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Miscellaneous - 62 SUTTON HILL ROAD 4/30/2018 (2)
62 SUTTON HILL ROAD ad / 2101097.0-0034-0000.0 i I - I YP -r 12eOe, G,'X00 Q es CL' Ter�,aL a 1.) ety Lla�s -t'o.r-e►. Gnort ynNo fig„ � E,ci�ii iNc, �{,pNs f a��. ZiTdO Te6ocACS ga�,w A� Pnor.vED yf"y3,) 'rvP� Svltr gOAw gE ""WeD i' SSupy C1"t.r0 k'1q•1 <%IC Aa4 of '(14 ('MBIA DNB ti WAT'Er✓ 'n" "i At-A9. „ i, L8. 4 .7,,$.J, yrauE H,)-rut e,cf g8.cv hrIM&j gys-rcH S41oa,� �E 3, y 2�r+pv¢p FQov{ AH9V Wtl', 1H Id LjoLet • Ito:;�,Z. .08 .9�.c�e s�ibu, gE PeOv .b, . .. SND '�µ�r Nn DNp�Et� �•�<>J. Et C+L1 rro TIONS. 7, 5rc�&� 40 T� ©v7_ sy..��, ��I P,/=F Q C�Af.lC�CS �HpLI ikj kl15 z 2A V'i -gyp T7.E�5 f\l��-lam 5 i TO kl N riA 97k-1 K1 L47r 5E 'fA�►� o i (2�,�q3 �) o DIS • I D��T. fv�rr c1q. 33 F.ND LEA--41 (a,4p, Q �. (<I�'r(7 Ol� Toil rl4Pq 8' Lj U T. TO til I� i..1 �DArJ Pl. -j r�F SUBSURFACE DISPOSAL. SYSTEM LOCATED IN kJoeTO A0Doi/EV— riAte. AS PREPARED FOR ' g�Q DLe, W -reusT DATE: JU�j ke, I �, Ieili SCALE: MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS " PARK STREET • ANDOVER, MASSACHUSETTS 01810 a TEL (617) 475.3553, 373.3721 R COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS A d DEPARTMENT OF ENVIRONMENTAL PROTECTION a F BOPPO OF HEALT.- 1 5�0 civ i 127 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 62 Sutton Hill Road_ _North Andover_ Owner's Name: Bradley Family Trust Owner's Address:_62 Sutton Hill Road- -North oad__North Andover,MA 01845_ Date of Inspection:_10/31/2002 Name of Inspector: Neil J.Bateson Company Name: Bateson Enterprises Inc._ Mailing Address:_111 Argilla Road_ _Andover,Ma.01810 Telephone Number: (978)4754786_ CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: _X Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: _10/31/2002_ The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Page 2 of 11 .' II OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address:_62 Sutton Hill Road_ _North Andover_ Owner: Bradley Family Trust Date of Inspection:_10/31/2002_ Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructedpipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 62 Sutton Hill Road_ _North Andover_ Owner: Bradley Family Trust Date of Inspection:_10/31/2002 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: Page 4 of 11 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:_62 Sutton Hill Road_ —North Andover_ Owner: Bradley Family Trust_ Date of Inspection:_10/31/2002 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _No_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _ _No_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _No_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _No_ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow _No_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _No_ Any portion of the SAS,cesspool or privy is below high ground water elevation. _No_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _No_ Any portion of a cesspool or privy is within a Zone 1 of a public well. _No Any portion of a cesspool or privy is within 50 feet of a private water supply well. —No_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] No (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either`yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. Page 5 of 11 i OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address:_62 Sutton Hill Road- -North oad__North Andover_ Owner: Bradley Family Trust Date of Inspection:_10/31/2002_ Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No _Yes_ _ Pumping information was provided by the owner,occupant,or Board of Health No Were any of the system components pumped out in the previous two weeks? Yes_ — Has the system received normal flows in the previous two week period? No Have large volumes of water been introduced to the system recently or as part of this inspection? Yes _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) Yes_ _ Was the facility or dwelling inspected for signs of sewage back up? Yes _ Was the site inspected for signs of break out? Yes _ Were all system components,excluding the SAS,located on site? _Yes_ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _Yes_ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no _Yes_ T Existing information.For example,a plan at the Board of Health. _No_ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[3 10 CMR 15.302(3)(b)] Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 62 Sutton Hill Road_ _North Andover_ Owner: Bradley Family Trust Date of Inspection:_10/31/2002_ FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):_3_ Number of bedrooms(actual):—3— DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):_330 Number of current residents:_1 Does residence have a garbage grinder(yes or no):_No_ Is laundry on a separate sewage system(yes or no): No_ [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use:(yes or no):_No Water meter readings: Sump pump(yes or no): Yes_ Last date of occupancy:_Current COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Pumped last year,owner Was system pumped as part of the inspection(yes or no):—Yes_ If yes,volume pumped:_1500_gallons—How was quantity pumped determined?_Measured tank_ Reason for pumping:_Inspect tank&tees TYPE OF SYSTEM X Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(if known)and source of information: 8 years old. 7/16/1994 As built plan. Were sewage odors detected when arriving at the site(yes or no):_No Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:_62 Sutton Hill Road_ North Andover_ Owner:_Bradley Family Trust Date of Inspection:_10/31/2002_ BUILDING SEWER(locate on site plan)X Depth below grade: 24" Materials of construction:—X—cast iron _X_40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.):_4"cast iron thru wall. 4"PVC to septic tank SEPTIC TANK: X locate on site plan) Depth below grade:_12"_ Material of construction:—X—concrete_metal_fiberglass polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions:_10'x 5'x 4' Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle: 26" Scum thickness:_1" Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle:_20" How were dimensions determined:_Subtract scum&sludge depth to tee length._ Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Pumped septic tank Inlet tee ok.Outlet tee ok.Depth of liquid at outlet invert.No evidence of leakage._ GREASE TRAP: (locate on site plan) Depth below grade: Material of construction:_concrete metal_fiberglass,polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:_62 Sutton Hill Road_ _North Andover_ Owner:_Bradley Family Trust Date of Inspection:_10/31/2002_ TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass____polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: X (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert:_0_ Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.):_D-box level&distribution equal.No evidence of leakage.Evidence of carryover. PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 62 Sutton Hill Road_ _North Andover_ Owner:_Bradley Family Trust Date of Inspection:_10/31/2002_ SOIL ABSORPTION SYSTEM(SAS):_X (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number:_ leaching chambers,number: leaching galleries,number: _X_leaching trenches,number,length:_2 trenches 50'long` leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.):_soil oL Vegetation oL No sign of ponding to surface. CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) I Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): I i i Page 10 of 11 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:_62 Sutton Hill Road_ _North Andover Owner:_Bradley Family Trust Date of Inspection:_10/31/2002_ SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public wat supply enters the building. Driveway Water Meter Garage House Ato1 =48' A to 2=56'9" Porch A to D-Box=55'10" BtoI=53' A B Bto2=62' B to D-Box=62'10" 1 Septic Tank I D-Box 2 i I it Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:_62 Sutton Hill Road_ North Andover Owner:_Bradley Family Trust Date of Inspection:_10/31/2002 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 7 feet Please indicate(check)all methods used to determine the high ground water elevation: X Obtained from system design plans on record-If checked,date of design plan reviewed:_6/14/1994_ Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: As per test pit info on plan._ Tel: (978) 475-4786 Fax: (978) 475-5451 BATE S ON ENTERPRISES, INC. Excavating-Water.& Sewer Lines-Septic Systems&Pumping Service 111 Argilla Road Andover, Mass. 01810 Title 5 Inspection Report Property Address: 62 Sutton Hill Road, North Andover Owner: Bradley Family Trust Date of Inspection: 10/31/2002 My report contained herein does not constitute a guarantee of future usage and the functionality of the existing septic system. Such report issued herewith is merely based upon my observations, and I hereby disclaim any further operation of your current septic system. eein 11 Bateson Enterprises, Inc. Ar �+ r uy r r N • o - - N ce.+w� ii�• .3 ■ ---''"`�° - --- - '._:.mow`- _^+._ _ _ �-• __ __ R7 WATER BILLING HISTORY 2110131-BRADLEY, JOHN A. METER #1 : 2110131 i ------------ 62 SUTTON HILL RD iataook N CYCLE SERVICE PRIOR CURRENT USE WATER SEWER FEES TOTAL 1 2000-12 06/10/1999 886 896 10 27.30 0.00 0-00 27.30: 2 2000-22 12/13/1999 896 940 44 120.12 0.00 0-00 120.1 a° 3 2000-32 03/07/2000 940 954 14 38.22 0.00 0_00 38.22 Go Go 4 2000-42 05/18/2000 954 964 10 27.30 0.00 0_00 27.30 a° 5 2001-12 08/18/2000 964 978 14 38.22 0.00 11-00 49.22; •0 N q 6 2001-22 12/07/2000 0 9 18 49.14 0.00 11.00 60.14 w 7 2001-32 02/27/2001 9 20 11 30.03 0.00 11.00 41 .03 8 2001-42 05/18/2001 20 30 10 27:30 0.00 11 .00 38.3 a '^I 9 2002-22 12/17/2001 42 58 16 39.52 0.00 5.55 45.07- 0 2002-32 03/14/2002 58 89 31 88.89 0-00 5.55 94.44y ,-;:� •,{f� :�:-��^ 11 2002-42 05/23/2002 B9 112 23 60.17 0.00 5.55 65-72 oad.hdl' 12 2002-12R 08/08/2001 30 42 12 29.64 0.00 5.55 35.19 13 20fl3-12 08/1412002 112 129 17 40.46 0.00 5.97 46.43 1zri ® C> �f A Computei REVIEW CHOICE # or <ENTER> MORE HISTORY: y- ,_ :;,;, ,:}• �, t ` r New Microsoft Microsoft ExcelWork... 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MASSACHUSETTS 01810 a TEL (617) 475-3553. 373-3721 _. �...: ,\:iC a�,11'.✓,Qt:..j�tiLt\',Ai..�r��L''r,Z'�i1YF..r..1... 1��:1i^�?r�.:.. � ��.:.\:i�y.W:�i..ti�t.�..1-". • lT�� Commonwealth of Massachusetts Massachusetts MAR 1 1997 System Putuping Record System Owner System Location � � Vl Date of Pumping: �j �- �'� Quairiity Pumped: f�� gallons Cesspool: No p?J- Yes U Septic Tank: No ❑ Yes System Pumped by: License License# Contents transferrred to : Greater Lawrence Sanitary District Date: �_ Inspector: 1 TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD CPN DATE SYSTEM OWNER&ADDRESS SYSTEM LOCATION DATE OF PUMPING /v2 a b _ QUANTITY PUMPED-,/JD,) CESSPOOL NO SEPTIC TANK NO YES NATURE OF SERVICE: RbUTINE v EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN LACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLID CARRYOVER OTHER EXPLAIN SYSTEM PUMPED BY COMMENTS: .r' CONTENTS TRANSFERRED TO �D � / Y EflVlfl00M 0Tfll SEflVICES �� � - - - -� �-�•. October 3, 1997 Ms. Sandy Starr,Administrator Town of Andover Board of Health 146 Main Street North Andover,MA 01840 RE: Response Action Outcome(RAO) Statement Report Package NORTH ANDOVER,MA-Bradley Residence, 62 Sutton Hill Road RTN 3-14301 Pursuant 310 CMR 40.1403(3)(f)of the Massachusetts Contingency Plan,310 CMR 40.0000,the Chief Municipal Officer and Board of Health in the community(ies)in which a disposal site is located and any other communities which are,or are likely to be,affected by the disposal site shall be notified of the availability of any Response Action Outcome(RAO)Statements filed pursuant to 310 CMR 40.1000. Cyn Environmental Services has recently-filed an RAO Statement report package with the Massachusetts Department of Environmental Protection for the above referenced location. The package was filed in response to a release/threat of release of oil and/or hazardous material, and outlined that a level of No Significant Risk and a Permanent Solution was ultimately achieved at the disposal site as a result of remedial activities. Remedial activities conducted at the site have completely eliminated and removed the source of the contamination. Additionally,pursuant to 310 CMR 40.0960,a level of No Significant Risk to safety has also been achieved at the disposal site, and will not in the foreseeable future pose a threat of physical harm or bodily injury to people. A complete copy of the RAO Statement report package for the above mentioned location/release,is available to you through the Northeast RegionalOffice of the Massachusetts Department of Environmental Pi:Lection at 101 Cc=,-,- cc Way,�Vcbium,10,118//l 1. Very truly yours, Cyn Environmental Services Richard R. LaMothe Project Manager, cc: Department of Environmental Protection Northeast Regional Office .. 10 Commerce..Way Woburn,MA 01801 900 EAST FIRST STREET•FIRST FLOOR•SOUTH BOSTON,MA 02127 TELEPHONE 617-464-6370•1-800-242-5818(Mass.)•1-800-6228365(outside Mass.)•FAX 617-464-6382 Commonwealth of Massachusetts �`'` ���Massachusetts System Pumping Record System Owner System Location Date of Pumping: '— � '� Quantity Pumped: /�-2---gallons Cesspool: No [ Yes [] Septic Tank: No [] Yes System Pumped by: Va&d" o6a&04&e4 License# Contents transferred to: Greater Lawrence Sanitary District Date: Inspector: i 27 Commonwealth of Massachusetts Al o 461(4r , Massachusetts System Pumping Record System Owner System Location Qca-J It la C2 S(/l .;.l t)l / Date of Pumping: / 1 Quantity Pumped:Ir gallons C=esspool: No Yes Septic Tank: No Yes n System Pumped by: Farea4rt Srfanoo4aa License# Contents transferrred to : Greater Lawrence Sanitary District Date: Inspector TC31V 8Q0.RD OF HEALTH VER/ .. „�,'4 2 21999 AAD �{t/ TOWN OF NORTH ANDOVER ' T'E BOA D OF `���L I, SYSTEM PUMPING RECORD 'S DATE: ` SYSTEM OWNER &ADDRESS SYSTEM LOCATION (example: left front of house) (,z 5�,*k I " t� ti DATE OF PUMPING: �"! 'a QUANTITY PUMPED C� GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: Z' COMMENTS: CONTENTS TRANSFERRED TO: �` �� Town of North Andover, Massachusetts Form No.3 f NORTH BOARD OF HEALTH 1+ F m / 9 4 i # • off..«.<'::...:-+� # � '°•,���"'`� DISPOSAL WORKS CONSTRUCTION PERMIT 1SS•tCHUSEt Applicant_ �Tirn NAME ADDRESS TELEPHONE Site Location �� �U77-6i LG � Permission is hereby granted to Construct ( ) or Repair (/'O"an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. CHAIRMAN, BOARD OF HEALTH Fee • D.W.C. No. y .~'.7.�"1��jt.•\ �+.}�.�'.�t !� •C� !::v�i 1 n� ��+yt<4��i,��tl�.hS��.��'��&�>rn.Tn 1 l 4�i Z f!,� �'.. , � ...,... ..:�t t t _ i .. (&•14,9-4) TY P TQEI.L� �cGTI�� IJo Es : 7� r r► tx, 4 I.) (;r4t,�rry I.1 ties 'fA>rG►�� G'4ori ;-,,:TyE,ciSi Iu�, R pas Z aFWRDS. 5A j° �8'r aoTq 2.1TIdo TQ6NuaEs g�itit.v qE Pnor�vE� 1700)L- , i 6nG►1 �5v't.oatc+� ?�' ���vE , 5111 1' vE9 SIr LT 61 a:l P� SJRioI{� gNAw Be,V "WEP i Sbupy ficH <Jf Agq, of 106 Fi%W &mp, wwrer -n,, X106 ly, EcpL-Ac4o iJ vrJ e,46Aa s,4gP fArV. Lg. yra4e 6ys-r6r+ 40w. 196 -- of 'foo- p'vrc,sE n S/Nrsr+. I(o'c 5t" 08 l-.) A,.NEW iGoo &A.. $6P e,, �7�aNd �o0 40A.w. A w c.0ti19'(IttJG-fl00 UOlhS* �� O'iµE¢WISf� 9�7trGIFIEP 51•b.Ll ;per , I n1 Go'�a►�r e Nc.E 411T�1 TiTf�"� T44 Nn• 4wp04Ejz A� 71A41V007' ' �... J. fir• ��. Z?u H or I►J V E I �. 3' -*- -- T r P�� I I.IV� C•'i i'tnU: IQ�.oO(A*►+Eo). �- -� TOkIN rIA 97kI KI LOT -3 o � � ►� - 99,`bo E.ND LEAul LAoa To>tl 1,1 rip�� Gj U T To til I-I i t,tr O A IJ E PA i 12 Pt,4.tJ SUBSURFACE DISPOSAL. SYSTEMA LOCATED IN AS PREPARED FOR 8�a �1✓Y F a►-11 t,�� -rej S T DATE: �I��r\I I 094 SCALE: 1 MERRIMACK ENGINEERING 'SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS i 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 x TEL (617) 475-3S55, 373-S7?1 i (L.14.g14) T YP --rQEov'q 4W-rlv0 7��erAoti, y77 n (N,T,S.) �.) +eT�/ 1.I�e5 -fo.�e►� G�r'f gANo �$„ EtCt�71►tlG+ �,pNs f R�R.Ps. I Ff u acT�p ____ e Z,l�'t�o TIe6Nu.4Es g�l,.t.t. R6 pnor,t�ED yy°'v iAA (7-11 IN; En�4 �o'�o.+la 3' tJtDE , 3y I (' oe 9►ETy it t a J lP Q �,� 'roP2 Sot".SL. d7oAt-6 66 "", WEP 17-4vy C-trlouup (-rTor.� TJE 'n u, uAT'e� �.� � Ufa aF 'fN6 Nel.v oNd ly.. ►J VW l b6AO S�IAR-�fad. g°si , yr °``E �')-rue e�►:,i-►N� S��TEH h�lal,t. �E 42- A40 W T�4M lo' of 'Vile: rwriE 0 SX YErr. ' 4JraN d A, NF-W IGOO 6AL, SEPfit. Tt+N� Z00 ��au, gE peov'-m . o-r►���wts� tiprrclFlelj S�t,.t.t � 7) S L/f v rl,'�e UU u T W G040%v r a r►r.E �l l fel 7rt C.E'' et&'U t.6-7'100g. 7) b-t)b 5 0, 15�•X06 r Q . P'A'P. �``'`��• 3 fir• ''� .put I M ty�J or ►u V 6 t2 f p�j ISvoCanl. 11 �� _ 3' ►e � � �i � I.NVdKr l'% �'r�'(U. � IQ7.C7f7Ca�+MfA�. 97 � TO kl-- �� �7 c�' - Sr',�r►�"1'A� I'U � t�►5�, f3c�c�rrr 3 F.ND LEltuj oo �b F►►h t��.�,1 11.t i� `io,0 To>A�i r-14 19,q LOT3+ `2 LJ PLatj dF SUBSURFACE DISPOSAL SYSTEM LOCATED IN AS PREPARED FOR P ie�,Y Fa�it,�� -reLast S A) / .D DATE : JLat,l� I �, i �►�� � °z SCALE: I TOWN OF NORTH ANDOVER Aproved Date - Signature MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS i 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 or TEL (617) 475-3553, 373.5721 WATERSHED RESIDENTS QUESTIONNAIRE 1. Name 2. Street Address 3. How many members are in your household? 4. What type of sewage disposal system do you have? ❑ cesspool septic tank and leaching area ❑ connection to municipal sewer ❑ ether (describe) ❑ do not know 5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health? ❑ yes ❑ no [y do not know 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 ears V over 20 ears Y ❑ 11-20 years Y ❑ do not know 7. Has your sewage disposal system been rebuilt or repaired? /111 yes ❑ no ❑ do not know If yes, approximately how longo? ago? �°-1,'=— years. What was done? S. How frequently is your sewage disposal system pumped out? ❑ annually j ❑ every 2-4 years ❑ every 5-10 years ❑ over 10 years /R1 never 9. Have you had any problems with your sewage disposal system? ❑ yes ❑ no If yes, what problems? ❑ repeated pump-outs needed ❑ system clogs, backs up, or drains slowly ❑ odors ❑ sewage surfaces through ground 10. How many of each appliance are connected to your sewage disposal system? washing machine dishwasher garbage disposal dehumidifier drain sump pump toilet roof/pavement drains shower/bathtub 11. Please state the brand and type (liquid or powder) of detergent you.use for: dishwasher clotheswasher 12. Does your property have a lawn? yes ❑ no If yes, approximately what size? less than '/4 acre ❑ '/4 acre ❑ '/i acre ❑ 3/4 acre ❑ 1 acre more than 1 acre (Specify) acres 13. How often do you fertilize your lawn? / No, of applications per year Season(s) of the year 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: ❑ Check here if your lawn is maintained by a professional landscape contractor. SEPTIC SYSTEM INSPECTION FORM ADDRESS DATE INSPECTED C• �(o PROPERLY FliNCTIONING? ( N WEATHER CONDITIONS COMMENTS : Z;AL6 i y ES1 CES. 2 ?es o, i S� DYE TEST PERFORMED? Y N DATE? SKETCH: WATERSHED RESIDENTS QUESTIONNAIRE 1. Name Li rr �- 2. Street Address �J 3. How many members are in your household? L. 4. What type of sewage disposal system do you have? El cesspool ^` ='-- L_t Y_ septic tank and leaching area i ❑ connection to municipal sewer ❑ other (describe) ❑ do not know 5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health? ❑ yes ❑ no do not know 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years EZ over 20 years ❑ do not know 7. Has your sewage disposal system been rebuilt or repaired? yes ❑ no ❑ do not know If yes, approximately how long ago? years. What was done? 8. How frequently is your sewage disposal system pumped out? ❑ annually ❑ every 2-4 years ❑ every 5-10 years` ❑ over 10 years never 9. Have you had any problems with your sewage disposal system? ❑ yes ❑ no If yes, what problems? ❑ repeated pump-outs needed ❑ system clogs, backs up, or drains slowly ❑ odors ❑ sewage surfaces through ground 10. How many of each appliance are connected to your sewage disposal system? washing machine dishwasher garbage disposal dehumidifier drain sump pump toilet roof/pavement drains shower/bathtub .Y_ 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher clotheswasher 12. Does your property have a lawn? X1 yes ❑ no If yes, approximately what size? less than 1/4 acre ❑ 1/4 acre ❑ 1/2 acre ❑ 3/4 acre ❑ 1 acre ❑ more than 1 acre (Specify) acres 13. How often do you fertilize your lawn?1; No. of applications per year AA Season(s) of the year 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: ❑ Check here if your lawn is maintained by a professional landscape contractor. FORM - SYSTEM PL1iPr\G RECO t�o�Ea/ OF O F H p'1.VA p ta��oaao X21 19°� Commonwealth of Massachusetts Massachusetts System Pumping Record }•stem Owner N'stem Location C)- —%4VL Date of Pumping: (� �' Quantity Pumped: /-5'�gallons Cesspool: No ;K Yes ❑ Septic Tank: No ❑ Yes 21 System Pumped b�-: _ License #: Contents transferred to: Date Inspector Y C40 EOVIfl00M101HI SIHVICES FILE 13 December 1996 Mr. Victor Fonkem Department of Environmental Protection Northeast Regional Office 10 Commerce Way Woburn, MA 01801 RE: Release Abatement Measure (RAM) Plan & Report NORTH ANDOVER, MA - Bradley Residence, 62 Sutton Hill Road RTN 3-14301 Person Undertaking RAM: Glen Mor Fuel Oil Company 25 Railroad Street Lawrence, MA 01842 Contact: Mr. Gary Nadeau, Depot Manager (508) 659-0114 Property Owner: Mrs. Albert Bradley 62 Sutton Hill Road North Andover, MA 01845 (508) 686-6591 Dear Mr. Fonkem: The purpose of this submittal is to notify the Massachusetts Department of Environmental Protection (MADEP), in writing, of the proposed Release Abatement Measure (RAM) for the excavation of petroleum impacted soil, and related dewatering actions, at the Bradley Residence, 62 Sutton Hill Road, North Andover. A site location map and site diagram are provided as Attachment 1. RAMs are voluntarily taken at disposal sites and are intended to generally reduce risk at those disposal sites by allowing implementation of certain remedial actions to stabilize, treat, control, minimize, or eliminate releases until such time as a Response Action Outcome is achieved. 900 EAST FIRST STREET•FIRST FLOOR•SOUTH BOSTON,MA 02127 TELEPHONE 617-464-6370•1-800-242-5818(Mass.)•1.600-622-6365(outside Mass.)•FAX 617-464.6382 Glen Mor Fuel Oil Company/RAM Plan Report 13 December 1996 Bradley Residence, 62 Sutton Hill Road, North Andover, MA Page 2 RTN 3-14301 The RAM is in response to a potential leak in the underground fuel feed line of a #2 fuel oil burner, located in the concrete basement of the residence. The potential leak was detected by the presence of oil in an existing basement sump, and called into the MADEP by Mrs. Bradley on October 4, 1996, at approximately 4:30 PM. Following the heavy rains and flooding, the basement of the residence was flooded with approximately 1 foot of water and observed to have a discontinuous petroleum based sheen on its surface. Upon receding, petroleum staining was left on the concrete floor of the basement in an area near the burner. Upon being contracted by Glen Mor Fuel Oil Company, with the owner's authorization, Cyn Environmental Services responded to the site on November 25, 1996, and initiated assessment activities. In an effort to investigate the subsurface conditions, a portion of the concrete flooring was removed from the basement. Due to groundwater conditions at the site, however, investigation into the subsurface was limited. On December 3, 1996, oral approval was granted under an Immediate Response Action (IRA) by Mr. Victor Fonkem of the MADEP for de-watering [as necessary]. The approval was granted to keep the groundwater level from rising above the basement floor level (due to the recent heavy rains), allowing for the removal of additional concrete basement flooring and hand excavation of soils for analysis. Cyn Environmental Services returned to the site on December 5, 1996, and continued with the assessment activities following de-watering of the basement area. At this time, an area of the concrete basement floor, approximately 25 feet long by 16 feet wide, was removed. Five subsurface grab soil samples were obtained from the area and headspace screened on-site. The screening methods were conducted by a field chemist following MADEP approved protocol, and equipped with a Photovac Microtip Photoionization Detector, calibrated "as Benzene" with an isobutylene span gas standard. Results of the on-site headspace screening are presented in the following table. On-site Headspace Screening Results -Bradley Residence SamgIe Maiic: ?ate( 6tatned Headspace Results(PPit ... A soil 12/05/96 386 B soil 12/05/96 240 C soil 12/05/96 290 D soil 12/05/96 311 E soil 12/05/96 350 A site diagram illustrating the location of the five samples is provided as Attachment 2. Cyn Environmental Services Project Number 16354 900 East First Street, South Boston, MA Glen Mor Fuel Oil Company/RAM Plan Report 13 December 1996 Bradley Residence, 62 Sutton Hill Road, North Andover, MA Page 3 RTN 3-14301 As part of the continued assessment activities being conducted at the site, a portion of the impacted soil was excavated from the basement area, in an effort to obtain representative soil samples for confirmatory laboratory analysis. Soil was securely stockpiled in an adjacent basement room. The material was stockpiled on/under polyethylene sheeting to limit exposure to humans and the environment. The material is being stockpiled until it can be removed for proper disposal. On December 10, 1996, a field chemist visited the site and obtained five grab soil samples from the area for selected #2 fuel oil related parameters which included Total Petroleum Hydrocarbons, Polynuclear Aromatic Hydrocarbons (Naphthalene, 2-Methy1naphthalene, and Phenanthrene), and Volatile Aromatic Compounds (Benzene, Toluene, Ethylbenzene, and total Xylenes). The samples were packaged, sealed, labeled, and transported to Cyn Environmental Services' Stoughton facility laboratory for analysis. Results of the analysis are provided as Attachment 3. A grab soil sample was also obtained directly from the exterior discharge point of a basement located sump-pump. Although the sump-pump was not in use at the time prior to, during, or following the recent heavy rains and flooding, the sample was obtained to verify that impacted soils do not exist at the exterior discharge point. The sample was analyzed for the previously listed parameters. Results of the analysis are provided in Attachment 3. A grab groundwater sample was also obtained directly from water collected within the shallow basement excavation. The sample was analyzed for the previously listed parameters at Mitkem Corporation, Warwick, Rhode Island. Results of the analysis are provided in Attachment 3. A site diagram illustrating the location of the samples is provided as Attachment 4. Approximately 14,500 gallons of groundwater were recovered from the site and transported to Cyn Oil Corporation, Stoughton, for proper disposal. Copies of Uniform Hazardous Waste Manifests MA J146419, MA J156905, MA J181927, MA J166351, MA J181929, and MA J181545, used for the transport of the "Waste Petroleum Oil" [a mixture of ground water and a minimal volume of#2 fuel oil], are provided as Attachment 5. Following the obtainment of soil and groundwater samples for laboratory analysis, assessment/excavation activities at the site have stopped (de-watering activities continue), pending the approval of the following proposed RAM Plan. Cyn Environmental Services Project Number 16354 900 East First Street, South Boston, MA Glen Mor Fuel Oil Company/RAM Plan Report 13 December 1996 Bradley Residence, 62 Sutton Hill Road, North Andover, MA Page 4 RTN 3-14301 Proposed RAM Plan Actividec Cyn Environmental Services proposes to continue to de-water the basement excavation as necessary, to control the levels of groundwater in the area under a Release Abatement Measure (RAM). Collected water will either be discharged back to the site pursuant to regulations outlined in the Massachusetts Contingency Plan at 310 CMR 40.0045(6), transported to Cyn Oil Corporation for proper disposal, or treated via a carbon filter system and discharged to an approved surface water or drainage system point. A NPDES Exclusion permit will be obtained from the appropriate authorities prior to discharging if this option is utilized. With groundwater levels under control, Cyn Environmental Services proposes to continue excavating impacted soil from the site, up to a total of 100 cubic yards. All excavated soil will be incorporated into the existing stockpile and secured until it can be removed for proper disposal. Soil will be removed from the site for asphalt batch recycling. If, following the excavation of up to 100 cubic yards, the bounds of the impacted soil have been reached, confirmatory soil (and possibly groundwater) samples will be obtained and analyzed. Upon receipt of favorable results, a RAM Completion will be prepared and submitted to the MADEP. If, at any time during the excavation activities and/or upon receipt of the pending analysis, a Massachusetts Contingency Plan 2-Hour or 72-Hour Reportable Condition is triggered, the Massachusetts Department of Environmental Protection (MADEP) will be immediately notified. If such a condition, or any other significant condition presents itself, the Release Abatement Measure will be terminated, and an approval for an Immediate Response Action will be sought from the MADEP and implemented as required by the MADEP. Schedule and Approval of Proposed Activities The proposed RAM Plan is slated to begin upon verbal or written approval from the MADEP. Baring any unforeseen circumstances, the RAM Plan is expected to be completed within six to eight weeks of the actual start date (determined by MADEP approval). Cyn Environmental Services Project Number 16354 900 East First Street, South Boston, MA Glen Mor Fuel Oil Company/RAM Plan Report 13 December 1996 Bradley Residence, 62 Sutton Hill Road, North Andover, MA Page 5 RTN 3-14301 Should you require additional information or have any questions relative to this submittal, please feel free to contact me at the letterhead address. Sincerely, CYN ENVIRONMENTAL SERVICES Gerald E. McCarthy, Project Supervisor Debra J. Phillips, LSP Director of Technical Services /rl cc: Mr. Gary Nadeau, Depot Manager Glen Mor Fuel Oil Company 25 Railroad Street Lawrence, MA 01842 Mrs. Albert Bradley 62 Sutton Hill Road North Andover, MA 01845 Mr. Joseph P. Cavanaugh, Senior Vice President Petroleum Heat and Power Co., Inc. Clearwater House 2187 Atlantic Street Stamford, CT 06904-1457 Barry Fogel, Esq. Keegan, Werlin & Pabian, LLP 21 Custom House Street Boston, MA 02110-3525 Cyn Environmental Services Project Number 16354 900 East First Street, South Boston, MA Glen Mor Fuel Oil Company/RAM Plan Report Bradley Residence, 62 Sutton Hill North No Road, rAndover, MA RTN 3-14301 13 December 1996 Page 6 Mr. Kevin P. Foley, Chairman Town of North Andover Board of Selectmen 120 Main Street North Andover, MA 01840 Ms. Sandy Starr, Administrator Town of Andover Board of Health 146 Main Street North Andover, MA 01840 Ms. Linda Hmurciak, Assistant Director North Andover Water Treatment Plant 420 Great Plain Road North Andover, MA 01840 Cyn Environmental Services 900 East First Street, South Boston, MA Project Number 16354 y PIP J x r i }T .7'. •Li�r. } , �'*' i'7. "#— y o- f.> �!I'6i y 54. tY sr I '..1. ? r i x e{ All A p r �' Vii' s :rsu S�r1j74x5fF rs, st}},' yix;:.q t+i iia }„X,fi,t frS` r y CM y' ? { w t i �* � �C� fA1 F' .�� Fe 5��iH'ix `7”' FL - .F rr irlf ��€ kYs frt ��.r, ..h 3� � r +' •� r 1. �,f r � ,h ��, ����i' 1 srFa�; wlx:i.rl'b t �. � r `T •i... `F 7 y, V4,", �� StX.� C ttt, .,P .✓ i'� '• .o- 7� 4 � 1 �''"�{��x.�:. �F�� ; r k r'• �Yt�. ?rr �`F It��' }� r � ,� Z..... c �r ts•.i-� �' .. y r+ �.e.t^� 9��,.2;x �, 1 4- b ref t , ATTACHMENT 1 t FST R D YOM .I> e � .�.. . � a ; may' ti��.(. w �.,•� R x�•u e o t C`y pp ♦ Y•R�`9` t t'lA R w s"cH •rtwso ` !,, E rcN � o t Jr CA .�AgRUiIV y� r k T< A s v I DAIS � �R IN ADTRAN t RD yPykE IL ~ ,7 ruttu GREAT P RI GE D; COcl orth Andov " S' 125 3kEM Center 4A, � c RD y—�— I ? UE O ,Mut µR! � •�, A e I S14 "�"� IFFA PEST a o�Ip`}tCN $$ RESENNkR I WO 'F RIDpF G_ N IT- 4 >� ^� D Ip 93 Fi Yt � 49D 4°gO.1 0.0 4e" WO�C 6e ep00t ,�L. rtti it J,Y MEC �. v ea .� � �• ri ,> GRAVEVW OSOUI70 � ST ` BAR gy A CE ST a� £ GT Box z a r ♦ w t T � a FL Nt ff P w 4ETn� DOW\0G rpq ,a •� s i 'rRI ME.IR yA�•IE. /hCyi 4b . E car ��RCI r 4g C 0.0 Ct\�P �pN I PCTpN Jj W 114 P �, GEpf TAVERN r •- Cyn Job >#: 16354 LOCATION PLAN CYN Environmental Services Drawn By: R. LaMothe 62 Sutton Hill Road 900 East First Street, South Boston, MA. 02127 Date: 12 DEC 1996 RTN: 3-14301 Basement View Fireplace Burner #62 Sutton Hill Road c . zo o � ' Lally Columns Pump .Discharge Sump/Pump Cyn Job#: 16354 LOCATION PLAN CYN Environmental Services Drawn By: R. LaMothe 62 Sutton Hill Road 900 East First Street, South Boston, MA. 02127 Date: 12 DEC 1996 RTN: 3-14301 s _ ii. S' '.r.)♦ �1.�.'}��r f'�H grrt � 1 r -1S --'�� +t1^ i .7+ y + 3+'+ ..F ,s P 1 i;1 t A; �-. y } t. b 1� } Al.- .t {Jx,,93a { t. < ' \ wi i1} 5 rF 1•? J rL 't'43 '•` ' � `"° y<t`.: '4 yt �. ffff d . ATTACHM EW 2 Concrete Basement Floor Removal Approximate Measurements (in Feet) s. M jji Cyn � 1 } r i I s � Cyn Job #: 16364 LOCATION PLAN 62utton Hill Road CYN Environmental Services Drawn By: R. LaMothe Ss r 900 East First Street, South Boston, MA. 02127 tory Date: 12 DEC 1996 RTN: 3-14301 . �, Relative Soil Headspace Locations - .12/5/96 Samples Obtained Beneath Concrete Basement Flooring to 1 foot Below Grade Level C D ' El Sample / Headsnace Result B A / 386 0 0 0 0 � B / 240 C / 290 D / 311 0 E / 350 E ' A, Cyn ' Cyn Job#: 16354 LOCATION PLAN CYN Environmental Services Drawn By: R. LaMothe 62 Sutton Hill Road { . 900 East First Street, South Boston, MA. 02127 - Date: 12 DEC 1996 RTN: z 3 14301 f i�,.ax r v1r4C f•s�;1�^��*�l +k tC� P' t 3 !T'�k^k y .77 ��}Y� ':.17; ,mac < �pr21�`.,rr1•gg y iy. "la ` X64 V 1 ea 'cbk iX„ tl b J w,J`� t t•S`f.Y L f y { d ? T ,t? i rm � r 7 �,>. ,���Mfr g'�•� Wow ]on G jut*At }T t.' ,fY it P - - .,ktt >z�uPkila ti .. _ Y f, -. ATTACHMENT 3 1 �f1 „ n��yr rY t CNsu.i4Y"^ J�04„i 0v4221 /96343 � CUSTOMER : GLEN MOR FUEL y LOCATION BRADLEY RESIDENCE 00 m fol R l DAME LE DATE 12/10/96 MUCH MATRIX EC SOIL/96 SAMPLE PERSON RICK LAMOTHE EXTRACTION DATE 12/10/96 ANALYSIS DATE 12/11/96 REPORT DATE 12/12/96 JOB # 96354 TOTAL PETROLEUM HYDROCARBONS EPA 8100 MODIFIED SAMPLE I.D. LAB # RESULTS MIN. DETECTION LIMIT 1 9609986 1000.66 ppm 50.00ppm 2 9609987 2944.45 ppm 50.0oppm 3 9609988 2309.42 ppm 50.00ppm ANALYST: ID A CORMIER LABORATORY MANAGER �S'*�+;�" .t wxLwt^+,,•�a,. ar^>4xv',t'yitl"h:�rpz`Ki+sj"N'�eR:'�"t,'."it? " 'di`,Y:s _ +�, '-+?vdt"��."" ''-Se:;3`r!�"r't�t?""�"�n ,�'y{"57���' ur''�+i"R� !.?, g�',,,`;9S+SkiY's �'"fa44e�'�t 1?./�2/96 ` '�HU 14 07, FA%y617t3.44 33.18 # -' ,GYN ENVIRONMENTAL:. ; 1 m- w JOB: 16354 fllfl of [plot SENV CES CUSTOMER : GLEN MOR FUEL LOCATION : BRADLEY RESIDENCE SAMPLE DATE : 12/10196 LAB CONTROL NO. :9609989 MATRIX : SOIL SAMPLE PERSON : RICK LAMOTHE SAMPLE I.D. :4 DATE REC. : 12/10/96 REPORT DATE : 12/12/96 DATE EXTRACTED : 12/10/96 DATE ANALYZED : 12/11/96 POLYNUCLEAR AROMATIC HYDROCARBONS EPA METHOD 8100 PARAMETER RE NAPHTHALENE MDL NAPHTHALENE N.D. 1.00ppm 2-METHYLNAPHTHALENE N.D. PHENANTHRENE 0.70ppm N.D. 1.00ppm TOTAL PETROLEUM HYDROCARBONS PARAMETER EPA 8100 MODIFIED FOR SOILS S � MDL TOTAL PETROLEUM RESULT (ppm HYDROCARBONS N.D. 50.00ppm as#2 FUEL OIL VOLATILE AROMATIC COMPOUNDS (BTEX) EPA METHOD 8020 MODIFIED PARAMETER RESULTS (ppm) MDL BENZENE N.D. 0.10ppm TOLUENE N.D. 0.10ppm ETHYLBENZENE N.D. 0.10ppm TOTAL XYLENES N.D. 0.10ppm * EPA METHOD 8020 WAS MODIFIED BY AUTOMATIC STATIC HEADSPACE EXTRACTION (EPA METHOD 3810). ANALYST- DAVID A CORMIER LABORATORY MANAGER .:•Y. ,...� 4 .fitis1 � ty� d� �..�?F,".'r x� 3• r l x/12/96/ THU 14 07 TXf`,17'�44 3318 r t er' CYN NVIRONMENTAL ,4 m- W JOB: 16354. 10 lot SERVICES CUSTOMER : GLEN MOR FUEL LOCATION SAMPLE DATE : BRADLEY RESIDENCE 96 LAB CONTROL NO. :: 12/10/12/10/ 0 ' MATRIX" : SOIL SAMPLE PERSON : RICK LAMOTHE SAMPLE I.D. :5 DATE REC. : 12/10/96 REPORT DATE : 12/12/96 DATE EXTRACTED :12/10/96 DATE ANALYZED : 12/11/96 POLYNUCLEAR AROMATIC HYDROCARBONS PARAMETER EPA METHOD 8100 ESULTS �ppm1 NAPHTHALENE N.D. MOIL 1.00PP m2-METHYLNAPHTHALENE NDPHENANTHRENE N.D. 0.70ppm 1.0oppm TOTAL PETROLEUM HYDROCARBONS PARAMETER FPA 8100 MODIFIED FOR SOILS TOTAL PETROLEUM RESULTS {pPm) MDL HYDROCARBONS N.D. as#2 FUEL OIL 50.0oppm VOLATILE AROMATIC COMPOUNDS (BTEX) _PARAMETER EPA METHOD 8020-MODIFIED RESULT'S (ppm) MDL BENZENE N.D. TOLUENE 0.10ppm ETHYLBENZENE N.D. 0.10Ppm TOTAL XYLENES N.D. 0.10ppm N.D. 0.10ppm * EPA METHOD 8020 WAS MODIFIED BY AUTOMATIC STATIC HEADSPACE EXTRACTION (EPA METHOD 3810). ANALYST: DAVID A CORMIER LABORATORY MANAGER Po.eox 119.1771 WASHiN(mN CToccr 07£°`FAXj;617 ;34.4 33181 � CYN ENVIRONMENTAL ;' { ^' ' "{` [�J 005 WL l-- C JOB: 16354 EOYlSOC (CEQtRI SESY-ICES CUSTOMER : GLEN MOR FUEL LOCATION : BRADLEY RESIDENCE SAMPLE DATE : 12/10/96 LAB CONTROL NO. :9609985 MATRIX : SOIL SAMPLE PERSON : RICK LAMOTHE SAMPLE I.D. : DISC DATE REC. : 12/10/96 REPORT DATE : 12/12/96 DATE EXTRACTED : 12/10/96 DATE ANALYZED : 12/11/96 POLYNUCLEAR AROMATIC HYDROCARBONS EPA METHOD 8900 PARAMETER RESULTS f0m) MDL NAPHTHALENE 1.18 1.0oppm 2-METHYLNAPHTHALENE N.D. 0.70ppm PHENANTHRENE N.D. 1.0oppm TOTAL PETROLEUM HYDROCARBONS EPA 8100 MODIFIED FOR SOILS PARAMETER RESULTS (ppm) MDL :'.:TOUL PETROLEUM HYDROCARBONS N.D. 50.00ppm as# 2—FUEL OIL VOLATILE AROMATIC COMPOUNDS (BTEX) EPA METHOD 8020-MODIFIED PARAMETER RESULTS (ppm) MDL BENZENE N.D. 0.10ppm TOLUENE N.D. 0.40ppm ETHYLBENZENE N.D. 0.10ppm TOTAL XYLENES N.D. 0.10ppm * EPA METHOD 8020 WAS MODIFIED BY AUTOMATIC STATIC HEADSPACE EXTRACTION (EPA METHOD 3810). ANALYST: AVID A CORMIER LABORATORY MANAGER CYN Environmental Services East First Street, south Boston, MA. 0212, CHAD—OF-CUSTODY RECORD Tel: (617) 464-6370, Fax(617) 464-6382 Tel r-�try Report To; z P Invoice To: Sampler(s): yy,�CPO- 00 B ee 77 h n et South Boston MA. 02127 Stou hton MA. 02072 '=r . Site Location: R v ' Project Manager: ` :{ ,._ ,�,c P.O. Number: Project Number: iam le Type&M .-odes P YP a Containers Or anics Oils Metals Other 4° 2=HC1 3—H2SO4 4=11NO3 5a Other E �. .. = Composite �� :� � ., tw lAgm-cous 3 = Sludge 5 — Waste Oil 4 - Sediment 6 - Other ? + p w Lab Number Sample ID Date Time as a > as ?` :`' ',`•;':7 �`i.:� ala 1\� J\,. 2 4y:' :i�'r � '`'� 11►b14 k X Relinquished By Received - Date Time Special Handling O Standard 3, 0.24 Hours � tN Business Days 8 Results,Needed By: , Receiving Laboratory: Special Instructions: R �,�� ^� 0./� f .• \pt �� -L5C7�Qpw- \ yil.r.���`\\ o ` `ew: Page Nit •M a k-t Y iF.. V$4 C7 r t /',rf i A f y+d ! ( I'x.: � t' ;tt ,y»M ��r +�a192" e ,, Xl �y�.t t :.�5 r'& fi�'i � ,• +a � F M. r � a..0 S r y, t: tit � �rk'.e r k� FrvyS �pt ,px, A!` 1 iA f' 's 1 ..S ? SYv.. i � t ) t i` �•n �')..Y� i.g✓ �}��:c.!v�y,.�!y�1 �. s,.z ,i,r..1 '�4{*-u:rt '� .t s,� aft�i�;•-s'T p a.. ♦ '+�y t�:5rli"-n.3.f �T.t-tf.o J !{r�'��' - r�� t'c'y`'!�'�h'� ,�• L�. � r Y : :, ,r °t 5't' t s''^t1a �. j t u J s !'�' K it 4 '3``•' ���""a'r,h'.r &; ORP ORRT ON I:D 401-732.-3499 ��� ,rr'E� ."N�. ,:� � � .��DEC 12 .,�6 16 •S9 o,:011'-P Oq Analysis Report:'Polynuclear Aromatic Hydrocarbons Client: Cyn Environmental Services Analysis Date: 12/12/96 Client ID: Bradley Water Matrix:Aqueous Lab ID: C1486-01 Concentration.in: ug/L Analysis: Method 8270 Dilution: 1 Reporting Analyte Results Limb 2-Methylnaphthalene ND 10 Naphthalene ND 10 Phenanthrene ND 10 Surrogate Recovery: 1,2-Dichlorobenzene-d4 88% Nitrobenzene-d5 68% 2-Fluorobiphenyi 77% Terphenyl-d14 72% ND= Not detected QC Bacht:V1B1211B Page 1 of 1 C1486-01 ,, 1 ' s'K'Sr+m� �' �;... �311 t � �r3Sy,�"��'l 'fF� ,,"'t MITKEM CORPORATION ID. - 401='732 w3499 R.7� EEG Al2 ;96# x``16.;59 .;No 011. R'70 Analysis Report: Volatile Organic Compounds Client:Cyn Environmental Services Analysis Date: 12/11/96 Client ID: Bradley Water Matrix:Aqueous Lab ID: C1486-01 Concentration in: ug/L Analysis: Method 8260 Dilution: 1 Reporting Analyte ResultsLje]jY& Benzene ND 6 Toluene 6 5 Ethylbenzene ND 5 Xylenes, total ND 5 Surrogate Recovery: 1,2-Dichloroethene-d4 93% Toluene-d8 101% 4-Bromofluorobenzene 89% ND= Not detected QC Bacht:VI B1211 B Page 1 of 1 C1486-01 ' fY0J,-2h?r�D40MITCEM7CORORRTION 24 Analysis Report: Total Petroleum Hydrocarbons Client: Cyn Environmental Services Analysis: Method 8100M Matrix:Aqueous Concentration in: mgtL o-Terphenyl Reporting Surrogate Labs Clienk D Rem( Lint lovely% Analysi ate C1486-01 Bradley Water 1.1 0.6 81 12/12/96 9A/OQ Method Blank 1212-B1 ND 0.5 102 12/12/96 ND=Not detected The samples were quantitated using diesel as standard. Page 1 of 1 C1486-tphgc-w II II q A � o i 1 Rb 42 �+ o s Ada A � y Matrix Sample Type Preservative f U ':� , I�i;`• ;sly€ i f;�i`('� �,sr<. Jt 40 ml VOA Vail$ #Amber Glass Liters r t7 ri #Plastic ml . #Glass Soil Jars N C PAH's I t VOCs S ► Semi-VOC-s - � »'rllx � MTB $ 524.2(DrinkingWater] % TPH 19 GCJFID U IR O ° Q TPH0 VPH U EPH Total #' o Soluble TCLP Select See Sp=IaI Iwtr N Reactivity wj—I I FlashPoint y ea Pesticides ' g� Herbicides z Polychlorinated Biphenyls A rameters Cyn aratneters 0 IFFFF I-I±- 9 -1 IF 1 . 1 . . . S0 d IIO oN 00 LT 96, ZI 03Q, 1 > ,66b� Z�L-LOb: QI NOIld210d2109 W3�IrIW <T 2 )r,,,„#,lt'�a„''x'-k'r�rF"z'� ren .* ; q,M w�; �d*f' &.d"',:�rty;,r� - ..:{ —•,y 7m ++�"F'3>ciic.!w,� r f r' J,,,r r y 6i,'S•' a,�.. 3 rr'•i.t ;i A•� sie rra r eei�,.� .., � "r'"��� �• .t� �.^�,zf"k�dt��+<��rj #'�� y t r.�,y.�.;,t� "•'>s'tl' sua"nr�'S4?rs I' tor' Yt ai. �t"'t$ S rr ,F t•` 4 , a S#ir�sF t..'�`i'�.."� .1 a' .�.'d�i' yx ;hf�,r,,•f j 4 ir' , i�,$ a� T Uxs"' `t..YT''�.yf�;zit.•"1 (•.f .*rt r ,fitNryS.�vs;tr E,y ;: ,r t '':5 iY. �,v„�i TFC yY�i x ;� T� ,•.N S' , v r r. t 1'�s �, t� _ it r�, t e " W}'e t1ais V :,,� � Y y.# ft ..• i � x r` t., Lr�� .. r•� Z'l�1,���';��1'3`{k��r ` �e;l 4�ic(.yx`•�S�ii Lz,Ys"xiSz tF�L' `! rh: �sx+M 3t- t.',".i } '4;'�'�fi4YsL}rxtir6.r� y�'` .'�..c€��nti" ✓�_�'"�✓�y7�•i��' �+s '' S.- i t; _ M1� la b^,1�+•.� r Y h..: - .. .,� S 1 °& dZ. �� +, '� � �,�' rr [- K� {' r ,'r i - - - •; s�k ,�r}j 7«o-' �srlW<�`S�1yny,Y S ' � 1 sV� a ra'+. s >v3,,{�, F• ��`s1 Y ��.. PF"f vt y...� 1 �r r OAT 0 a Y { 7 5 _ tet( - ATTACffi�MENT 4 Relative Soil Sample Locations - 12/10/96 3 2 . . 1 / -20 inches / 1000 0 0 2 / -22 inches / 2944 0 o i 3 / -17 inches / 2309 4 / -17 inches / ND o 5 / -16 inches / ND 5 1 4 DISC. / surface / ND DISC. *All other #2 Fuel Oil related compounds were reported as non-detectable. Cyn Job#: 16354 LOCATION PLAN CYN Environmental Services Drawn By: R. LaMothe 62 Sutton Hill Road 900 East First Street, South Boston, MA. 02127 Date: 12 DEC 1996 RTN: 3-14301 Approximate Measurements (in Feet) 10.5 ► 3.5 2.5 I I 5.5 3 I . I g , 2 ElI «3 o � 13 ►� I I 25 I I I O tiI 5 4 DISC. 7 I 10 ► 6 4 I 8.5 16 i 25 CynA.ft Cyn Job#: 16354 LOCATION PLAN CYN Environmental Services Drawn By: R. LaMothe 62 Sutton Hill,Road 900 East First Street, South Boston, MA. 02127Date: 12 DEC 1996 RTN: 3-14301 ATTACffiWENT 5 12/12/96 TIIU 16.43 FAX 617 344 3318 CYN ENVIRONMENTAL ]003 COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF HAZARDOUS MATERIALS One Winter Street Boston, Massachusetts 02108 (' Please print or type.(Form designed for use on elite(12-plich)typewriter.) �0 UNIFORM HAZARDOUS 1,Generator US EPA ID No. M -fest 2-Page 1 Information in the shaded areas WASTE MANIFEST of .� is not required by Federal low. 3.Generator's Name and Meiling Address �fen rot/o a�n ( G 6.Transporter 1 Company Name 6. US EPA ID Number r CYN OIL CORPORATION M I A 10 10 181213 0 3 7 7 7 7.Transporter 2 Company Name 8. US EPA ID Number 9.Designated Facility Name and Site Address 10. US EPA ID Number CYN OIL CORPORATION 0 1771 WASHINGTON STREET, P.O. BOX 119 0 i STOUGHTON MA 02072 M A 0 0 8 2 3 3 7 7 7 V 0 tV _ 12.Containers 13. 14. Ln 11.US DOT Description Ancluding Proper Shipping Name,Hazard Class,and ID Number) Total Unit _ No. Type Quantity WtNol le", .' V m G b. �..� � sa E D 0N fn CL E m R c. O L A B T I C 0 r*1 O �• R d70. Z lz' m � C 1-9 � D U H Z to N to t7 15.Special Handling instructions and Additional Information E O.O.T. ER GUIDE N012,R IN CASE OF EMERGENCY CALL CYN OIL CORPORATION 24 HOURS AT (800) 899-1038 fL I&GENERATOR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by shl n name and are dassifled,packed.marked,end labeled,end are in all in condition for trap highway .. proper shipping P respects proper sport W 0 according to appricable international and national goverrvnent regulations. T V If I em a large quantity generator.I certify that I have a program in place t0 reduce the volume end toxkity o1 waste generated to the degree I have determined to be economically practicable m and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the Present and future threat to human health and the erwinm- men[:OR,H I am a ea quantity gen rotor.I have made a good Leith effort to minimize my waste ration end select the bast waste management method that is available to me and that I can afford. Date E Printed? Name .'nature Month Day Year 0 14 to T17.Transporter 1 Acknowledgement of Receipt of Materials J e N R CC A Printed?ypedNeme Sign Cf N Month Day Year O 18.Transporter 2 Acknowledgement of Receipt of Materiels e R T PrintoWTyped Name Signature Month Day Year E R F 19.Discrepancy Indication Space A C I L 20.Facility Owner or Operator:Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. I T - Date y Hint Name i signanue f' /1 / Month Day ser EPA Form 8700-22 (Rev.9-94) Previous editions are obsolete. 12/12/96 THU 16:44 FAX 617 344 3318 CYN ENVIRONMENTAL U004 COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF HAZARDOUS MATERIALS One Winter Street Boston, Massachusetts 02108 Please print or type.(Form designed for use on elite f 12-pitch)"writer.) UNIFORM HAZARDOUS 1.Generator US EPA ID No. Manifest 2.Page 1 Information in the shaded areas WASTE MANIFEST rAI p,{oIgtpjr] 1,5.-1 1,r, en1No of I-W required by Federal law. 3.Generator's Name and Malting Address GL �70/Q Adv EL O/L Gb 9s- ZAt$71 ,e.-j .91/le, aHEc�fia,/YJA jd II 'r �� I D i 4.Generators Phone( (o/7 1 -SO O C- 6. 6.Transporter 1 Company Name 6. US EPA ID Number E-i Gt ABSa u- S,t✓Y//lonJA ¢NTAL101-4q 10 1 s 71 g y 7.Transporter 2 Company Name 8. US EPA ID Number Q Ln 9.Designated Facility Name and Site Address 10. US EPA ID Number tCqJ l COap, 4jj C� O S+DUGt4-Spr.1 F K1Pr. 2 � D 0 1812 0 -11-11-) - 12.Containers 13. 14. !vim 11.US DOT Description/Including Proper Shipping Name,Hazard Class,and!O Number) Total Unit No. Type Quantky —Wt/Vol e. p£TYlaL-&j, 7 OIL Go^.13us�/Bc� L iy� #vt/ 2 70 il-601ks7r o��, G 01 X I I lip 0 G b• n E n IN H E t— R c. 1 A T { O 3 R d. H r Ci) O t7 rri N H Z 16.Special Handling Instructions and AddMonal Information D H gM� C AJ$ b f�urfd£rc �Mo Z SJ $ �M�tGf�C GU/DL tt Z 16.GENERATOR'S C TIFICATION-Iliefeby declare that the contents of this consignment ere fully and accurately described above by N proper flopping name and are classified•packed,marked,and labeled,and aro in an respects in proper condition for transport by highway according to applicable International and national government regulations- If egulationsIf I am a large quantity generator,t certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable and that 1 have selected the practicable method of treatment.storage.or disposal currently evallebie to me which minhnizes the present and future throat to human health and the environ. menC OR,if I em a small Quantity generator,I have made a good faith effort to minlmlze my waste generation and select the best waste management method that is available to me and that I can afford. T y Date Prinred/TypedName S/gnetu Month Day Yeer Sim dK��r'� x4 ! z o 9 T 17.Transporter 1 Acknowledgement of Recelpt of Materiels Date Anted/TypedName N , •, na Mgnt)i Day Year S N G P No-IW R 18.Transporter 2 Acknowledgement of Receiptof Materiels Date T Pfinted/TypedName gree E Month Day Year R 19.Discrepancy Indication Space F A C I L 20.Facility Owner or Operator:Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. 1 TZ F Date Y gneture M C Form Aoproved OMB No.2050-0039.E.pires 9-30-96 EPA Form 8700-22 (Rev. 9-94) Previous editions are obsolete. 12/12/96 THU 16:46 FAX 617 344 331.8 CYN ENVIRONMENTAL U005 COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF HAZARDOUS MATERIALS - One Winter Street Boston, Massachusetts 02108 Please print or type.Worm designed for use on elite(12-pitch)typewriter.) UNIFORM HAZARDOUS 1.Generator US EPA ID No. Manifest 2-Page I Information in the shaded areas It WASTEMANIFEST of is not required by Federal law. 3.Generator's Name and Mailing Address ,Zr ,aa r2o• sr. 4.Generator's Phone( 1 e` ` ",`', L 041 5.Transporter 1 Company Name 6. US EPA ID Number fit t1t r INNt Il4r 7. Transporter 2 Company Name 8. US EPA ID Number f1! j 9.Desi nate Facility Name and Site Address 10. US EPA 10 NumberCW AM: I � � �' si4■s Pa Q em Im O IRMTOMMA 02C M- 12.Containers 13. 14. 1f:;:i ,i;j;; U1 11.US DOT Description(Including Proper Shipping Name,Hazard Class,and ID Number) Total Unit ;Nd. .. s No. Type Quantity WtNol a. fEMOZ Cilln Q U &40_5 7r- 6 4t— ! / -Tr 752300 6; G b. E D i N Z 1 E vl t r. � R c. A ( i O Z1 i T i O R d u M 3iAd%!EI F stb1AbovA >�lsLi ' rlrihY „' v IsEle»d �lti c e ph t a Handling Codes frit Wal�ti�s L,cteA Above f 1 r J I sjL4 �J .its , '1 '� ir'r!� C .�S t1� .i;1 ,( L 15.Special Handling Instructions and Additional Info ion 2-Af - * IMMM tW F1 NC 9 01 > AT 1 16.GENERATOR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by a _ proper shipping name and are classified,pecked.marked.and labeled,and are in all respects in proper condition for transport W highway according to applicable international and national government regulations. a If I am a large Quantity generator.I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable D and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human health and the environ- ment:OR,if I am a small Quantity generator.I have made a good faith effort to minimize my waste ggneralion and select the best waste management method that is available to me and that I C can afford. F Date 1) Printed?yped Name SI nature Month Day Year L) T 1 .Tran orter 1 cknowtfadg t o eceipt o titer a s Date R t, A ri &/Typed Name Si to � N AlMonth Day Year �v� li U4/Ir/ -- 0 18.Transporter 2 Acknowtedgement of Receipt of Materials Date E Prtnted/Typed Name SignalWre Month Day Year R 19-Discrepancy Indication Space F A C I L 20.Facility Owner or Operator:Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. I T Date Y Print eine Si lure Month Day Year I I Form Approved O. no -0 J9.Expires 9- 0- ti EPA Form 8700-22 (Rev 9-94) Previous editions are obsolete: 12/12/96 THU 16: 48 FAX 617 344 3318 CYN ENVIRONMENTAL 10006 COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION %pu DIVISION 'OF HAZARDOUS MATERIALS One Winter Street Boston, Massachusetts 02108 Please print or type.(Form designed for use on elite 112-pitch)typewriter.) UNIFORM HAZARDOUS 1 1.Generator US EPA ID No. Manifest 2.Page 1 Information in the shaded areas WASTE MANIFEST u ° of is not required by Federal law. 3.Generator's Name and Mailing Address 151 E+` 4.Generator's Phone( I =i.I t 't ry';`!` C- 5-Transporter 1 Company Name 6. US EPA ID Number ` :'�`' <<_ 'U;;I{ 'i;i re •ii: u y��* iT+� 1 '*r(' {p�-�• ��_1 i�I(t} Nt { �t lif�•V t�`•i Y 1:11!t r-- • Ir 1 '.iii CUAW 7.Tran rter 2 Company Nam ); P Y 8. US EPA ID Number :p;��'" � Ln � ` t IiEI lit ..t,ItJ t{i 1 .1 tt 1..,;n::..�'.t•IY �' 9.Design tqd F/$ciljty Nemg�/rtd 'e/ dress 10. US EPA ID Number t L/'f�y��/� V�L �E/i•�/ Ij„ I i n All,,441"A j62622, 11.US DOT Description(including Pro Shipping 12.Containers 13. 14. "';IhtLn j p g per ppin Name,Hazard Class.andlDNumberl Total Unit t b;�, � No. Type Quantity Wt/Vol D a. v G b. E p N Z a E vi a R c. L A' o T Zi d. Z 7 �+ v � I frl J 3 Listed AK. Handling as fior Wastes Listed Above c. XI b. IL C y ... i � 7 fL' *N r t giiCZfii2 kl t;title}!s 't i ;,'1 ,r. Special II lLlf✓' dd".tonIL7t// a 16.G£NER O CEPTI�sclassified, ereb declare that the contents of th onsl ent are fully and accurately described above by ` proper shipping name packed,marked,and labeled.and are 19-all respects in proper condition for transport by highway O according to applicable international and national government regulations- U If I em a large Quantity generator.I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable C and that I have selected the practicable method of treatment.storage,or disposal currently available to me which minimizes the present and future threat to human health and the environ. to menC OR,if I am a smell Quantity generator.I have made a good faith effort to minimize my waste generation and select the best waste management method that Is available to me and that I can afford. b C Date y Prinfed ype Name6w 4ft Si afure _ n M of 9 O C III O T U) R 17. Trdhsporter 1 Acknowleabmeat of Recei of Materiels Date AP18. rt&n-sporter Tyyp/fid Name -' N R/ / Mo S - P O 2 Acknowledgement of Receipt of Materials Date R T Printed/ryped Name Signature Month Day Year R F 19.Discrepancy Indication Space A C I L 20.Facility Owner or Operator:Certification of receipt of hazardous materials covered by-thissnanifest excep ea noted in Item 19- 1 T Date Y Printed Neme/ Signature �' Month D yyer, Foam Aooro ed OMB No.205C-0039.E.oires 94095 EPA corm 8700-22 (Rev. 9-94) Previous editions are obsolete 12/12/96 THU 16:19 FAX 617 344 3318 CYN ENVIRONMENTAL (71002 �/ COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF HAZARDOUS MATERIALS One Winter Street -Boston, Massachusetts 02108 Please print or"-{Porto d igned for use on elite(12 pitch) writer.) UNIFORM"NF 'AROOU$ 1•GeInwatorUS EPA 10 No. fdattlfest 2.Page 1 information in the shaded areas of a riot required by Federal law. WASTE MjVIFEST r 7 l7 5 v; QOGp Flufnfrer 3.Generator's Name; i Ma(ling Address 451&j mir 1�Z. v 3 Amir j�YC/� D 4,Generator's Phone a o D= 6.Transporter 1 C ipany Name 6. US AID Number- Taq all , C� CYN OIL I: ORPORATION AD � ,r. 7.Transporter 2 C +pany Name 8. US EPA ID Number ►fQ :5 Phone 6�'�X34 1=$j0ru id- 9.Designated Facility ams and Site Address 10. US EPA"ID Nurtibe ; o CYN OIL [ ORPORATION n coo 1771 WAST `INGTON STREET. P. O. BOX 119 iFiyttm �NotRequreii 0 4 STOUGFIT� IN. MA 02072 IMADPEIR @-13 ;,'atter 6171>341 5106 N i` 12.Containers ' 13- 14. 1 H 11.US DOTDescripn .(including Proper Shipping Name,Hazard Class,and ID Number) Total Unit Waste No'.O No. Type Quantity WtNol O °° R�L1=Uts�[ 4l Q I m - C - 01 f, (� b r) m G q E t r ` H H oa E m }! m R c. 0: A t 3 T t �! ' b C R ik ~ iI d. r all L t{Q asfoi�festest{��edbbove .. - o v tv K M c N U c H V D 15.Special Handling' ,stnictions end Additional ln�gQtt� E D.O.T. ER GUIDE NO. ���� o IN CASE Oi' EMERGENCY CALL CYN OIL CORPORATION 24 HOURS AT (B00) B99-1038 Z t are tuey Arid sccuPsuty.dnctibed abo+re by C1 18.GENERATORS CERTI ,CATION:I hereby declare that the amtnnn Of iia ;tom transpon by high,vay to proper shipping name and aro classified,packed rtibrked,and labeled,and aro kt all respects kt PfoPar D 0 according to applicab •international and national gavernntarrt regulations. � - ---3 ? e to redoes the volume and mttieitym wants generated to tiro degree I hese determined To be economically practicable V It 1 am a large puanti, generator.1 certify that I have a,program in P�or disposal the voCUrrill(tdy evadsbia to ma yrhkit fnfrlLtdraa the present and future timet to human health and the environ- -C and that I have setec, f the practicable method of treatment.storag4 Oo menr,OR,if 1 am a ss ai quantity generator.I have made a good faith effort to mirtirniie my waste generation and select the best waste management method that a available to me and that I can afford. Date m IL E Prinred/Typed P fine nature Mon De Y r m wjimro p Date 0 e 7.Tr ,porter 1 ldtno i rpt of Receipt of els Month Day Y r 10 Aed/Typed fine U N t C S JA k 0I 0 18.Transporter 2 �cknowied ment of Receiptof Materials D to Month Day Year TPrinfirdlTYped, rme E ' R 19.Dlscrepaney indi,ation Space F A C L 20.Facility Owner o, )perator.Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. Date I T Signature Month Day Year Y Printed/Typed' fine I I 1 12/12/96 THU 16:40 FAX 61.7 344 3318 CYN ENVIRONMENTAL (7]002 COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF HAZARDOUS MATERIALS One Winter Street Boston, Massachusetts 02108 Picase print or type.(Form designed for use on elite(12-pltch)typewriter_) UNIFORM HAZARDOUS 1.Generator US EPA 1D No. Manifest 2.Page 1 Information in the shaded areas t WASTE MANIFEST S-O O A U lr15-1 S o sNo. of is not required by Federal law. 3-Generator's Name and Mailing Address E C wr '-P7G 4.Generator's Phone( ' - 3�! E-' 6-Transporter ansp� 1 Company Name 6. US EPA ID Number y� I�f, 0:- r Ln 7.Transporter 2 Company Name 8. US EPA ID Number t r.1t r., Ln 9'QL8&'jtaAjjjiIityNapgj@QkAg1g� 10. US EPA ID Number 1 8"Mr, fk CL U9 12.Containers 13. 14. V 11.US DOT Description(Including Proper Shipping Name,Hazard Class,and/D Number) Total Unit Ln ,r I No. Type Quantity wt/vol a. y� +�►' 1b. Z E1> t E t N Z N j R c. 0 A O i T —f i 0 M R d. L✓ U Z1 r ri yl,� � a�e1{ sL l� br►+ '!e a"irfl t �. � . 16.S ci 1 Handlin In cti s d 64OWpnal Information f ffuckw r 10+ _M mss:: _� � �►s: ss . 16.GENERATOR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by _ proper shipping name and are classified.packed,marked,and labeled,and are in an respects to proper condition for transport by highway according to applicable international and national government regulations. If I am a large quantity generator,I cavity that 1 have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable G and that i have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human health and the environ- ment;OR,if I am a small quantity generator.I have made a good faith effort to minimize my waste generation and select the best waste management method that is available to me and that 1 can afford. D rt lI Date a Prinred/TypedName Signature Month Day Year tf A RT 17. Transporter 1 Acknowledgement of Receipt of Materials Date D A Printed/>•ypedName Signature l Month Day Year N / S el 0 18. Transporter 2 Acknowledgement of Receipt of Materials Date R T Pdnted/TypedName Signature Monrh Day Year E R 19.Discrepancy Indication Space F A C I L 20.Facility Owner or Operat&:Certification of receipt of hazardous materials co�"dtSy iteatexc;r as noted in Item 19. T Date y a edNeme , ,/ SignerureMo rh Livy er 1 Form Aporoveo Obtp vo 2050-OOJ9 E.oires 93096 EPA Form 8700-22 (Rev-9-94) Previous editions are obsolete. Massachusetts'Department of Environmental Protectlonr. %BWSC" - Bureau of Waste'Site`Cleanup -, Release Tradd rig Number RELEASE NOTIFICATION & NOTIFICATION RETRACTION. 3 - , FORM Pursuant to 310 CMR 40.0335 and 310 CMR 40.0371 (Subpart C = i4301 A.,,RELEASE ORTHREAT OF RELEASE LOCATION: -- P if assigned by.DEP Street: 62 Sutton Hi11 RoadBradley R sid n Location Aid: City/Town: -_North Andover, MA ZIP Code: 01845 B. THIS FORM IS BEING USED TO: (check one) Submit a Release Notification(complete all sectiom of this form). ❑ Submit a'Retraotion of a Previously Repotted Notification of a Release or Threat of Release(complete Sections A,8,.E,F and G of this form)- You MUST attach the supporting dOctirl dation by 310 CMR 40.0335. C. INFORMATION DESCRIBING THE RELEASE OR THREAT OF RELEASE(TOR): . Date and time you obtained knowledge of the Release or TOR. Date: 10/4/96 Tune; n/a Specify. ❑ AM PM The date you obtained knowledge is always required. The time you obtained knowledge is not required if reporting only 120 Day Conditions. tF KNOWN,record date and time release or TOR occurred. Date: n/a Time: . n/a Speck ❑ AM ❑ PM ❑ Check here if you previously prolded an Oral Notification to DEP(2 Hour and 72 Hour Reporting Conditions only). Provide date and time of Oral Notification. Date: 10/4/96, Time: 4:30 Specify: ❑ AM PM Check all Notification Thresholds that apply to the Release or Threat of Release: (for more inforinaficn see 310 CMR 40.0310-40.0315) 2 HOUR REPORTING CONDITIONS 72 HOUR REPORTING CONDITIONS 12D DAY REPORTING CONDITIONS ❑ Sudden Release ❑ Subsurface Non-Aqueous Phase ❑ Release of Hazardous Materials)to Soft or El Threat of Sudden Release Liquid(NAPL)Equal to or Greater than Groundwater Exceeding Reportable V2 Inch Conom*ation(s) ❑ ON Stheen on Surface Water ❑ UrldergRelease Storage Tank(UST) IM Release of On to Sal Exceeding Reportable ❑ Poses Imminent Hazard Concentration(s)and Affecting More than 2 Cubic ❑ ards Could Pose imminent Hazard ❑ Threat of UST Release ❑ Release of 07 to Groundwater Exceeding Reportable ❑ Release Detected in Private Wel ❑ W supply near Concentration(s) F] Release Release to StormDrain uPPIY ❑ Subsurface Nw Aqueous Phase dJquld(NAPL) ❑ Release to Groundwater near Equal to or Greater than 1/8 Inch and Less than 12 ❑ .Sanitary Sewer Release School or Residence Ind (Imrninel t Hazard Only) List below the Ohs or Hazardous Materials that exceed their Reportable Concentration or Reportable If necessary,attach a W of additional Oil and Hazardous Material to Quantity greatest amount Name and Quantities of Oils(0)and Hazardous Materials(HM)Released: O or HM Released O HM CAS g Amount or Units Reportable Concentrations - - _(check one) (if known) Concentration Exceeded,i<Applicable - -. _ (RCS-1,RCS-2,RCGW-1,RCGW-2) ❑ —944 —Rpm— (RCS-1 Snnppa) - ❑ ❑ D. ADDITIONAL INVOLVED PARTIES: Check here If attaching names and addresses of owners of properties affected by the Release or Threat of Release,other than an owner who is submitting this Release Notification(required). Check here if attaching Licensed Site Professional(LSP)name and address(optiomi). You may write in names and addresses on the bottom of the second page of this form Revised 3/1/95 Supersedes Form aWSC-003 Page 1 of 2 Do Not'After This Form Massactfusetts Department of'Environmental-Protection ' aft SC Bureau of Waste Site Cleanup , Release Tracking Number RELEASE NOTIFICATION & NOTIFICATION RETRACTION h U� _ 14301 FORM Pttg E...0 . 6y DtP, ERSON REQUIRED TO NOTIFY: Name of Organization: rl an Mnr Fael (•�rmnar,v Name of Contact - Mr_ ram Nadeau Title: Depot Manaeer Street: 25 Railroad Street • City/Town: -- 1 yrence State: MA ZIP Code:. 01842 Telephone: (UM-659=0114 EA: n a FAX:(optionaq n/a • F. RELATIONSHIP OF PERSON REQUIRED TO NOTIFY TO RELEASE OR THREAT OF RELEASE: (checkone) RP or PRP Specify O owner O operator Generator O Transputer" other RP or PRP: ❑ Flduclary,Secured Lender or Municipality with EMmpt Status(as defaced by M.G.L.c.21 E,s.2) ❑ Agency or Public Uti7rty on a Right of Way(as defined by M.G.L.c.21F,a.50) n Any Person Otherwise Required to Notify Spedfy Re ewnship: Oil Delivery Company G. CERTIFICATION OF PERSON REQUIRED TO NOTIFY: I,carr Nadeau famitiar with the 1Mann un contained in this .attest under the pains and penalties of perjury @ that 1 have personally examined and am fa those individuals r mediat stubmittal,IncLK tg any and d documents this transmittal form,(h)that,based on my kKpky ctX responslble for obtah kv the hfomatian,the material information contained in this SdxWttai Is,to the best of my Viand belief,hue,accurate and complete,and(r�that I am fully auftrized to make this attestation on behalf of the entity legally responsible for possible ��lutes person or entity on whose behalf this submittal Is made antis aware that there are significant penalties,indud V but not fanned to, prism for wMfupy subn>itting false,inaccurate,or Incomplete information. By. De of (signatu True: P Manager For. -, Glen Mor Fuel Company trate: (print name of person or entity recorded In Sec&p E) Enter address of the person providing certification.if different from address recorded In Section E: Street: State: ZIP Code: Telephone: FAX(optional) YOU MUST COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE. IF YOU SUBMIT AN INCOMPLETE FORM,YOU MAY BE PENALIZED FOR MISSING A REQUIRED DEADLINE. Please see Release Abatement Measure (RAM) plan Report for "Additional Involved Parties" information. Revised 3/1/95 Supercedes Form BWSC-003 Page 2.of 2 ;• � s't.,n.° "tr. 4� -.F *;.. 'z+� ",,;f...-S'�{'# H'•X 4�,k'.44^t ...- :�: .w 1 rye 's k s y Massachusetts Department of Ernrironmental Protection E,�BWSC 106 Bureau of Waste Site Cleanup , 1 RELEASE & UTILITY-RELATED ABATEMENT. Release TrdewngNumber MEASURE(RAM & URAM) TRANSMITTAL FORM Pursuant to 310 CMR 40.0444-0446 and 310 CMR 40.0462-0465(Subpart D) 14301 A. SITE LOCATION: Site Name:(optional) n/a Street 62 Sutton Hill Road Location Aid: Bradley Residence COyamn: North Andover, MA ZIP Code: 01845 ❑ Checkhere K e Tier Classification Submittal has been provided to DEP for this Release Tracing Number. Related Release Tracking Numbers That This RAM or URAM Addresses: B. THIS FORM IS BEING USED TO: (deck all that apply) Submit a RAM Pian(complete Sections A,B.C.D.E,F.J.K L and M). ❑ Check Ise If this RAM Plan is an update or modification of a previously approved written RAM Plan. Date Submitted: ❑ Submit a RAM Status Report(complete Sections A,B.C.E,J.K L and K. ❑ Submit a RAM Completion Statement(complete Sections A,B.C.D.E.G,J.K L and K. ❑ Confirm or Provide DRAM Notification(complete Sections A,B,H,K L and M). ❑ Submit a DRAM Status Report(complete Sections A,B,C.E,J;K L and K. ❑ Submit a DRAM Completion Statement(cornplele Sections A,B.C.D.E,I,J.K L and R. You must attach all supporting documentation required for each use of form indicated,Including copies of any Legal Notices and Notices to Public Officals required by 310 CMR 40:1400. C. SITE CONDITIONS: Check here If the source of the Release or Threat of Release is known. K yes,check all sources that apply. ❑ UST J@ Pipe(Hose/Line ❑ AST ❑ Drums ❑ Transformer ❑ Boat ❑ TankerTnrck ❑ Vehicle ❑ Other Specify underground fuel feed line Identify Meda and Receptors Affected: (check ap that appy ❑ Air ❑ Groundwater ❑ Surtace Water ❑ Sedunents. iN Sop ❑ Wetlands ❑ Storm Drain ❑ Paved Surface ❑ Private Wel ❑ Public Water Supply ❑ Zone 2 ❑ Residence ❑ School Unknow i ❑ Other Specify: Mai ify Release and/or Threat of Release Conditions at Site: (check all that appy ❑ 2 and 72 Hour Reporting Condition(s) 120 Day Reporting Condition(s) ❑ Other Condrtlon(s) Describc potential leaking underground fuel feed line of a 12 fuel oil burner to soil. RAMs may be conducted concurrently with an IRA only with written DEP approval URAMs may not be conducted if any 2 or 72 Hour conditions exist at the site. Identify Oils and Hazardous Materials Released: (check all that apply) Oils ❑ Chlorinated Solvents ❑ Heavy Metals ❑.Others Specify: 12 fuel oil D. DESCRIPTION OF RESPONSE ACTIONS: (check all that apply) ❑ Assessment and/or Monitoring Only ❑ Deployment of Absorbard or Containment Materials Excavation of Contaminated Soils ❑ Temporary Covers or Caps Re-me,Recycling or Treatment ❑ Bioremediation O On Site g Off Site Est.Vol.-AP to 100 cubic yards ❑ sal Vapor Extraction Describe: asphalt batching ❑ Structure Venting System ❑ Store Q On Site O Off Site Est.Vol.: cubic yards ❑ Product or NAPL Recovery SECTION D IS CONTINUED ON THE NEXT PAGE. Revised 2/24/95 Supersedes Forms BWSC-007, 008, 009 and 010(n part) Page 1 of 4 Do Not Alter This Form Massachusetts Department of Environmental-Protection BWSC-106• • M ` "Bureau of Waste Site Cleanup RELEASE & UTILITY-RELATED ABATEMENT Release Trading Nur MEASURE (RAM & URAM)TRANSMITTAL FORM 3❑- 14301 Pursuant to 310 CMR 40.0444.-0446 and 310 CMR 40.0462-0465(Subpart D) D. DESCRIPTION OF RESPONSE ACTIONS(continued): ❑ Landfill O Cover O Disposal Est Vol.: cubic yards ❑ Groundwater Treatment Systems Removal of Drums,Tanks or Containers ❑ Air Sparging Describc 6TT total 14,50013 ❑ Temporary Water Supplies ❑ Removal of Other Contaminated Media ❑ Temporary Evacuation or Relocation of Residents Specify Type and Volume: ❑ Fencing and Sign Posting Other Response Acilons Describe: De- watering: . See "Removal of Drums., Tanks or Containers" See 310 CMR 40A442 for Grnitations on the scope and type of RAMS. See 310 CMR 40AM for performance standards for DRAMs. ❑ Check here N this RAM or URAM Involves the use of innovative Technologies. DEP Is interested in using this information to aid in creating an Innovative.Techralogies Clearinghouse. Describe Technologies: E. TRANSPORT OF REMEDIATION WASTE: (if Remediation Waste has been sent to an offsite facility,answer the following questions) Name of Facility: Cvn 0i1 Corporation Town and State: Stoughton, MA Quantity of Remediation Waste Transported to Date: 14,500G F. RAM PLAN: ❑ Check here if this RAM Plan recehred previous oral approval from DEP as a continuation of a Limited Removal Action(LRA). Date of Oral Approval: ❑ If a RAM Compliance Fee Is required,check here to certify that the fee has been submitted. You MUST attach a photocopy of the payment. Sere 310 CMR 40.0444(2)to learn when a fee Is not required. ❑ Check here if the RAM Plan Is proposed fora Transition Site. If this Is the case,you may need to attach an LSP.Evaluation Opinion prior to rxdertaking the RAM,9 not previously provided. Sen 310 CMR 40.0600 for further Infmnation about Transition sites. G. RAM COMPLETION STATEMENT: ❑ N a RAM Compiiance Fee Is required in connection with submission of the RAM Completion Statement,check here to certify that the fee has been submitted.You MUST attach a photocopy of the payment. You owe this fee when submilling a RAM Completion Statement K you received oral approval of a RAM that continued an LRA,and have NOT previously subm Med a RAM Plan and accompanying fee. If any Rernediation Waste wet be stored,treated,managed,recycled or reused at the site following submission of the RAM Complertion Stde nerd.you must subn*a Phase IV Rernedy�� � appropriate transmittal form,as an attachment to the rit H. DRAM NOTIFICATION: Mentify Location Type: (check all that apply) ❑ Public Rigid of Way ❑ Utiltiy Esseme nt ❑ Pmlvate Property Identify Utility Type: (check all that apply) ❑ SantaryfCombined Sewerage ❑ Water ❑ Drainage ❑ Natural Gas ❑ Telephone ❑ Steam Limes ❑ Telecommunications ❑ Electric ❑ Other Specify: ❑ Check here If you provided DEP with previous oral notification of this DRAM. Date of Oral Notice: ❑ Check here If the property owner was NOT contacted prior to Initiation of the DRAM. If this is the case,you must attach an explanation of why the owner was not contacted,including the date and time when contact ultimately occurred. ❑ Check here If this URAM will occur In connection with the construction of new public utilities. N this is the case,document the nature and extent of encountered contamination,the scope and expense of necessary mitigation and the benefits amd limitations of project alternatives. With the exception stated below,the person urudertaking the URAM must provide the name and license number of an LSP engaged or employed in connection with the DRAM: LSP Name: LSP License Number: LSP information Is not required If the URAM is limited to the excavation and/or handling of not more than 100 cubic yards of sop contaminated by ON,or not more than 20 cubic yards of soil contaminated either by a Hazardous Material or a mixture of a Hazardous Material and Oil. Revised 2124195 Supersedes Forms B WSC-007, 008, 009 and 010 run part) Page 2 of 4 Do Not Alter This Form r Massachusetts Department of Environmental Protection BWSC-106 Bureau of Waste Site Cleanup , RELEASE & UTILITY-RELATED ABATEMENT Release Tracking Number MEASURE (RAM & URAM) TRANSMITTAL FORM _ 14301 Pursuant to 310 CMR 40.0444-0446 and 310 CMR 40.0462-0465(Subpart D) I.URAM COMPLETION STATEMENT: Check here If this URAM was limited to the excavation and/or handling of not more than 100 cubic yards of soil contaminated by Oil,or not more than 20 cubic yards of soil contaminated by either a Hazardous Material or a mixture of a Hazardous Material and 011. 9 any Remediation Waste will be stored,treated,managed,recycled or reused at the site following submission of the URAM Completion Statement,you must submit either a Release Abatement Measure(RAM)Plan or a Phase IV Remedy knpternentation Plan,along with the appropriate transmittal form,as an attaclmwd to the URAM Completion Statement. J. LSP OPINION: I attest under the pains and penalties of perjury that I have personally examined and am familiar with this transmltttal form,Including any and all documents accompanying this submittal. In my professional opinion and judgment based upon application of m the standard of care In 309 CMR 4.02(1),no the applicable pm*Jom of 309 CMR 4.02(2)and(3),and(il)the provisions of 309 CMR 4.03(5),to the best of my knowledge,information and belief, • if Section B of Brls form Indicates that a Release Abatement Measure Plan Is being subnWed,the response action(s)that Is(are)the subject of this submittal n has(have)been developed In accordance with the applicable provisions of M.G.L c.21E and 310 CMR 40.0000,(ti)Is(are)appropriate and reasonable to accomplish the purposes of such response action(s)as set forth In the applicable provisions of MAL c.21 E and 310 CMR 40.0000 and (10)complies(y)with the identified provisions of all orders,permits,and approvals identified In this submittal; • ySection B of M form Indicates that a Release Abatement Measure Status Report ora Utllity-Related Abatement Measure Status Report Is being submitted,the response actions)that is(are)the subject of this submittal m Is(are)being implemented In accordance with the applicable provisions of MAL c.21 E and 310 CMR 40.0000,(t7 is(are)appropriate and reasonable to accornpiish the purposes of such response actions)as set forth kr the applicable provisions of M.G.L c.21 E and 310 CMR 40.0000 and 1 complies(y)with the k rdified.provisions of all orders,permits,and approvals identified in this submittal; • FSection B of fhis form indicates that a Release Abatement Measure Completion Statement ora UtilllyRelated Abatement Measure Comp/etlon Statement Is being subnWed,the response action(s)that Is(are)the subject of this submittal m has(have)been developed and Implemented In accordance with the applicable provisions of M.G.L c.21 E and 310 CMR 40.0000,(tn is(are)appropriate and reasonable to accomplish the purposes of such response action(s)asset forth in the applicable provisions of M.G.L c.21E and 310 CMR 40.0000 andii compries(y)with the Identified provisions of all orders,permits,and approvals Identified in this submittal. I am aware that significant penalties may result,including,but not limited to,possible fines and imprisonment,If I submit Information which I(know to be false,Inaccurate or materially incomplete. Check here if the Response Action(s)on which this opinion Is based,9 any,are(were)subject to any order(s),permit(s)and/or approval(s)Issued by DEP or EPA. If the bock is checked,you MUST attach a statement Identifying the applicable provisions thereof. LSP Name: Debra J. Phillips Lsp#: 8223mp. T (617) 464-6370 Ext.: n/a Sta INOF FAx(optional) (617) 464-6382 g� DEBRA �n a o J• Signature: 44 r 6 23 Bate. An LSP Opinion Is not required for a Utility-Related Akatement Measure"Notification. An LSP Opinion Is not required for a DRAM Completion Statement If the DRAM Is furdted to the excavation andfor handling of not more than 100 cubic yards of soil contaminated by Oil,or not more than 20 cubic yards of soil contaminated either by Hazardous Material or a mixture of Hazardous Material and Oil. K. PERSON UNDERTAKING RAM OR DRAM: Name of Organization: G1Pn Nor Fnel Cm any Name of Contact: Mr- Gary NadPav Title: _Depot Manager Street 95 Railroad Street Cityrrown: Tawrenr_P State: MA ZIP Code: 01842 Telephone: (508) 659-0114 Ext.: n a FAX:(optional) n/a Check here If there has been a change In person undertaking the RAM or DRAM. Revised 224195 Supersedes Forms BWSC-007, 008, 009 and 010(in part) Page 3 of 4 Do Not After This Form Massachusetts.DVat� rtmtnt o .µf r. .. . w f Environmental Protection ° BWSC;106, ; i eureau'of.Waste Site Cleanup - RELEASE & UTILITY-RELATED ABATEMENT ReleaseTraddng Number MEASURE (RAM & URAM)_TRANSMITTAL FORM 7 { Pursuant to 310 CMR 40.0444-0446 and 310 CMR 40.0462-0465(Subpart D) 3 - 14301 „ } L ;RELATIONSHIP TO SITE OF PERSON UNDERTAKING RAM or DRAM: (checkone) RP or PRP. Specify Q Owner Q Operator C} Generator O Transporter Other RP or PRP: Fiduciary,Secured Lender or Municipality with Exempt Status(as defined by M.G.L c.21 E.s.2) 0 Agency or Public Utility on a Right of Way(as defined by M.G.L.c.21 E,s. [XgAny Other Person Undertaldng RAM or DRAM Specify Relationship: Oil Delivery Company M. CERTIFICATION OF PERSON UNDERTAKING RAM OR DRAM: I, Gary :Nadeau ,attest under the pains and penalties of perjury W that 1 have familiar with the infommtion contained in this submittal,including any and all documents accompanying personalty examined and am of those individuals Immediately � P�n9 this transmittal form, a that,based on my inquiry ely responsible for obtaining the information the material Information contained in this submittal is,to the best of my knowledge and belief,true,accurate and complete,and(i'i)that I am fully authorized to make this attestation on behalf of the entity legally responsible for this submittal. Wm person or entity on whose behalf this submittal is made emirs aware that there are significant penalties,including,but not limited to. possible fines and irm I imen,for willfully submitting false,inaaourate,or incomplete information. 7 By. Tide:. Depot Manager (signature) For— Glen70 �� uel Company . (print name of person or entity recorded In Section K) Date: _ I� �� -- ---- Enter address of person providing certification,if different from address recorded in Section K: Street: ' City/Town: State: ZIP Code: Telephone:, Ext.: FAX(optional) YOU MUST COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE. IF YOU SUBMIT AN INCOMPLETE FORM,YOU MAY BE PENALIZED FOR MISSING A REQUIRED DEADLINE. Revised 2r24195 Supersedes Forms BWSC-007, 008, 009 and 010 Cin part) Page 4 of 4 Do Not Alter This Form i COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION METROPOLITAN BOSTON-NORTHEAST REGIONAL OFFICE'+ 10 ,r r _ WILLIAM F. WELD1 TRUDY COXE Governor V `3 q'91 Secretary ARGEO PAUL CELLUCCI a i JA DAVID B. STRUHS Lt. Governor DE -001996 Commissioner_ CERTIFIED MAIL RETURN RECEIPT REQUESTED Glen Mor Fuel Company RE: NORTH ANDOVER 25 Railroad Street 62 Sutton Hill Road Lawrence, Massachusetts 01842 Release Tracking #3-14301 Attention: Gary Nadeau APPROVAL OF RELEASE ABATEMENT MEASURE M.G.L. Chapter 21E, & 310 CMR 40 . 0000 Dear Mr. Nadeau: On December 20, 1996, the Department of Environmental Protection (DEP) received a Release Abatement Measure (RAM) Plan from you for the performance of a remedial action at the above referenced site. The Release Abatement Measure Plan was prepared by Debra J. 'Phillips, a Licensed Site Professional: (License #8223) with Cyn Environmental Services, and was submitted to DEP Bureau of .gaste Site Cleanup (BWSC) for approval pursuant to- 310. CMR 40 . 0440 of the Massachusetts Contingency Plan (MCP) . Release Abatement Measures are a class of remedial actions that are voluntarily undertaken at locations where a release of oil and/or hazardous material has occurred (disposal sites) . Such response actions are intended to reduce risks at the disposal site, and/or to increase the cost effectiveness of future response actions which may be necessary at the disposal site, and are subject to approval by DEP/BWSC pursuant to Massachusetts General Law, Chapter 21E (MGL, c. 21E) , and 310 CMR 40 . 0000 . The purpose of this correspondence is to : (a) inform you that the proposed Release Abatement Measure has been conditionally approved pursuant to 310 CMR 40 . 0443 ; (b) advise you of your potential liabilities under M.G.L. , c . 21E for assessing and remediating this release of oil and/or hazardous material; and, (c) specify the conditions under which this Release Abatement Measure is granted approval . 10 Commerce Way • Woburn,Massachusetts 01801 • FAX (617) 932-7615 0 Telephone (617) 932-7600 0 TDD#(617)932-7679 I North Andover Glen Mor Fuel Co. RAM Approval Page 2 The proposed Release Abatement Measure Plan, as submitted by Glen Mor Fuel Company, requests approval of the following activities : 1 . ) Dewatering the basement excavation to access contaminated soils . Water will be treated through a granular activated carbon system prior to discharging to the ground surface . Influent and effluent water samples will be collected and analyzed and discharging will take place in accordance with a NPDES Exclusion Permit; 2 . ) Excavating up to 100 cubic yards of oil contaminated soil (including the existing 10-15 cubic yard stockpile) . Soils will be properly and securely stockpiled on site pending disposal at an asphalt batch recycling plant; and 3 . ) Collecting "post-cleanup" soil and groundwater samples from the excavation prior to backfilling with clean fill to document the effectiveness of the excavation activities in reducing contaminant concentrations . Samples will be analyzed for Total Petroleum Hydrocarbons and Volatile Organic Compounds . The Department ' s approval of the activities described above is contingent upon your adherence to the following conditions of approval, and to the provisions of all applicable DEP Policies governing response actions . Your initiation of the approved activities will constitute your understanding and acceptance of these conditions of approval . I. General Conditions 1 . ) This response action. must be performed in a manner and to a degree which ensures the protection of human health, safety, public welfare and the environment; 2 . ) This response action must be conducted under the direct supervision of a competent professional with specific experience in site remediation/environmental engineering practices, using good engineering procedures and accepted construction practices, and must be managed, supervised, actually performed, or periodically reviewed by a Licensed Site Professional; 3 . ) The Release Abatement Measure must be conducted in compliance with all applicable public. involvement provisions specified in 310 CMR 40 . 0447; 4 . ) Pursuant to 310 CMR 40 . 0443 (7) , the remedial actions proposed r . North Andover Glen Mor Fuel Co. RAM "Approval Page 3 in this Release Abatement Measure Plan must be initiated within one (1) year of the date of this approval letter; 5 . ) Pursuant to 310 CMR 40 . 0446 (6) , this Release Abatement Measure will not be considered complete until all stockpiled/stored Remediation Waste generated as a result of these activities has been removed from the site, or treated, recycled or reused at the site, unless a Remedy Implementation Plan pursuant to 310 CMR 40 . 0870 is submitted to the Department as an attachment to the Release Abatement Measure Completion Statement ; 6 . ) Management of groundwater and/or surface water at the site, such as dewatering activities, shall be conducted in accordance with the provisions of 310 CMR 40 . 0040, "Management Procedures for Remedial Wastewater and Remedial Additives" ; 7 . ) Pursuant to 310 CMR 40 . 1020, the feasibility of reducing the concentrations of oil and/or hazardous material in the environment to background conditions, or to levels which approach background conditions, must be evaluated before a Class A Response Action Outcome can be achieved at this site . II. Soil Excavation & Management A. Soil Excavation 1 . ) The excavation, stockpiling and reuse or disposal of contaminated soil at this site is hereby limited to 100 cubic yards . For the purposes of this condition, "contaminated soil" is defined. as soil containing concentrations of oil and/or hazardous material equal to or greater than the applicable site Reportable Concentration (s) ; 2 . ) Contaminated soils should be field screened as appropriate and/or undergo field analysis at the point and time of excavation in order to: (i) aide in the identification of contaminated areas and/or media; (ii) target specific areas and/or media for laboratory analysis; and (iii) segregate highly contaminated soils from less contaminated or uncontaminated soils - so as to optimize . soil recycling/reuse/disposal options; 3 . ) Security provisions should be developed and maintained around the excavation and on-site soil storage areas to ensure that only qualified personnel are allowed access. Excavations performed in public areas should generally not be left open r North Andover Glen Mor Fuel Co. RAM Approval Page 4 overnight ; and 4 . ) Soil samples must be collected at the base and sides of the excavation in order to document the effectiveness of the response action in reducing residual contaminant concentrations . B. Soil Management 1 . ) The on-site segregation, storage and/or reuse of contaminated soils at this location must be conducted in accordance with the provisions of 310 CMR 40 . 0030, "Management Procedures for Remediation Wastes" ; 2 . ) Contaminated soils shall be stockpiled on 6 mil polyethylene sheeting, or other impermeable barrier (e.g. , concrete, bituminous pavement) , and covered with 6 mil polyethylene or other suitable material such that no odors and/or dust conditions are created at surrounding off-site receptors; 3 . ) Stockpiled contaminated soils must be removed/reused on site :within 120 days of generation; 4 . ) she transportation of contaminated soil/remediation wastes from the subject site must be performed in compliance with the Bill of Lading Process described in 310 CMR 40 . 0034 , or such Materials may be transported off-site using a licensed hazardous waste hauler and a Massachusetts Hazardous Waste Manifest, pursuant to 310 CMR 30 . 000 . III. Required Submittals Pursuant to the provisions of 310 CMR 40 . 0440, within 120 days of the date of this letter, one of the following reports must be received by DEP: 1 . ) A Release Abatement Measure Completion Statement (DEP Form BWSC-106, § G) and a completion report, as specified in 310 CMR 40 . 0446, in cases where the proposed response actions have been completed; or 2 . ) A Release Abatement Measure Status Report, as specified in 310 CMR 40 . 0445, (accompanied by DEP Form BWSC-106) , if the proposed response actions are ongoing; or 3 . ) A Response Action Outcome Statement (DEP Form "BWSC-104" ) , as specified in 310 CMR 40 . 1000, in cases where the proposed response actions have eliminated significant risk at the site such that no further response actions are necessary. ,h North Andover Glen Mor Fuel Co. RAM Approval Page 5 Reports concerning Release Abatement Measures should be addressed to DEP, Bureau of Waste Site Cleanup, Risk Reduction Section, 10 Commerce Way, Woburn, MA 01801 . Limitations j This letter constitutes conditional authorization from DEP/BWSC to proceed with the response action you have proposed to conduct . Such authorization is required by M.G.L. Chapter 21E, the Massachusetts Contingency Plan (MCP) , and other applicable DEP/BWSC policies . However, you should be aware of the following limitations and additional considerations : 1 . ) In reviewing the Release Abatement Measure plan, our primary intent was to ascertain whether the proposal, as .presented, appeared to be protective of public health and environmental interests, and consistent with pertinent DEP regulations, policies, and accepted engineering practices. Our approval in this matter does not necessarily mean that we have- determined that the proposed response action is optimal, sufficient, or cost-effective . It is incumbent upon the environmental professional directinc. .response operations to fully explain, document, and defend design and operational decisions. All such activities can be. audited by DEP in conformance with the provisions of 310 CMR 40 . 1100; 2 . ) This approval is granted by DEP/BWSC under the provisions of M.G.L. Chapter 21E, the MCP, and other applicable DEP/BWSC policies . It is the responsibility of parties conducting response actions to obtain any other necessary federal, state, or local permits or approvals; and 3 . ) The Department ' s decision in this matter was based upon the information contained in the referenced proposal, and any other accompanying/previous submittals, and would be subject to review if these sources contained any material omissions or misstatements . Your cooperation in this matter is appreciated. If you have any further questions regarding this matter, please contact Joanne Fagan at (617) 932-7600 or at the letterhead address . All future I i North Andover i Glen Mor Fuel Co. RAM Approval Page 6 correspondence regarding this location must reference the DEP Release Tracking Number listed in the subject heading. Very truly yours, oanne Fagan Environmental Engineer Lzt/ W. Davis Section Chief Permits/Risk Reduction Branch CC : North Andover BOH Cyn Environmental Services, 300 East First St . , So. Boston, MA 02127 ATTN: Debra Phillips Barry Fogel, Esq. , Keegan, Werlin & Pabian, LLP, 21 Custom House St . , Boston, MA 02110-3525 :-Irs . Albert Bradley, 62 Sutton Hill Rd. , No. Andover, MA 01845 "Data Entry/File TOWN OF NORTH ANDOVERp SYSTEM PUMPING RECORII NVQ DATE: SYSTEM OWNER &ADDRESS SYSTEM LOCATION (example: left front of house) DATE OF PUMPING: &-_20-0d, QUANTITY PUMPED GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: COMMENTS: CONTENTS TRANSFERRED TO: 61 `� V