street Address 'BREWSTER MA • � C. City d. State I; 2. Contact information: � _ MAHEEN AKHTER a. Name of Facility Contact Person 6178526110 b. Telephone Number 3. Sampling information: 9/30/2023 a. Date Sampled (mm/dd/yyyy) BREWSTER c. Analysis Performed By (Name) B. Form Selection 599 1. Permit Number +. Tax ident icauon Number 2023 SEP DAILY 3. Sampling Month & Frequency 02631 e. Zip Code makhter@elevationfinancialgroup.com c. e-mail address WHITEWATER b. Laboratory Name 1. Please select Form Type and Sampling Month & Frequency Daily Log Sheet - 2023 Sep Daily — 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 I Massachusetts Department of Environmental Protection 599 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DAILY LOG SHEET — — •2023 SEP DAILY - 3. Sampling Month & Frequency C. Daily Readings/Analysis Information 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 Effluent Reuse Irrigation Turbidity Influent pH Flow GPD Flow GPD Flow GPD 10018 1 9672 9672 9674 8546 k 9356 9490 8473 9326 19526 9703 - I- - 9587 8274 - 10940 — 8615 10502 8805 I - - 10360 10071 8220 8779 8478 9461 10011 - - - 7624 JI 818 - — 89844 _ 8632 8756 10146 Effluent Chlorine uV pH Residual Intensity (mg/1) (%) 6.9 6.9 1 6.7 a 6.9 6.9 _ 6.9 ' 16.7 16.9 6.9 6.8 6.9 - - - 6.9 6.9 6.8 j 6.9 6.9 6.9 6.9 6.9 6.9 gdpols.doc rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1 [L7 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 2. —ax identi cation Number Facility Information SERENITY BREWSTER WWTF a. Name 873 HARWICH ROAD b. Street Address BREWSTER C. City MA 02631 d. State e. Zip Code Certification "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel property 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 10/20/2023 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 Q W ISPATCH V M� W Resources and Information about Local Public Health NACCHO NEWS New Benefit for NACCHO Members: Save Big Always Safe � on Food Protection Manager Certifications NACCHO members have the opportunity to save on Food Protection Manager �} Certifications via our partnership with Always Food Safe. Earn your discounted Food Manager Certification through online, video -based training with Always Food Safe and learn what you need to know about food safety in order to keep you, your customers, and your local community safe. The Food Manager Certification is accepted across the U.S. and will be accepted by your local health inspector. Use promo code "NACCHO10" at checkout for a 10% discount. Learn more about our partnership with Always Food Safe at https:// www.naccho.org/membership/become-a-member/member-benefits. 9 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-testi ng -a nd-treatment-covered-7644096. �)) Podcast from Washington: Government Funding Outlook/National Preparedness Month In NACCHO's latest Podcast from Washington, Adriane Casalotti, Chief of Government and Public Affairs and Lauren till 1% Mastroberardino, Government Affairs Senior Specialist, EM provide an outlook on government funding as Congress is back in session. They discuss the possibility of a government shutdown, as well as recent approval of new updated COVID-19 vaccines. Later in the program (8:13), NACCHO Communications Specialist Beth Hess speaks with Deb Kramer, Deputy Assistant Secretary and Director of the Office of Preparedness within the Administration for Strategic Preparedness and Response (ASPR) at the U.S. Department of Health and Human Services. During this National Preparedness Month, they discuss the importance of preparedness and the role of the Medical Reserve Corps (MRC) in community response. Listen to the episode at https:Hnaccho.libsyn.com/podcast-from- washington-government-funding-outlooknational-preparedness-month. PublicHeatth Present. Promote. Protect. In the Spotlight... �s NACCHO President's Corner Dr. Pramod Dwivedi, NACCHO's new President, is re -introducing "President's Corner,"a monthly column where Dr. Dwivedi addresses pressing #publichealth topics. Dr. Dwivedi is currently serving as the Health Director at Linn County Public Health in Cedar Rapids, Iowa. In Dr. Dwiveclfs first introductory column, read about his extraordinary upbringing and unusual path to public health, as well as his views on health equity, public health workforce development and retention, funding for local health departments, and emergency preparedness. To read the column, visit https://www.naccho. org/about/board/presidents-corner. 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/. Putting Racism -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 Congenital Syphilis and Perinatal HIV Compendium NACCHO, NCSD, and NASTAD encourage you to submit your health department's implemented activities iIN R',:.: to address congenital syphilis and/or perinatal HIV to the Congenital Syphilis and Perinatal HIV Compendium. The compendium has been developed to increase peer-to-peer collaboration and improve congenital syphilis and perinatal HIV prevention and control efforts. You can also use it to look at what other jurisdictions have tried regarding congenital syphilis and perinatal HIV prevention and control, as well as submit your own activities at https://nacchoapplication. secure-platform.com/a/organizations/main/home. RFP: Strengthening Systems -Involved Families with Hop (SSIF) Training Project With support from the CDC, NACCHO is pleased to offer a training funding opportunity for LHDs and their partnering child welfare and justice -related organizations to integrate the Strengthening Families (SF) and Healthy Outcomes from Positive Experiences (HOPE) frameworks into their work with families and children. Approximately five awards of up to $65,000 each will be awarded. LHDs who have established relationships with child welfare and/or justice -involved partners are encouraged to apply. Full details of the project goals and application requirements can be found in the Request for Proposals at https://www. naccho.org/uploads/body-images/2023-RFP_-SSIF_final.pdf. Applications must be submitted using NACCHO's online application portal no later than Monday, October 16 at 5:00 PM EST. NACCHO's School - Located Vaccination Clinic (SLVC) Toolkit NACCHO's Immunization team is excited to present the School -Located Vaccination Clinic (SLVC) toolkit. SLVC programs assist communities'vaccination uptake by utilizing schools as trusted messengers, allowing local health departments to tap into large audiences like students, parents, guardians, faculty, administrators, and operational staff. In anticipation Public Health Dispatch • October 2023 of the upcoming school year, NACCHO's Immunization Team is eager to learn about your experiences and interest in facilitating a SLVC, and any successes you've had using this toolkit or facilitating a SLVC. To view the toolkit, visit https://www.naccho.org/blog/articles/getting-into-the- groove-school-located-vaccination-clinics-resource-toolkit. To showcase your work on the Immunization Team's platforms, reach out to immunization@naccho.org. RFP: Development of Culturally Responsive Nutrition Resources for Infants and Toddlers With support from the CDC's Division of Nutrition, Physical Activity, and Obesity (DNPAO), NACCHO is pleased to offer a funding opportunity to develop culturally responsive nutritional educational materials for Black, Indigenous, and other People of Color (BIPOC), and/or Refugee, Immigrant, and Migrant (RIM) communities. NACCHO will select up to two consultants that will receive March 25-28,2024 an award of up to $13,000 each. Applications must be submitted by November 6 at 11:59 PM PST. All necessary information regarding the funding opportunity and the application process may be found at https://www. naccho.org/uploads/downloadable-resources/FY24- Culturally-Nutrition-Resource-Development-RFP.pdf. 2024 Public Health Law Convening NACCHO is looking forward to the Spring 2024 Public Health Law Practitioners Convening! This event will provide new and experienced public health attorneys, students, health officials, policy professionals, and other interested public health practitioners with the opportunity to learn practical public health law and policy skills, while networking with colleagues from state, tribal, local, and territorial health departments. Visit https://phlawpractitioners. org/home to stay up-to-date on the event. 8 PREP/�REDNE55 1 SUMMIT Cleveland, Ohio Public Health Dispatch • October 2023 September Was National Food Safety Month It's never too late to explore resources from the CDC on key food safety news and topics released last month in outbreak investigations, the Food Code, food establishment employee health, and more. Catch up with the news at https://www.naccho.org/ blog/articles/national-food-safety-education-month-2023. Operating and Maintaining Splash Pads and Floatation Tanks: Quick Guides NACCHO, with support from the CDC, presents quick guides highlighting operation and maintenance takeaways from. CDCs 2023 Model Aquatic Health Code (MAHC) regarding splash pads and floatation tanks. The guides are available for use by local, state, tribal, and territorial health departments and pool and spa operators. View them at naccho.org/blog/articles/ splash -pads -and -floatation -tanks, and visit NACCHO's MAHC webpage at naccho.org/mahc to explore other resources and to join the MAHC Network so you can stay updated on webinars, tools, and resources in this field. take preventive measures when traveling. Learn more and earn free CE through this training: https://bit.ly/3Y961EY `J`'- More Than 3,000 Cases of • Domestic Arboviral Diseases Reported, Including Largest Local Outbreak of West Nile Virus Ever Reported Inform healthcare providers • that they should consider arboviral infections in the differential diagnosis of aseptic meningitis and encephalitis, obtain appropriate specimens for laboratory testing, and promptly report cases to public health authorities. View the report at https://www. cdc.gov/mmwr/volumes/72/wr/mm7234al.htm. Ensure clinicians in your jurisdiction have the latest information on diagnosing, treating, and preventing West Nile virus infections with Diagnosis and Management of West Nile Virus Infection: A Case -Based Approach. This free CME training hosted on Medscape is a great way to increase knowledge of vector-borne diseases among healthcare providers. Asthma -associated Emergency Department Visits in the U.S. 17 percent Higher than Expected During 19 days of Wildfire Smoke from the Canadian Wildfires These findings can help guide emergency response planning and public health communication strategies Malaria Surveillance—United States, 2018 in U.S. regions where wildfire smoke exposure was Locally acquired malaria cases reported in Florida and previously uncommon and also help create targeted Texas highlight the importance of quick diagnosis, patient counseling strategies for clinicians about treatment, and malaria prevention methods. Malaria is a using protective measures. Read the full report from preventable deadly disease. Healthcare providers should the CDC at https://www.cdc.gov/mmwr/volumes/72/ educate patients on their risks and encourage them to wr/mm7234a5.htm?s_cid=mm7234a5_w%Ob. 0 Public Health Dispatch • October 2023 New Resource: A Guide to Aligning Healthy People 2030 and MAPP 2.0 to Inform Local Community Health Improvement To help address the social determinants of health and advance health equity, NACCHO partnered with the HHS Office of Disease Prevention and Health Promotion to develop this guide on using Healthy People 2030 objectives and targets at the local level in community health improvement. This guide is designed to provide a structure to align MAPP and Healthy People 2030 to assist local health departments and their communities in creating prevention strategies and using collective action for change across the whole community. Download the guide here: bit.ly/3rexOLN. 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. Public Health Dispatch • October 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 LHDs, highlighting guidance from the Healthy Brain Initiative (HBI) Road Map. LHD officials shared valuable resources aimed at advancing public health efforts related to brain health within local communities. Watch it now at bit.ly/3JiONgR NACCHO University Course: Succession Planning for Local Health Departments Succession planning is an important component of any health organization, to support smooth transitions in leadership, grow talented employees, and ensure that organizational knowledge is not lost. With the multitude of leadership turnover since and during the COVID-19 pandemic, is it more vital for LHDs to have strong systems and processes in place. This module, developed in coordination with The Ohio State University, outlines a framework for development and implementing a formal succession planning process. Also included are several resources and stories from the field that may be utilized and customized according to each LHD's needs. For follow up information, questions, or to share your own experiences with succession planning, reach out to Ashley Edmiston, Director of Workforce and Leadership Development, at aedmiston@naccho.org. The course may be accessed on NACCHO University at https://www.pathlms.com/naccho/Courses/24359. ■ Register for the 2024 PREP REDNESS Preparedness Summit S U M M I T Registration is now open for the 2024 Preparedness Summit, to be held March 25-28,2024, in Cleveland. Gathering under the theme, Public Health, Healthcare, and Emergency Management: Aligning to Address Cascading Challenges, the conference 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. Learn more and register at www.preparednesssummit.org. Partnering With Local 1. OrganizationsTo Host Volunteer Recruitment Fair To boost its volunteer base, the Brown County Medical Reserve Corps (MRC), which serves a very rural county in central Texas, partnered with other area volunteer organizations to host a Volunteer Recruitment Fair. See how the fair came together at https:// www.naccho.org/blog/articles/partnering-for-volunteer-fair Summer Issue of NACCHO Exchange: National Health Security Strategy The summer issue of NACCHO's Exchange looks at various aspects of the new National Health Security Strategy (2023-2026), which was ��- developed by the Administration for Strategic Preparedness and Response, U.S. Department of Health and Human Services. Topics explored include cyber security, rebuilding workforce capacity, One Health, and maternal and child health. Download the issue from the NACCHO Bookstore at http://www.naccho.org. knowledge and strategies to best support diverse rural communities. To learn more and access the guide, visit https://www.naccho.org/blog/articles/rural-disaster-bh. Traffic Protocol Partnership: Monitoring the Medical Product Supply Chain The Health Industry Distributors Association (HIDA) announced the release of a Traffic Protocol Partnership: Monitoring The Medical Product Supply Chain playbook. The Playbook provides insight and guidance for public and private supply chain partners on planning strategies and supports the national preparedness response framework. Learn more and access the playbook at https://www.naccho. org/blog/articles/traffic-protocol-partnership. Free COVID Tests Available Again to Households . ji Local health departments are encouraged to share broadly with their communities that, beginning September 25, households will again be able to order four free tests through COVIDTests.gov (http://covidtests.gov/). These tests will detect the currently circulating COVID-19 variants. People are encouraged to use the free tests immediately as Americans prepare for travel and gatherings with friends and family throughout the 2023 holiday season. �r Building Workforce Resilience Fo Through the Practice of Psychological First Aid: A Course for Leaders and Teams NACCHO, in partnership with ASPR, has developed a new Psychological First Aid course for leaders and teams. This course offers participants the opportunity to consider and pursue strategies for supporting colleagues and team members during a disaster response as stress levels increase for workers and the demands on your organization become more urgent. The goal of this course is to help individuals cope with stress at manageable levels, making it possible for them to effectively function and build resilience with each successive event they encounter. Access this free course at https://www. naccho.org/blog/articles/new-course-building-workforce- resilience-through-the-practice-of-psychological-first-aid. • Public Health Dispatch • October 2023 Rural Disaster Behavioral Health Guide The Substance Abuse and Mental Services Administration IHealth (SAMHSA) has released a guide designed for outreach workers, crisis counselors, or other workers F or volunteers providing support to Aoucdaforou-10. orken Cdala Coumabn rural populations after a disaster. and -- __ The guide provides staff with knowledge and strategies to best support diverse rural communities. To learn more and access the guide, visit https://www.naccho.org/blog/articles/rural-disaster-bh. Traffic Protocol Partnership: Monitoring the Medical Product Supply Chain The Health Industry Distributors Association (HIDA) announced the release of a Traffic Protocol Partnership: Monitoring The Medical Product Supply Chain playbook. The Playbook provides insight and guidance for public and private supply chain partners on planning strategies and supports the national preparedness response framework. Learn more and access the playbook at https://www.naccho. org/blog/articles/traffic-protocol-partnership. Free COVID Tests Available Again to Households . ji Local health departments are encouraged to share broadly with their communities that, beginning September 25, households will again be able to order four free tests through COVIDTests.gov (http://covidtests.gov/). These tests will detect the currently circulating COVID-19 variants. People are encouraged to use the free tests immediately as Americans prepare for travel and gatherings with friends and family throughout the 2023 holiday season. �r Building Workforce Resilience Fo Through the Practice of Psychological First Aid: A Course for Leaders and Teams NACCHO, in partnership with ASPR, has developed a new Psychological First Aid course for leaders and teams. This course offers participants the opportunity to consider and pursue strategies for supporting colleagues and team members during a disaster response as stress levels increase for workers and the demands on your organization become more urgent. The goal of this course is to help individuals cope with stress at manageable levels, making it possible for them to effectively function and build resilience with each successive event they encounter. Access this free course at https://www. naccho.org/blog/articles/new-course-building-workforce- resilience-through-the-practice-of-psychological-first-aid. • Public Health Dispatch • October 2023 S H I N G TO N ��• ;•::.; FROM INA RMI Best Practices for Meeting with Congress - By Lluvia Botello, Government Affairs Associate and Lauren Mastroberardino, Government Affairs Senior Specialist There is a lot of Congressional activity in the fall as appropriations negotiations are in full swing, and the fiscal year comes to a close. NACCHO Government Affairs is often asked how best to engage with Members of Congress during this busy time. As a local voice with expertise in public health in your community, you can serve as a trusted messenger to your members of Congress. You are a valuable voice in educating lawmakers about the work that you do, challenges that you are facing, and how federal policy affects your local health department. We encourage local health department leaders to schedule meetings with their representatives to discuss issues important the field, including: • Strengthening and supporting the public health workforce; • Bolstering public health funding, including for public health infrastructure and data modernization; • Ensure federal funding flows to the local level quickly and equitably; • Addressing public health concerns in coalition with national partners. One of the most common questions we get is how to differentiate between education, advocacy, and lobbying Local rules vary about what local health department staff can do in their professional capacity—some have registered lobbyists, while others focus solely on just providing key facts. Whether you are educating a policy member, advocating for a specific issue, or lobbying on a specific bill—all of these activities are critical to building support for local public health. Educating your representatives may be as straightforward as introducing your local health department and explaining the state of play of a public health issue on the Public Health Dispatch • October 2023 ground in your community, non-partisan information, research, and analysis. For example, you can explain that the rate of opioid overdose deaths in your community is at its highest level and describe the impact it is having on the lives of your community members. Advocacy is arguing in favor of a cause or idea. Advocacy is education that adds one small, but significant, element: asserting that your cause or idea should be an important part of public policy. It includes communicating how your members of Congress can better support your cause or idea or how public policy decisions can affect it. An example includes stating to your representatives how important local health departments are and how they are key players in preventing and reducing tobacco use through clinical and prevention services. In this example you would be advocating in support of local health departments to your Members of Congress, expressing to them the crucial role they serve in public policy. Lobbying is a specific type of advocacy that involves attempting to directly influence an elected or public official on a particular piece of legislation. Lobbying is when you refer to specific legislation and it reflects a view or urges an action on that legislation. Examples of lobbying include asking a policymaker to vote for or against a bill, or to cosponsor, introduce, or amend legislation. Rules about lobbying vary according to local jurisdictions; however, as described above, there is a lot of important information you can share with elected officials that does not qualify as lobbying. Want to learn more or take the next step? Check out our Advocacy Toolkit at https://www.naccho.org/uploads/downloadable- resources/Advocacy-Toolkit-February-2023.pdf. www.naccho.org a W V_ =001 S PAT( -H m y:. �- Resources and Information about Local Public Health UPCOMING EVENTS 2023 Public Health Law Conference October 24-26,2023 Minneapolis, MN https:Hevents.networkforphl.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 OKMRC Nursing Student Externship Leadership Development Program Oklahoma undergoes the greatest number of federal disaster declarations per capita with a wide variety of disasters. Because of this, the Oklahoma Medical Reserve Corps (OKMRC) developed the Nursing Student Summer Externship to provide nursing students with strengthened knowledge and skills in disaster response through a structured summer volunteer experience with nurse educators within the OKMRC. The second public health issue of concern is public education of personal/ family preparedness. The 2017 Nursing Student Externship focused on strengthening the knowledge and skills of nursing students in emergency preparedness, response, recovery, and community resiliency. In addition, the curriculum emphasized developing, maintaining, and leading a multidisciplinary disaster task force team. In Oklahoma, MRC Stress Response Team (mental health) members and nurses are often deployed as a healthcare/mental healthcare team. This leadership training will prepare students to function as both members and leaders in a deployable unit. Another focus of the externship was outreach to other nursing students and local high school students in order to increase high school students' personal/family preparedness and awareness level about public health nursing. For a more in-depth assessment of how the objectives for this project were met, visit https://application.naccho.org/Public/Applications/View/2565.