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235 BUCKLAND RD
Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# T�Do I u &i14ir j Date: t/ / Sprinkler# FINAL APPROVALS Estimated Cost $ Permit Fee $ Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. 1110- SIGN ON REVERSE SIDE t yj(Q a Total Fee $ Jv TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: ck- Applicant I� I�1 e� ( ,Location of Work Lot No. Applicant's Address�'�Z I���U�YI`I S�• Tel # 13 73 Z 3171 Town (-,'A MA Zip 0 Ilk 05 Lic.# Owner okiq- L Architect Owner's Address 3�0 Bloo U,elJ Ay— 7fe-?08 Architect's Address `!J, r'1d 5 or . C-11— Zip 06 0q Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit DP r►'1 c L fi,0►n c C ho yS e, City Water Well Septic System Sewer J Ins: HO Z Cert. rea Basement Garage Approved by_ Date �' Use Grou Construction Tye --""� I hereby agree to conform to all the requirementRhthis e Laws o the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspecny alter ion in the plans or specifications of the Building for which this permit is asked,and agree that this building is tcated th roper distance from all street lines,side yard lines,and required distances from all other zones and is located in bull i g and its use is allowed. Signed 'A I hereby apply for a Certificate of Occupancy for the work describe in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS State of Connecticut Department of Administrative Services Office of State Fire Marshal This Certificate is issued in Accordance with Connecticut General Statute's section 29402 inclusive, by the Commissioner of the Connecticut Department of Administrative Services,which is non-transferable to: Associated Building Wreckers Inc. Licensed as a DEMOLITION CONTRACTOR Located at I 352 Albany St Springfield, MA 01105 License No: DMCR.000277 License Class: CLASS A Designated Technical Expert: Andrew Mirkin Issuance Date: 10/01/2018 Expiration Date: 09/30/2019 J Class A License is required for the demolition of any structure or portion thereof greater than two and one-half stories or 35 feet in height. Class B License is required for the demolition of any structure or portion thereof equal to or less than two and one-half stories or 35 feet in height. Melody A. Curry Commissioner ASSOBUI-01 A ABL ACORO° CERTIFICATE OF LIABILITY INSURANCE DATE(MM 06/12ID/20D/YYYY19 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) PRODUCER C NTACT Alison Gable People's United Insurance Agency,Inc. PHONE FAX One Monarch Place,10th Fir (AIc,No,Et) (413)735-6708 AC,No:(844)648-7612 Springfield,MA 01144 UpAglkss4AIison.Gable@peoples.com INSURERS AFFORDING COVERAGE NAIC If INSURER A:Nautilus Insurance Company 17370 INSURED INSURER B:WeStern World Insurance Company 13196 Associated Building Wreckers,Inc. INSURER C:Great Divide Insurance Company 25224 352 Albany Street INSURER D:Evanston Insurance Co 35378 Springfield,MA 01105 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR XYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ]OCCUR X GLP2011149 02/01/2019 02/01/2020 DAMAGE TO RENTED 100,000 X Blanket Al Prior MED EXP(Any oneperson) $ 10,000 X Written Contract PERSONAL 6 ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 3,000,000 POLICY X PEST LOC PRODUCTS-COMP/OPAGG E 3'000'000 OTHER' $ AUTOMOBILE LIABILITY COMBINED ar (Fa 'cidentlSINGLE LIMIT ANY AUTO BODILY INJURY Per on $ ' OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-pyyNED PPROPERTY AMAGE AUTOS ONLY AUTOS ONLY er accident $ S B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB i CLAIMS-MADE X GLX1000344 02/01/2019 02/01/2020 AGGREGATE $ DEC) I I RETENTION$ Annual Aggreg $ 5,000,000 C WORKERS COMPENSATION X PER OTH. AND EMPLOYERS'LIABILITY Y/N CA164516518 02/01/2019 02/01/2020 STATUTE ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ XFICERMIEMBER EXCLUDE 1'O0D'D0D D? NIA andatory In NH) E L.DISEASE-EA EMPLOYE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ A Pollution X CPL2011150 02/01/2019 02/01/2020 See Description box D Excess Liability X MKLVIEUE100491 06/0412019 02/01/2020 Limit 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If mom space is required) Pollutions Limits: $5,000,000 Occurance/$10,000,000 Aggregate Deductible$10,000 Excess Liability Policies: Western World Insurance Company-Policy#GLX1000344-01-$5,000,000 Limit Evanston Insurance Company-Policy#MKLVIEUE100491-$5,000,000 Limit SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE n of South Windsor THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Sullivan Ave ACCORDANCE WITH THE POLICY PROVISIONS. South Windsor,CT 06074 AUTHORIZED REPRESENTATIVE ZlW" 7Kau�a�cce r �eauy, �I�c, ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:ASSOBUI-01 AGABLE LOC#: 1 A O* ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED eople's United Insurance Agency,Inc. Associated Building Wreckers,Inc. 352 Albany Street POLICY NUMBER Springfield,MA 01105 SEE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of I-lability Insurance Description of Operations/LocationsNehicles: Re:Any and all jobs Please be advised The Town of South Windsor is listed as Additional Insured in regards to General Liability as required by written contract. ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A�.3oc�a�od,B ' Wl�oc�f�:rs, InG. 352 Albany Street Springfield,Massachusetts 01105 Tel:(413)732-3179/(800)448-2822 Fax: (413)734-6224 June 11,2019 In accordance with the Connecticut General Statute § 29-406, we,Associated Building Wreckers, Inc.,hereby agree to save harmless the Town of South Windsor and its agents from any claim or claims arising out of the negligence of the applicant or his agents or employees in the course of the demolition operations associated with the demolition of the house at 235 Buckland Rd. Th k u, Andrew Mirkin, Presiders Associated Building Wreckers, Inc. 352 Albany Street Springfield, MA 01105 i Removal of service EVER$vURCE ' Building Demolition or Construction r As the owner of this property,I sm requesting the removal of the existing Eversourts electric service and I r moter(s)to allow for the demolltlonleonstruction of the building In accordance with ail applicable Connecticut I General Statutes. I certify that the building Is Vacant.(T'oAv4p1d Delays Please Camp,,"All Information On This Form) E T L CUILUYIG 18 VACANT AND SE (DATE OF REMOVAL) RWCE CAN 6E REMOVED AS OF WORK REQUEST NUIr,B Ft STREETAODRESS 1ERE QGTgI S-RVICEI TOa REIAW S2foSa T C ! tJ ) �i. l NE 1 Tci STATE LP GOCE + -•� IiER 1 tPOIENUMBER � al \� 1ti���i•(1K G 1 rl(+�� ACCOUNT NUMDE}1(:i) I.tEIERNUMDER(SI METEREOCA 1014 ❑lNsiDE ❑OUTSIDE Th@ EASDN FOR1'Ilis i REgVCST� DEIAOLITION SPECIAL INSTRUCTIONS 7 f -n e Ck ❑CoNCTRUCTIOM t01 f, t? C a , 1 TYPEOF SERvp-,E � ❑COMMERCIAL ❑OVERHEAD ❑RESIDENTIAL ❑UNDERGROUND ) i 14EMO ALO REET,F- 0,l.REALIGH IN lUNMfiTEREpEOUIPMENTREGUUleD9 ❑YES ❑NO IF YES.TYPE OF EQUIPMENT ACCO 1TNUM9LR PR PERTYQWri' NAVE PRINT HAAAE 1 �) AP,PLY81*4A URE ( 1rC MAILING ADUMESS 1 , lDWN I �RY^ TELE�RDNt NVMBER Of PNOPERTY OwNE;R FAXNUMUER EMAILNOTIFICATI ADDRESS (Lit.3) r'r_ -P -;; �oM OI.IOYAIEWJLNOTYICAUGN DIiESScS(ADUUPTOTIY01 •daaa1aa�O1Jtl Jaye _ a rcoARYvuau �' 1(^.!Q i��F•j�" 4f 9'Pi+i�'s + Not roquired for singfo-farnfly,ownernogpupleddwollinge, DATiNOTA e - ri z;.t r •f VERSO(lRCE INTERNAL USE O LY. Oy 0 pti b.,• ? M 4y '•• Date service removed: This confirms.tho removal Of Eversoure :oleclric y for the addres!0ridicated above: PRNT VdE Uf WVLRS E nEPRE-EtITATNE GNAIURE OF EVE SOURCE SENTA Q I ` DAT r U.S.Postal: i Overnight Express: f Mall To: Electric Service Support Center Mall To: Electric Service Support Center I Eversource I P.O.Box 2985 Evemource Hartford,CT 06104-2985 107 Selden Street Berlin,CT 06037 Fax: 1.877-285-4448 Phone: 1888.5444828 Emall: etnewsarvlee Movers ourco�eom ;�j�:•; 1 (i �.:` O/N/f IWV,a i 1 r r h j EVERS=URCE "Z°,�°«`K"� E'aa Wlnd�or,Cr 060aa ENERGY April 18,2019 George Lee 360 Bloomfield Ave Suite 20B Windsor Cr 06095 RE:DEMO—235 Buckland Road,South Windsor,Cr 06074 Dear Mr.Luginbuhl, This letter is in reference to the above-mentioned address.Please be advised that there is no Eversource Gas on the property at 235 Buckland Road,South Windsor,CT 06074,however,there is a gas main on Buckland Road in front of the property. Please note that Call Before You Dig(1-800-922-4455)must be contacted prior to the start of any work. If you have further questions or concerns,you may contact me at(860)292-2242. Sincerely, P _ j Laurie Tait J Supervisor Field Operations Eversource Energy Gas FRONTIER CONNECTICUT- SNET DEMOLITION CONFIRMATION oth er® Date: June 12, 2019 To: Associated Building Wreckers, Inc. Attn: Joan Cole From: Frontier Construction & Engineering Dept. Subject: DEMOLITION This letter is to inform you that the telephone equipment, cables, wires, and associated attachments have been removed and/or are not attached to the addresses listed below: 235 Buckland Rd. South Windsor, CT. This job was performed Wednesday, June 12, 2019 in response to a request to demolish the above address. Sincerely, Brian Withycombe 860-725-1276 brian.t.withycombegftr.com Frontier Construction & Engineering Dept. 125 South Main St. West Hartford, CT. 06107 RECEIVED 04/30/2014 04:04 8453443394 12:12:38 04-16-2019 2/2 AssocI TED RUILDING WRECKERS$INC. 352 Albany St.,Springfield.MA 01105 Tel: (413)732-3179/(800)448-2822 Fax:(413)734-6224 April 15,2019 To:Betty Fax: (845)344-3394 of: Frontier Communication Phone:(877)433-5436 ext.34728 Please cut all services of all buildings at the following location as it is being scheduled for demolition: 235 Buckland Rd South Windsor,CT ROM Once disconnection has been completed,please sign below and fax it to (413)734-6224 or email a notification to demonbwldingwmcke—m.com on your company letterhead. Thank you very much for your assistance in this matter. Sincerely, Associated Building Wreckers,Inc. SERVICE AT: 235 Buckland Rd South Windsor,CT 06074 p HAVE BEEN DISCONNECTED AS 01+ f I PRINT NAME: SIGNATURE: C REMARKS,IF ANY: y �.�? � �1=1 /' •� u- tic. �' .� ._� tJ 1 JOB INVOICE VANS SEWER & SEPTIC SERVICE LLC 1330 MAIN ST ' 8026 SOUTH W HOME (8 0) 289- 318 '06074 �,OWHISD�rao. _ D NAME(860) 289.23i8 CELL(860)716.2067 oRoen TAKEN m TE VRDMISEU p w.M, BUSINESS 860.239-009 U P.M. BILL to Pf101/E MEC"Nic Ire CIT V ti! NELPEA L `•J „„ ❑CArwonr DESCRIPTION OF WORK C3 ocoaft-ar PCTAA ZgUANT. DESCRIPTION OF MATERUIL USED PRICE AMOUNT� men c,�Ik,L �� : � ... If HOURS Mon AMouNT TOTAL MECHANICS MATERIALS GeY HELPERS ® TOTAL LABOR I bMby TOTAL LABOR TAX oongM�Non d SM Above MecrRKrd MOrk SIGNATURE DATE COM D TOTAL 10a3 Yb RI C El IVE MAY 20 2019 Approved is I P12 1 r �L� I JOCK Acct. # 4�0 0 P � C. IaA k LOIV ylcrus�f&w P WELL COMPLETION REPORT CPR-9 REV.1142 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION -Do-NOT fill.in' WELL DRILLING BOARD ATE WELL NO. 165 CAPITOL AVE. HARTFORD,CONNECTICUT 06106 H R ................ NAME OWNER- 7i�,I)CIIESS CONEY 57 R.:EDGEWOOD RD. E. MRTYORD. 01. LOCATION (No.&�S.,.Q OF WILL' MaMAND ROAD • (Town) act Number) BUSINESS S- WINDSOR (URIGHT, OvER) PROFOSE6 DOMESTIC 'ESTABLISHMENT FARM USE Or 13 TEST WELL WELL PUBLIC SUPPLY INDUSTRIAL ❑ AIR OTHER DRILLING -COMPRESSED CONDITIONING (Specify) EQUIPMENT ROTARY AIR PERCUSSION CABLE OTHER PE ❑RCUSSION (specify) CASING LENGTH(feet) DIAMETER(inches) WEIGHT VII FOOT DETAILS YIELD I Q JLM THREADED ❑WELDED ES NO TEST 0 BAILED PUMPED COMPRESSED AIR HOURS YIELD(G.P --- WATER MEASURE FROM LAND SURFACE—STATIC ................... 5 .12 DURING •YIELD':�I 1:1"1 11"(feet) LEVEL Y YES III In' T'WELL NO. I :r5;:7k:EDG7EW003 =R I EETR N, C ILL'EQUIPMENT ROTARY A UIPM NT N_ AILS NO LEVEL 7TER� 60 Depth Of Completed Well 1 0 surfacei MAKE 155 LENGTH OPEN SCREEN _N AQUIFER—(f..,) DETAILS SLOT Si ...... .. LENGTH OPE ETER(inches) IF GRAVEL Diomel*r of including GRAVEL SIZE—(inches) FROM(fee,) PACKED.- gravel Pock(inchesy. 7VE 1 0(feel DEPTH FROM LAND SURFACE FORMATION DESCRIPTION FEET TO FEET Sketch exact location Of well with distances,to at least two Pennonem landmarks. Grave? 46 Cl 46 1 Bedrock g_ If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL 01111011111111 PERANT NO. REGISTRATION No. DATE OF REPORT WEI,� ;:i�CLER(Signature) DEPT. OF ENVIRONMENTAL PROTFC71710N-WATVD II inns o CONSUMER PROTECTION a1y WELL DRILLING BOARD STATE OF CONNECICLIT KRW NUMBER CPR-e REV.I1-82 DEPARTMENT OF CONSUMER PROTECTION 91034 'WELL DRILLING PERMIT 165 CAPITOL AVE;HARTFORD,CONNECTICUT 06106 LOCATION OF WELL(TO—) (Sara) (LM Nres Be WIAIDBOR BUCBLA ID RD. DATE n/9/84 OWNER OF WELL ❑ INDIVIDUAL [ 111.01LIM ❑ OTHER(Spec*4 QUATTROPAIII & COOLEY 569-2410 OWNER'S ADDRESS $? RIDGEWOOD RD., E. "HARTFORD, OT. 06118MINUS TOT EIL No.of PROPOSED © DOManc ❑ ESTABLISHMENT ❑ PARAt : ❑ WELL Peoplebeing USE OF WEII AIR❑ OTHER SU►ILy ❑ INDUSTRIAL ElCO El (SrMcNYI NDITgNRlO /t SKETCH OF WELL LOCATION SKETCH Lamle well with respect to at bast two roods,shoving disaw from kttenxrctan and front of lot Location of let toot lent two rood, Well leeotlon an a house(if pr"sM O , x hdimie North ?Af a �H O JG 6 \.0 06), l- Approximate number of feet from well,o nearest source of possible conaminotion; 901 The-undersigned•Is aware that upon completion of the wen, a "Well Completion Report" contolninq construction details.and Information•required•under SKtion 25 131 of•the.1969 Supplement•lo the Generol Statutes must be sent to the owner, the Board and the Water Resources Comm LWM on the form provided by she ,board.This permit Is not valid until•oll Information is filled in and R•has been munNr-signed by tM Dire"'of Health or his ogenl. A;r r ) AFPLK�W`S.ADDRESS _. REGISTRAIM NO. P BO 111 Be WILLVIGTOX CT.- 100 y o— eftb O or Must) DATE APPROVED ❑RUECTEO REMARKS ve�s�es� RETURN THIS COPY TO CONNECTICUT WELL DRILLING BOARD DAALTUmm UL11UUUL3 ENVIRONMENTAL May 15,2019 Evergreen Walk LLC c/o Mr.George Lee Northeast Retail Leasing 360 Bloomfield Avenue,Suite 208 Windsor,Connecticut 06095 RE: COMPLETION OF ASBESTOS-CONTAINING BUILDING MATERIALS (ACME) CERTIFICATION 235 - 251 BUCKLAND ROAD I SOUTH WINDSOR, CONNECTICUT PATH PROJECT N1900901 Mr.Lee: Path Environmental LLC ("Consultant") was retained by Evergreen Walk LLC ("Client") to provide the bidding, contract selection, coordination, and oversight of the abatement of asbestos-containing building materials (ACBM) identified in the asbestos inspection report prepared by Terracon Consultants, Inc. (Tarracon Project#J2167054, issued May 31, 2016) for the two single-family homes and outlying structures present at 235—251 Buckland Road in South Windsor, Connecticut. In that report, the homogenous areas / materials and approximate quantities reported are summarized in Table 1. Table 1.Summary of ACBM identified Material Location %and type of NES HAP Class Condition Estimated asbestos Quantity Sink Undercoating, 235 Buckland Road— 4%Chrysotile Cat.I/Non-friable Good —8 ft= white Kitchen Sink (I-double sink Joint Compound 251 Buckland Road— associated with drywall Drywall Walls 0.75—1.75%Chrysotile Cat.II/Non-friable Good —3,200 ftt wallboard Throughout Living Areas and Garage Joint Compound 251 Buckland Road— associated with drywall Drywall Ceilings 125—1.75%Chrysotile Cat.II/Non-friable Good —1.800 ftz ceilings Throughout Living Areas and Garage Mastic,gray 2S I Buckland Road—Kitchen Backs lash g%Chrysoule Ca[II/Non-friable Good —30 ftz Sink Undercoat black 251 Buckland Road— 3%Chrysotile Cat.II/Non-friable Good —6 fti Kitchen Sink I-sin le sink 251 Buckland Road— Window Glazing Basement windows 2%Chrysotile Cat.11/Non-friable Good —2S linear it interior side Vinyl Floor Tile,12xl2 251der kitchen sink Buckland Road— Under 3%Chrysotile Cat.I/Moti-friable Good —6 ft= Beginning on April 15, 2019, and ending on April 26, 2019, approximately 12 cubic yards of positively identified ACBM was properly abandoned by Amspan Abatement LLC (State of Connecticut Department of Public Health License #000749) in accordance with all local, State, and federal guidelines and regulations regarding the notification, work practices, handling, and transportation of ACBM. Once properly bagged, wrapped, and labeled, the abated materials were placed in two (2) six cubic yard roll-offs and transported by RED Technologies LLC and properly disposed at Minerva Enterprises landfill located at 9000 Minerva Road in Waynesburg, Ohio (permit #P0104984). The two (2) waste manifests (#s 112782 and 1 12783) are included as Attachment A. Prior to the removal of the negative pressure work area encapsulation, five (5) final air clearance samples were collected and submitted to EMSL Analytical, Inc. of Wallingford, Connecticut, for asbestos fiber analysis by transmission electron microscopy (TEM) by EPA 40 CFR Part 763 Appendix A to Subpart E. No asbestos fibers were detected. The certificate of analysis is included as Attachment B. Path Environmental LLC 13600 Clipper Mill Road,Suite 2011 Baltimore,Maryland 21211 1443.255.9684 Page 2 of 2 May IS.2019 Evergreen Walk LLC do Mr.George Lee RE: COMPLETION OF ASBESTOS-CONTAINING BUILDING MATERIALS(ACMB)CERTIFICATION 23S—251 BUCKLAND ROAD I SOUTH WINDSOR,CONNECTICUT PATH PROJECT#1900901 CERTIFICATION 1,Justin W Custer, am a qualified Environmental Professional (EP) as defined in the Code of Federal Regulations (CFR), Title 40, Chapter I, Subchapter J, Part 312, Subpart B, § 312.10. 1 had primary direct responsibility for the implementation of the Asbestos Abatement of the structures located at 231 — 251 Buckland Road in South Windsor, Connecticut.The proper execution of the abatement has resulted in successfully removing and properly transporting and disposing of the positively identified ACBM described in the May 2016 "Asbestos Survey ind Limited Lead Paint Assessment"completed by Terracon Consultants,Inc. I certify that the asbestos abatement work was completed in accordance with all local, State, and federal guidelines and regulations. I certify that the asbestos-containing materials removed from the property were taken to a facility licensed to accept this material in full compliance with applicable laws and regulations. Photographic documentation of the abatement process is enclosed as Attachment C. Should you have any questions,please contact me at 443.255.9684 or by email at justin@pathenvironmental.com. Sincerely, Path Environmental LLC,by, � C l Justin W.Custer Geologist/Environmental Specialist Enclosures: Attachment A:Waste Manifests Attachment B:Certificate of Analysis—Clearance Finals Attachment C:Photographic Documentation Path Environmental LLC 13600 Clipper Mill Road.Suite 201 I Baltimore,Maryland 21211 1 443.255.9684 I WALLET CARD STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH Dear AMSPAN ABATEMENT CORP, NAME VALLAR MORALES Attached you will find your validated license for the coming year. VkMAnoNNO. CERTIPMATENO.' CURR$NTVM6604 03-691364 002470 031/119: Should you have any questions about your license renewal, PROFESSION please do not hesitate to write or call: 4..WSTOSABATEMENT SUPERVISOR o o r Department of Public Health (860)509-7603 ,tcwan�tx roast. .tat P.O.Box 340308 oplc.dph@ct.gov 3 M.S.#12MQA www.ct.gov/dph/license Hartford,CT 06134-0308 Eaa3°YexscoPr S gr,�m OF CONNECCICCC $ DEPARTMENT OF PUBLIC IIP.AI Tll Sincerely, NAM AMSPAN ABATEMENT CORP. $ VAUDATION NO. LICENSE NO.<- CURRENT TFIROU�SH 03-734375 OOQ749,. Y 1,1/30/19- $ RAUL PINO,MD,MPH,COMMISSIONER ASBESTOSCONTRACTOR DEPARTMENT OF PUBLIC HEALTH S10NA7LIIR a > CO.\051. .tiR INSTRUCTIONS: STATE OF CONNEC1ICU7 L rdapl +tag tach to a ends e a place in L Mspky thr lup card N a pesndnemt place in)oor oRTr or place of burmest_ DI 1<T1rrI'OF PUBLICi tt,Ttk;.- > S.The walkt and 4 w)+w to carry oa ramr presoa.It rem do mot wb ram the to ra the.ulkt ' card.place It In a score place. PURSUANT TO TIIF PROVISIONS OF TWs C.ENEIL4L STV-UMS OF CONNF.CTI(U'I L ILe emplo)or9 copy r for persons who must Jcmonsww asvremt Ikensurorertltkatbn .. .�•: In order m retain emp1mratnt er prMle=ts.The employer%card Is to be pnstaled b the Tl4i INIJII;A1s NAi`1L•O brztiv#15 LILI3Nim' tnplo)x aodkept b)them"a part of your peaoanel We.Onl)one copy o!this card on 0.171US013P.A1tDMENTASA:�,:• bewpphedm;om. ASBESTOS CONTRACTOR ucENse No. AITFF CARD AMSPAN ABATEMENT CORP 000749 sMATF.OF CONNEL-FICUT DEPARTMENT OF PI181dC IMAIMI CURRENT TI IROL'(SIt - NAME, - 11/30/19 _ AMSPANABATEMENT.CORP i, >s A..':. 'VAIMATIONN0. fACENSENO..er 'CURRENT-nI CXloll s vauoA7;A3N O: '03-734375 000749 _ 11/30/19 03-734375 ; PROFESSION ASBESTOS COUTRACfOR SIGN slzvae CO�nu .ex ATTACHMENT A:WASTE MANIFESTS Path Environmental LLC 13600 Clipper Mill Road,Suite 2011 Baltimore,Maryland 21211 1443.255.9684 AINIONITIONRED TECHNOLOGIES,M NC E.P.A.AGENCY # 112782 EMERGENCY CONTACT 800-424-9300(CCN 836445) 173 Pickering Street EPA New England EPA Region 2 Portland,CT 06480 1 Congress Street 290 Broadway,26th Floor (860)342.1022 Boston,MA 02114-2023 New York,NY 10007-1866 Fax:(860)342-1042 (617)918-1111 (212)264-6770 TK# WASTE SHIPMENT RECORD MassDEP Asbestos Notification Number Job Number P.O.N GENERATOR/BUILDING OWNER contractor—Am-span zlhalo of_`� t-1rew- �3�tifc�ir�n Pitcvy� - Address 16 4asliiea Sr Address i a3>;- a51 t3 -k land Ra CT c�y City birt�6td State�_Zip Q fit; Clty State Zip Contact Name _4), /hl r Telephone 16()-q90- f1 LL �Ayl Asr r Date Container Def. t/S-"j q Date of Pickup Lf— -Z 117 Phone Number - ao - ;tt Type of Container WORKSITE/GENERATING LOCATION VOLUME )t 6 yrrds CY Non-Friable❑ MUSTeEINCUMOYARDS ���Qt n lZes�p�rt{tpn C-tro�� — Friable ti-RQ.NA2212,Asbestos,9,PG,III Address r,s _l�k it K,A C,7 Day � Bag❑ drum Ci ❑ Cubic Yard Box❑ ly „k,, lwhncA2MC start zip Wrapped❑ Other❑ Phone Number _ 11 _. V I certify Me above named material does not contain tree liquid as dented by 40 CFR part 260.10 or any applicable state law,Is not a hazardous waste as defined by 40 CFR part 251 or any appficabfe stale law,has been property dexlfbed,classified and ptldtaged and Is M proper condition for transportation according to NESwtP standards for asbestos waste disposal found in 40 CFR part 61.153. Shipper's Certification;I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged, marked and labeled/placarded,and are in all respects in proper cone ion for transport according to applicable International end stational omemment regulations. AUTHORIZED SIGNATUREGc�l�� /y�-L Transporter 1: �GU Mo CA 1 fo C,05b%ext S-- "rr-t&r'I CT Name Address Telephone l< Driver, ;l 1-4of Gies Registration N: C oz��3Z-CT Date:%b ALO Stz 1 Signature State/0 Transporter 1 Certfication:-I hereby certify that the contents of this shipment are In all respects in the proper condd;m for transport according to applicable International,federal,state,and local regulation.' Transpotter2 R.ED Technologies LLS 10 Northwood Drive Bloomfield,CT06002 860-218 2428 Name Address Telephone N Driver. In. . LA Registration N: Date: Signature State/N Transporter 2 CerlificaUci '1 hereby certify that the contents of this shipment are in all respects In the proper condition for transport according to applicable international,federal,slate,and local regulation." Transfer Facility- RED Technolo ies 1.1 C,203 Pickerin St 1,Portland.CT06480 860-342-1022 • er•ywrw e By: Transfer Date: Permit# 11301113-PO Discrepancy: Transfer Facility:Certificatlan of transfer of materials covered by this manifest Transporter 3: Name Address Telephone N Driver. Registration N: Date: Signature State/N Transporter 3 Certification:"I hereby certify that the contents of this shipment are in all►expects in the proper condition for transport according to applicable International,federal,state,and local regulation' Landfill Name: Minerva Enterprises 0 Landfill Name: Location: 9000 Minerva Rd.Waynesburg,ON 44688 K Location: Ph: 330-866-3435 permit N P0104984 E R Ph: Permit N Approximate Volume of Asbestos Received: Discrepancy If Any: Received by: Date: Cedification of transfer of materials covered by this manifest DESIGNATED FACILRY TO GENERATOR RED TECHNOLOGIES,LLC E.P.A. AGENCY # 112783 ..MEDIATION INWNIENINO E DEVELOPMENT EMERGENCY CONTACT.800-424-9300(CCN 836445) 173 Pickering Street EPA New England EPA Region 2 Portland,CT 06480 1 Congress Street 290 Broadway,26th Floor (860)342-1022 Boston,MA 02114-2023 New York,NY 10007-1866 Fax:(860)342-1042 (617)918-1111 (212)264-6770 TK# WASTE SHIPMENT RECORD M,=DEP Asbestos Notification Number MEN Job Number P.O.0 GENERATOR/BUILDING OWNER contractor�,4 orl_/e (:1rpPn liestration 0krwp- Address f 6 T C,{'ien S'r Address City ,- Ord State Cr—zip- Q6ll26 a3�-a51 13�ck1��� Q� Cr b(oa y Contact Name t-/I r Telephone -4k60 17,2(2 VIZ( Cn h //� ^ r state Zip - ' C Date Container Del.�-22 1 cT Date of Pickup �/"2y—i q Phone ` O _ -7 — Type of Container VOLUME /--6 Yard 5 CY Non-Friable O WyO�R-KlSITE�/�GENER/sATiNG LOCATION MUST BE IN CUBIC YARDS Crp�� iS S7Urtt r1Y t7ff�1/r� Address �� Pliable� iV1r2r1d 06 t7?-RQ,NA2212,Asbestos,9,PG,ID aa,�—�,,) l��lG _ Bag ❑ Drum ❑ Cubic Yard Box ❑ city � state Zip Wrapped 13 Other❑ PYoneN ben Syr ) 1 certify the above named material does not contain free liquid as defined by 40 CFR part 260.10 or any applicable state law,is not a hazardous waste as defiled by 40 CFR part 261 or any applicable state law•has been property described,classified and packaged,and Is in proper eonditlon for transportation according to NESHAP standards for asbestos waste disposal found in 40 CFR part 61.150. Shipper's Certification:I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged. marked and labeled/plararded•and are in all respects in proper condition for transport according to applicable international and national government regulations. AUTHORIZED SIGNATURE � ,�� Transporters: 7250 rm,14 &r-14 all � }} / Name Address Telephone N Driver W! ft ae- / ore os Registration#:, e-0 21 St:�;L — _'r Date: '96 A 57,70 St 1 Zl Signal State/M Transporter i Certification.'I hereby certify that the contents of this shipment are In all respects in the proper condition for transport according to applicable Intsmational,federal,state,and local regulation.' Transporter 2: RED Technologies LLC,10 Northwood Drive Bloomfield,CT 06002 860-218-2428 Name Address Telephone# Driver. --in I , Registration ff Date: Signature State/0 Transporter 2 Certification:'I hereby certify that the contents of this shipment are in all respects in the proper condition for transport according to applicable international,federal,state,and local regulation.- Transfer Facility*' RED Technologies LLC.203 Pickering Street,Portland.CT 06480 860-342-1022 aMplq,N N By. LLL ITransfer Date: Permit# 11301113-PO Discrepancy: Transfer Facility.Codification of transfer of materials covered by this manifest Transporter 3: Name Address Telephone N Driver Registration#: Date: Signature State/N Transporter 3 Certification:'I hereby certify that the contents of this shipment are in all respects In the proper condition for transport according to applicable international,federal,state,and local regulation.' Landfill Name:_ Minerva Enieroriscs 0 Landfill Name: Location:_9000 Minerva Rd.Waynesburg OH 44688 Ph: 330-866-3435 Permit o P0104984 E ph Permit N Approximate Volume of Asbestos Received: NNEM Discrepancy If Any: Received by Date: Certification of transfer of materials covered by this manifest DESIGNMEO FACILITY TO GENERATOR ATTACHMENT B: CERTIFICATE OF ANALYSIS-CLEARANCE FINALS Path Environmental LLC 13600 Clipper Mill Road,Suite 2011 Baltimore,Maryland 21211 1443.255.9684 EMSL Analytical, Inc. EMSL Order: 241902061 29 North Plains Highway,Unit#4 Wallingford,CT 06492 Customer ID: BL50 Tel/Fax:(203)284-5948/(203)284-5978 Customer PO: 190248 http:/ANww.EMSL.com/wallingfordiab@emsl.com Project ID: Attention: Mike Zubarev Phone: (203)853-9792 Brooks Environmental Consulting,LLC Fax: 9 Isaac Street Received Date: 04/23/2019 11:25 AM Norwalk,CT 06853 Analysis Date: 04/26/2019 Collected Date: 04/23/2019 Project: 251 BUCKLAND ROAD, S.WINDSOR, CT 06074 Test Report:Asbestos Fiber Analysis by Transmission Electron Microscopy(TEM) Performed by EPA 40 CFR Part 763 Appendix A to Subpart E Area I Analytical Asbestos Volume Analyzed Non 'Asbestos #Structures Sensitivity Concentration Sample Location (Liters) (mm°) Asb Type(s) 20.51J<5N Z5N (S/cc) (S/mm1) (S✓cc) 1 1ST FLOOR 1260.00 0 None Detected 0 0 0.0000 <0.00 <0.0000 CONTAINMENT 241902061-0001 2 1 ST FLOOR 1260.00 0.0630 0 None Detected 0 0 0.0049 <16.00 <0.0049 CONTAINMENT 241902061-0002 3 1ST FLOOR 1260.00 0.0630 0 None Detected 0 0 0.0049 <16.00 <0.0049 CONTAINMENT 241902061-0003 4 1ST FLOOR 1260.00 0.0630 0 None Detected 0 0 0.0049 <16.00 <0.0049 CONTAINMENT 241902061-0004 5 1ST FLOOR 1260.00 0.0630 0 None Detected 0 0 0.0049 <16.00 <0.0049 CONTAINMENT 241902061-0005 AULIa Analyst(s) Jf6JZ,4t,— Almedina Hodzic,Asbestos Laboratory Manager Almedina Hodzic(5) or other approved signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported above and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client This report must not be used to claim product certification,approval,or endorsement by NVLAP.NIST,or any agency of the federal govemmenL Results reported in both structures/cm3 and structures/mm2 are dependent on the volume of air sampled and measured by non-laboratory personnel are not the responsibility of EMSL and are not covered by the laboratory's NVLAP accreditation.Samples received in good condition unless otherwise noted. Estimated accuracy,precision and uncertainty data available upon request Samples analyzed by EMSL Analytical,Inc Wallingford,CT NVLAP Lab Code 200700-0.NYS ELAP 12063,CT PH-0322,MAAA000191,RI AAL-108T3,VTAL357101 Initial report from:04/26/2019 11:17 AM ASS :,IAHFI;1 000a 00bl Printed:4/26/2019 11:17:25AM _7 F� _ _ Page 1 of 1 ATTACHMENT C: PHOTOGRAPHIC DOCUMENTATION Path Environmental LLC 13600 Clipper Mill Road,Suite 2011 Baltimore,Maryland 21211 1443.255.9684 S In 1 } n 41r � a0r Id F l •+,f. r. '.-;�y .� .., ;„. y� �'''� ` '� e�:� i •_ ry •� ,� 4. � 4J � ? . �, 1 ,,;. Sld ,—7 r�. . �• ? � �� _ +a F i ' ,� �1 i ' '��:3 �`.�. �. 1 ��.. . . ": • � �i f'1% }� �� t �, �. �� , �� •, r+;sl -= 1 "! ..�-+e-r..�' �1 r .. y:, .... ��'Wrti• a..99.k � �4MA 45+� � y� • , �.. .�� � ,iiut tr.A F 7 .1 C 7 r a� aF� t , Town of South Windsor Geographic Information System (GIS) ,� q h� _t 14coR ion Date Printed:4/15/2019 C�aq 8 j 41 R 4`F I 1 ?>3 00 n • 1 III ` • ` / ` III r wOC ` • • ` 115 cc u, ........................... i J N MAP DISCLAIMER -NOTICE OF LIABILITY Approximate Scale: 1 inch=40 ft This map is for assessment purposes only. It is not for legal description W E or conveyances.All information is subject to verification by any user. The Town of South Windsor and its mapping contractors assume no legal responsibility for the information contained herein. S 15300251 15300235 15300179 EVERGREEN WALK LLC EVERGREEN WALK LLC EVERGREEN WALK LLC CITYPLACE CITYPLACE 555 MAIN STREET HARTFORD CT 06103 HARTFORD CT 06103 MANCHESTER CT 06040 Assoi' R • i' t T�^ 352 Albany Street, Springfield, Massachusetts 01105 Tel: (413) 732-3179/(800)448-2822 Fax: (413) 734-6224 May 29,2019 Realty Income Properties 21 LLC 11995 El Camino Real San Diego, CA 92130 Re: Demolition of Structure Dear Property Owner(s): This letter is being sent to you in conformance with the Town of South Windsor, setting forth that a certified letter be sent to ADJOINING PROPERTY OWNERS,notifying them of pending demolition. Therefore, this is to notify you that the buildings located at: 235 & 251 Buckland Rd, South Windsor, CT 06074 including the hvo (2) adjacent barns behind L.A. Fitness will be demolished by a State Licensed Contractor. Respectfully, Associated Building Wreckers Inc. 352 Albany Street Springfield MA 01105 (413) 732-3179 NAAbutter Letters\235&251 Buckland Rd S Windsor,CT\100 Cedar Ave.doc �' r A�;3ocia�ed B1g, V�I�i�eck��rs; Inca 352 Albany Street, Springfield, Massachusetts 01105 Tel: (413) 732-3179/(800) 448-2822 Fax: (413) 734-6224 May 29, 2019 Etal &Robin C Bond 94 West Rd South Windsor, CT 06074 Re: Demolition of Structure Dear Property Owner(s): This letter is being sent to you in conformance with the Town of South Windsor, setting forth that a certified letter be sent to ADJOINING PROPERTY OWNERS, notifying them of pending demolition. Therefore, this is to notify you that the buildings located at: 235 & 251 Buckland Rd, South Windsor, CT 06074 including the two (2) adjacent barns behind L.A. Fitness will be demolished by a State Licensed Contractor. Respectfully, Associated Building Wreckers Inc. 352 Albany Street Springfield MA 01105 (413) 732-3179 NAAbutter Letters\235&251 Buckland Rd S Windsor,CT\240 Buckland Rd.doc As;3ociated.B ' ,Wr+ecY�rs, Inc: 352 Albany Street, Springfield, Massachusetts 01105 Tel: (413) 732-3179/(800)448-2822 Fax: (413) 734-6224 May 29, 2019 Evergreen Walk, LLC 360 Bloomfield Ave Ste 208 Windsor, CT 06095 Re: Demolition of Structure Dear Property Owner(s): This letter is being sent to you in conformance with the Town of South Windsor, setting forth that a certified letter be sent to ADJOINING PROPERTY OWNERS, notifying them of pending demolition. Therefore, this is to notify you that the buildings located at: 235 & 251 Buckland Rd, South Windsor, CT 06074 including the two (2) adjacent barns behind L.A. Fitness will be demolished by a State Licensed Contractor. Respectfully, Associated Building Wreckers Inc. 352 Albany Street Springfield MA 01105 (413) 732-3179 NAAbutter fetters\235&251 Buckland Rd S Windsor,Cr\179 Buckland Rd,235 Buckland Rd,251 Buckland Rd&800 Evergreen Way.doc j t 1�IS►30C1�� 8 �N1'�CCki�'3� IYiC.-. 352 Albany Street, Springfield, Massachusetts 01105 Tel: (413) 732-3179/(800)448-2822 Fax: (413) 734-6224 May 29,2019 Wolf& Guerra, LLC 989 Ellington Rd South Windsor, CT 06074 Re: Demolition of Structure Dear Property Owner(s): This letter is being sent to you in conformance with the Town of South Windsor, setting forth that a certified letter be sent to ADJOINING PROPERTY OWNERS, notifying them of pending demolition. Therefore, this is to notify you that the buildings located at: 235 & 251 Buckland Rd, South Windsor, CT 06074 including the two (2) adjacent barns behind L.A. Fitness will be demolished by a State Licensed Contractor. Respectfully, Associated Building Wreckers Inc. 352 Albany Street Springfield MA 01105 (413) 732-3179 NAAbutter Letters\235&251 Buckland Rd S Windsor,Cr\252 Buckland Rd.doc �r1.1�1I/dl-l�ll%/:11 ASSOCIATED BUILDING WRECKERS, INC. 352 ALBANY STREET SPRINGFIELD,MA01105 7018 0040 0000 1272 0442 Wolf&Guerra, LLC 989 Ellington Rd South Windsor, CT 06074 ASSOCIATED BUILDING WRECKERS, INC. 352 ALBANY STREET SPRINGFIELD,MA 01105 7018 0040 0000 1272 0435 Evergreen Walk, LLC 360 Bloomfield Ave Ste 208 Windsor, CT 06095 i SENDER- • •N COMPLETE THIS SECTIONON DELIVERY I ■ Complete Items 1,2,and 3. A. 819r=Wm i ■ Print your name and address on the reverse X 0 Agent so that we can return the card to you. ❑Addressee I ■ Attach this card to the back of the mailpiece, S. Received by(Printed Name) C. Date of Delivery or on the front if space permits. I 1. Article Addressed to: D. Is delivery address different from Item 1? ❑Yes I .� If YES,enter delivery address below: ❑No I f Wolf&Guerra, LLC i j 989 Ellington Rd j I South Windsor,CT 06074 I � i 3. Service Type O Prfoft Md Express® II I IIII'I IIII III I III II I II II I I IIII II I III I I I I II( 13 Adult O Adult Signature Restricted Delivery O Registered �lete d Mail Restricted) I 9590 9402 3182 7166 9512 92 13 Certified�Rea Delivery o Return Wat to I ❑Collect on Delivery Merchendlse —.—�-,2,Article Number(Transfer from service Label)- 13 Collect on Delivery Restricted Deevery ❑Signature ConfinnationT" ❑Insured Man ❑Signature Conf4mation 7 018 0040 0000 1272 0442 D insured Mail Restricted Delivery Restricted Delivery I I 1 PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt I --------------- COMPLETETHts SECTION • i I. ■ Complete Items 1,2,and 3. A. Signature I ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. O Addressee I 1 i ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C.Date of Delivery I or on the front If space permits. 1. Article Addressed to: D. Is delivery address different from Item 1? 0 Yes If YES,enter delivery address below- ❑No ' i. Evergreen Walk, LLC 360 Bloomfield Ave Ste 208 I Windsor, CT 06095 i I ' 3. Service Type 13 Priority Mall i I II I IIIIII IIII III i III II I II II I I IIII I II I I I I III III ® O Adult Signature ❑Registered Mall I D Adult Signature Restricted Delivery M Re I erect Man Restricted) 9590 9402 3182 7166 9513 08 o deed�Reatrl W Delivery o R�eaA„R 17tfor j { ❑Collect on Delivery Merohandlae ---72—Article Number(Transfer.from serylce laben�_ ❑Collect on Delivery Restricted Delivery 13 Signature ConflrmationTm — 0 Insured Man O Signature Confinnatlon I 7 018 0040 0000 1272 0435 o taver Insured Mail Restricted Delivery Restricted Delivery SSorn i� PS Form 3811.July 2015 PSN 7530-02-000-9053 - Domestic Return Receipt f f 7-Ii11Id1■l�ll'lr:fl ASSOCIATED BUILDING WRECKERS, INC. 352 ALBANY STREET SPRINGFIELD,MA01105 7018 0040 0000 1272 0428 Realty Income Properties 21 LLC 11995 El Camino Real San Diego, CA 92130 ASSOCIATED BUILDING WRECKERS, INC. 352 ALBANY STREET SPRINGFIELD,MA01105 7018 0040 0000 1272 0572 Etal & Robin C Bond 94 West Rd South Windsor, CT 06074 COMPLETE ■ Complete Items 1,2,and 3. A. Signature i j ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee I I ■ Attach this card to the back of the malipiece, B. Received by(Printed Name) C.Date of Delivery i y or on the front if space permits. 1. Article Addressed to: D.Is delivery address different from Item 1? ❑Yes If YES,enter delivery address below: p No I I I 1 Realty Income Properties 21 LLC I 11995 El Camino Real San Diego, CA 92130 I 3. Service Type O Priori Man ress® IIMa- 0I I IIIIII IIII III I III II('III II IIII III II I I II I III 0 AdultSigneture ClRep erect 1 Adult Signature Restricted Delivery 0 R letered Mail Restricted) 1 9590 9402 3182 7166 951315 O Certified Mall Restricted De 0 Return ❑Coned on Delivery Meerrc ndWe for _-1'' 2. Article Number_(fransfeLfrom Service labetl__—_-- 0 Coned on Delivery Restricted Delivery 0 Signature ConfinnstlonT" 0 insured Men ❑Signature Confirmation 71118 110411 0000 1272 0428 ❑Inns�all Restricted Dellvery Restricted DeRverr PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 'r �i i SENDER: • •N COMPLETE THIS SECTIONON DELIVERYl ■ Complete Items 1,2,and 3. A. Signature I ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. O Addressee r i ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C.Date of Delivery I or on the front if space permits. I 1. Article Addressed to: D. Is delivery address different from Item 1? E3 Yes If YES,enter delivery address below: ❑No I Etal & Robin C Bond i 94 West Rd ,I I South Windsor,CT 06074 I I 1 ' 3. Service Type Cl IIIIIIIiIIIIIIIIIIIIIIIIIII II IIIIIIIIIIIIIiIII AduftSignatureRestrictedDelivery 0Re ered Man edl Mau Dpresse 0 Adult Signature El Mau- . ry 9590 9402 3182 7166 9513 22 o cCertlfleedd Meath Restricted Depvery 13 RReetum Receipt for 0 Coned on Delivery Mercnendis0 i i 2. Article Number(transfer from service taboo 0 Coiled on Denvery Restricted Del" 0 Signature Conflmrauon- -'—— -- - ❑k ured Man ❑Signature Con&maUon 1 7 018 0040 0000-12 7 2 0572 0 lone�ed&an Restrtccea Dellvery Restricted Delivery } ; PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ` { Postal Postal MAIL" 01 ! CERTIFIED MAIL" RECEIPT CERTIFIED RECEIPT ni Domestic Mail Only Domestic Mail Only For delivery information,Visit Our website it lVW04USP S.COn7 oo deliveryru OFFICIAL !: SE Iv F ICIAL USE (ti Certifled Mail Fee r- CentNed Mall Fee tL $ $ '-q Extra Semmes&Foas (check box.add he w approprtata) Extra services&Fees(dwck bo..add tee et approprleta ❑Return Receipt pwrdeopy) S O �Receipt Atatd-W $ O p ❑R.nm Receipt(eiectronlo) $ ❑Reber Re M (eW t d D $ Postmark p Postmark O pcertirbd rasp Restricted o.e.ery $ Here p p cenmed raaa Reetrided n.e.ery $ Here � ❑Adtlt sianatr.e Kayaked $ p C]Adult sig,.d—Req."d s p Adult slonatt.e Re.trlcted oellmy$ ❑Adult st,eture Redricted oewk.y s p Postage -r Postage p $ C3 Total and Fe.a p Total Postage and Fees O $ CD Sent To - - g-reen.Walk--- ,---- LL,-----•-- C CO Sent To to Ever a Wolf&Guerra LLC o --------------------------- SttgatandApir ..tx�-�` rp f a1dAP`"°'---W in ton Rd t` �Poomfield Ave Ste 208 -- ---- -------------------------------------- City-state:z;P�B=----- South Windsor,CT 06074 Windsor,Cr 06095 Crry;stare;ztP = _ U.S. Postal PostalCERTIFIED MAIL RECEIPT CERTIFIED kIL Domestic Mail Only v I' OWN RECEIPT oF19-.1 'lJ O F F I C I A L U �+..I •E � Mail FeeCadifled Mail Fee & tdwck box,add lea as$ Receipt pwrdcopy) ./ tra Ices Tqea(chw*ba.aW tee e.epWopdeje) p Receipt(ei cb.*a❑Return Recipt Qw&,.W S __ — Postmark ❑Ream Receipt(eieetronic) S Od Ms0 Raetrkted Delivery. $--- � ❑ �M�Fi•trk�ed � $ - Postmark l� lgwtua Ragtlre0 Hera❑AdakSiptatraeR Here lgneture Rsetrk:tad D W.,$ eyu4ed S O❑Atilt SigrOM Restricted()*v V Sp ta and l� ga Fees $ jTotal Postage and Fees Serf To s Etal&Robin C Bond fl Sent To 0 Street end'Apt.No.,-Sr a Realty Income Properties 21 LLC r` _ e'st Rd ____ ` Street and Apt.No.,or P ----- ------ ---- Cl1y;State,��_-------------------__------------------------------------------ Y9w-EI Camino Real South Windsor, CT 06074 City.State:ZlP+Q� San Diego,CA 92130 �•� oTown of South Windsor, CT Property ryListin Report Ma Block Lot 38_11 Account 15300235 Property Information Photo Property Location 235 BUCKLAND ROAD Owner EVERGREEN WALK LLC Co-Owner C/O LAURENCE P RUBINOW 77 -'id t` CITYPLACE Mailing Address HARTFORD CT 06103 r" Land Use 101 Res Dwelling Land Class R Zoning Code GD Census Tract 4875 Sketch Neighborhood C800 Acreage 1.13 Utilities Lot Setting/Desc Water Information WELL WATER Trash Day MONDAY Primary Construction Details Year Built 1984 Bedrooms 4 Bedrooms Exterior Walls Vinyl Siding Stories 1.0 Full Bathrooms 2 Interior Walls Drywall Building Style Split-Level Half Bathrooms 1 Heating Type Hot Water Building Use Residential Bath Style Average Heating Fuel Oil Building Condition B_ Kitchen Style Average AC Type Floors Carpet Roof Style Gable Gross Bldg Area 4272 Total Rooms g Roof Cover Asphalt Total Living Area 1980 Report Created On 6/11/2019 o w s Town of South Windsor, CT Property Listing Report 11fap Block Lot 38.11 Account 15300235 Valuation Summary (Assessed value 70°o of Appraised Valoe) Outbuilding and Extra Items Item Appraised Assessed Type Description Buildings 48200 33700 Extras 0 0 Improvements 48200 33700 Outbuildings 0 0 Land 282000 197400 Total 330200 231100 Sub Areas Subarea Type Gross Area(sq ft) Living Area(sq ft) Total Area 4272 1980 Sales History Owner of Record Book/Page Sale Date Sale Price EVERGREEN WALK LLC 1518/314 8/27/2003 1447000 Report Created On 6/11/2019 Ticket Summary Manual Print The asset owners listed below have been requested to contact you with information about their asset locations within 2 working days. It is your responsibility,to identify the presence of any underground assets in and around your proposed dig site. • Do not proceed with any excavation until all Public Utility owners listed have marked out their facilities or have contacted you directly • Ensure you adhere to any State legislative requirements regarding safe digging requirements. • If you damage an underground Public Utility you MUST advise the Public Utility owner immediately. • For more information on safe excavation practices,visit www.cbyd.com Ticket Lodging Details CBYD Request Number 20192202145 Job lodged on 05/29/2019 - 11:28:43 am Priority Normal Job was lodged by Web Delivery Method Email -demo@buildingwreckers.com Ticket Details 235 Buckland Road Address SOUTH WINDSOR CT Nearest cross street Deming St Ticket Type Routine Type of Work Construction Activity Demolition Excavation Method Machine Exc Job Start 06/04/2019 Job Completion 07/03/2019 User Reference 2019056 Excavator Doing Work Associated Building Wreckers Location of Workplace Private Property Is area pre-marked? Yes Remarks demolish entire site Your request has been submitted. Shortly you will receive an email confirming your ticket and listing the utility owners who will respond to you regarding the location of their facilities. • If you do not receive a confirmation email for this ticket, please contact the CBYD center by calling 811 or 1800- 922-4455. Important: Refer to the Call Before You Dig guidelines for details of the process- https://www.cbyd.com/excavator/reference-qULdU Remember- Do not proceed with your work until ALL utility owners listed have either marked the locations of their facilities or have contacted you indicating no facilities are present. Utility List The following utilities are affected by this ticket Type Authority Station code Phone Status Gas CONNECTICUT NATURAL GAS CORP G5 860-727-3206 Notification Sent Water CONNECTICUT WATER COMPANY CW 1-800-286-5700 Notification Sent Comms COX COMMUNICATIONS GV 800-778-9140 Notification Sent Electricity EVERSOURCE ELECTRIC C1 800-778-9140 Notification Sent Gas EVERSOURCE GAS 5G 203-206-5702 Notification Sent Comms FRONTIER COMMUNICATIONS F5 800-778-9140 Notification Sent Council/Shire TOWN OF SOUTH WINDSOR SW 860-644-2511 x344 Notification Sent UNDERGROUND STORAGE TANK REMOVAL REPORT • ISSUED:JUNE I,2019 • 235 BUCKLAND ROAD SOUTH WINDSOR, CONNECTICUT 06074 • REMOVAL OF ONE (1) 500-GALLON (48" x 55) RESIDENTAL HEATING OIL TANK • PREPARED FOR: EVERGREEN WALK LLC 1 109 ROSE LAND • VIRGINIA BEACH, VIRGINIA 23451 C/O NORTHEAST RETAIL LEASING • 360 BLOOMFIELD AVENUE, SUITE 208 • WINDSOR, CONNECTICUT 06095 • TOWN OF SOUTH WINDSOR TOWN HALL JUN 2 5 ZU1b 1540 SULLIVAN AVENUE South Windsor SOUTH WINDSOR, CONNECTICUT 06074 8ulfdm • ATTN: MICHAEL ROSE • DEPARTMENT OF ENERGY AND ENVIRONMENTAL PROTECTION BUREAU OF MATERIALS MANAGEMENT AND COMPLIANCE ASSURANCE • STORAGE TANK ENFORCEMENT AND PCB UNIT • 79 ELM STREET HARTFORD, CONNECTICUT 06106 PREPARED BY: PATH ENVIRONMENTAL LLC 3600 CLIPPER MILL ROAD, SUITE 201 • BALTIMORE, MARYLAND 21211 443.255.9684 1 PATHENVIRONMENTAL.COM • PATH PROJECT#: 1900902 • DATU • Ar IL . . . ■ . . • ENVIRONMENTAL • PATH ENVIRONMENTAL LLC PROJECT z 190902 • • TABLE OF CONTENTS • S1.0 INTRODUCTION................................................................................................................3 2.0 UNDERGROUND STORAGE TANK REMOVAL.........................................................4 • 3.0 SOIL SAMPLING & ANALYSIS........................................................................................6 4.0 SIGNATURE OF PARTICIPATING PROFESSIONAL ................................................6 LIST OF FIGURES • 1. GENERAL SITE LOCATION MAP • 2. SITE SKETCH LIST OF APPENDICES • I. PHOTO LOG 2. STATE OF CONNETICUT UST REMOVAL (PLUMBING & PIPING LIMITED CONTRACTOR) LICENSE • 3. OIL/SLUDGE & TANK DISPOSAL CERTIFICATES • 4. ANALYTICAL RESULTS PATH ENVIRONMENTAL • Page 2 of 6 3600 Clipper Mill Road. Suite 201 1 Baltimore. Maryland 21211 • 443.255.9684 1 pathenvironmental.com • • PATH ENVIRONMENTAL LLC PROJECT#190902 1.• 1 INTRODUCTION • Path Environmental LLC provided oversight and documented the removal of one (1) 500-gallon bare steel residential heating oil underground storage tank (UST) at a former residence • ("subject property") located at 235 Buckland Road in South Windsor, Connecticut. The general • site location of the subject property is shown below in Figure I • Figure I.General Site Location Map . v v ,3 • o • SUBJECT .... Q, PROPERTY X o • • • The presence of this tank was known by the property owners and property managers prior to the date of excavation; however, given the estimated age of the tank (tank is greater than 25 years old), the tank was not registered with the State of Connecticut or included on the State of Connecticut Department of Energy & Environmental Protection (DEEP) Underground Storage • Tank database. This UST is suspected to have been historically used for the storage of heating • oil to fuel the furnace in the basement of the residential structure. A site sketch showing the • approximate location of the UST is included in Figure 2. • (THIS SPACE INTENTIONALLY LEFT BLANK) • • • PATH ENVIRONMENTAL • Page 3 of 6 3600 Clipper Mill Road, Suite 201 i Baltimore, Maryland 21211 • 443.255.9684 i pathenvironmental.com • • • • • • • • • • • • • • • • • • • • • • • • • i • • • • • • • • • • • • • • • • • • • • PATH ENVIRONMENTAL LLC PROJECT tt19090I • • Figure 2.Site Sketch i, • i 500•G FILL PORT _ u.R.oN / HEATING Oa US EN PIPE , , i , � I i • RESnENW , SaacuiE , • I I , !I O • ' ❑a.E 9wr 3� I 3 • I , U , • APPRox.35 FEET _ I • • R UNDERGROUND STORAGE REMOVAL • On May 13, 2019, Path Environmental LLC (PATH) oversaw the removal of one (1) approximately 500-gallon underground storage tank (5.5' long x 48" diameter), and associated piping, located at the subject property. A photo log documenting the tank removal, associated • equipment/piping removal, and petroleum impacted soil removal is included as Appendix I Tankworks of Connecticut LLC (Tankworks), a State of Connecticut-licensed underground • storage tank removal contractor (Plumbing & Piping Limited Contractor License #PLM.0208624- • P7, effective: November I, 2018, expiration: October 31, 2019), removed the tank under the • oversight of Path Environmental LLC and under the supervision of Michael Rose, Building Official of the Town of South Windsor. A copy of the license is included in Appendix 2. Tankworks arrived to the property at approximately 7:30 AM and located the marked fill port • and vent pipe to the rear north-facing exterior wall of the existing two-story with a basement, PATH ENVIRONMENTAL • Page 4of6 3600 Clipper Mill Road. Suite 201 1 Baltimore, Maryland 21211 . 443.255.9684 i pathenvironmental.com • 0 • • • • • 0 • • • 0 • • ! • • i • • • • • 0 • 0i • • • • • • • • • • • i • • o • • • • PATH ENVIRONMENTAL LLC PROJECT#190902 • vacant, residential structure. The vent pipe was observed adjacent to the housing residence and • fill port located at ground level. •• At approximately 8:00 AM, Tankworks began unearthing the UST by scraping away the existing ground-cover surfaces using an excavator. No petroleum odor was observed from the soils immediately surrounding the fill port or at any time during the excavation. . At approximately 9:00 AM, the top of the UST was exposed. A small hole was punctured by the • excavator into the top of the tank and an oil/water mixture was removed via vacuum truck. At approximately 9:30 AM, a I x I foot hole was cut into the top of the tank and all liquids were removed from the tank via vacuum truck. Only a slight sheen was observed on the liquids within • the tank. A larger hole was then made into the top of the tank to allow for entry to further . clean the inside of the tank. Approximately 15 gallons of non-hazardous/non-regulated oily water (10% sludge) was removed from the tank via vacuum truck. At approximately 12:30 AM, the UST was removed from the excavation and the vent pipe was • cut from the wall. The tank was removed and the exterior scraped to remove any remaining soil. The tank was inspected by Michael Rose, Building Official of the Town of South Windsor. • Mr. Rose did not provide Path with a copy of a field report. No pitting, perforations, or significant deterioration creating holes in was observed. Utilizing a • field calibrated photoionization detection (PID) meter, Path personnel screened the soils . excavated from the tank bed and found no elevated readings. All reads were less than 0.1 ppm total volatile organic compounds (VOCs). No evidence of any release, stain or discolored soils, or sheen on perched groundwater was observed in the tank bed. One (1) confirmatory soil sample was collected and submitted to Phoenix Environmental Laboratories, Inc. of Manchester, Connecticut under completed chain-of-custody. The laboratory was instructed to analyze the • soil for the presence of petroleum-related compounds via EPA Method 8260 and EPA Method 8015 and report detectable concentrations of volatile organic compounds (VOCs), total • petroleum hydrocarbons —gasoline-range organic (TPH-DRO) compound, and total pretorluem hydrocarbons—diesel-range organic (TPH-GRO) compounds. • At approximately 1:00 PM, based on the field observations (no odor, staining, and PID readings) the soil was backfilled. The removed tank was properly disposed by Tankworks and copies of the liquid and UST disposal receipts are included in Appendix 3. The oil/sludge was disposed at Tradebe Waste • Disposal Facility located at 136 Gracey Avenue in Meriden, Connecticut and the tank was • disposed at City Scrap Yard located at 26 Fishfry Street in Hartford, Connecticut. 0 PATH ENVIRONMENTAL Page 5 of 6• 3600 Clipper Mill Road, Suite 201 i Baltimore. Maryland 21211 • 443.255.9684 i pathenvironmental.com • • • • � • • • • • • • • • • • • • • • s • � • • • • • • • • • • s • • s • • • • • • • • 0 • • PATH ENVIRONMENTAL LLC PROJECT#190902 • 1 SOIL • • One (1) soil sample was collected from the excavation from soils underlying the UST. The • sample was analyzed for VOCs,TPH-DRO, and TPH-GRO. • No VOCs, TPH-DRO, TPH-GRO, or fuel oxygenates were detected. The laboratory generated 0 analytical report is included in Appendix 4. • This work has been undertaken and performed in accordance with generally accepted environmental practices. Recommendations have been reached based upon the described investigation. No warranty, expressed or implied, is made. • 1 • PROFESSIONAL 0 • (THIS SPACE INTENTIONALLY LEFT BLANK) • 0 • 0 w• Justin W. Custer, Vice President Geologist/ Environmental Specialist Signature June I, 2019 • Date PATH ENVIRONMENTAL • Page 6 of 6 3600 Clipper Mill Road, Suite 201 1 Baltimore, Maryland 21211 443.255.9684 1 pathenvironmental.com • � • • • • • ! • • • • • • • • • • • � i • • • !• � � • • � ! • • • • • • • • • • • � • 0 0 APPENDIX 1. PHOTO LOG M 0 PATH ENVIRONMENTAL 3600 Clipper Mill Road, Suite 201 1 Baltimore, Maryland 21211 443.255.9684 1 path environmental.com • I00900000000000000000000000000000000000000000 I II • • Underground Stoage Tank(UST)Removal 235 Buckland Road South Windsor,CT May 13,2019 • __ f F • • Photo 1.The 500-gallon residential heating oil UST was uncovered Photo 2.Once uncovered and side walls scraped.The UST was • and top carefully scraped, removed from the excavation. • • • (t • � -- _ � `',� -#fit Y '� Photo I All sides of the tank were observed and no indication of any Photo 4.Side wall of UST. • pitting or significate deterioration resulting in holes were observed. • • • y ;•�- ,�1+`'cw� +.. air • � -�r .'r-a by � � , `C L•T' .s �4!'tis�i+ a.+:��s ��s � ice_ • ..... _ .. ���'�'� .'Ai�y.�f.fig� ,'I .. .�1�[�j Photo 5. Side wall of UST Photo 6 Side wall of UST. • Path Environmental LLC • Project#190902 • Underground Stoage Tank(UST)Removal 235 Buckland Road South Windsor,CT May 13,2019 • • l 4 ` ai:.fi►Z'ir�!`I "?��_ � �Jfe _..:w_ • Photo 7 Sidewa11 of UST. Photo 8.All contents from the tank were pumped and the tank was • cleaned before transported for proper disposal. I • kol • ,�a 5 �`�.;i ram` ," .� .�i ,���. fu Photo 9 View of tank bed. No indication of a release was observed. Photo 10.One(1)confirmatory soil sample was collected from the center • of the tank bed and submitted for laboratory analysis.The soils were screened using a PID meter. No indication of a release was observed. • The excavation was then backfilled. 0 • • • • • • • • • • • • Path Environmental LLC • Project#190902 APPENDIX 2. STATE OF CONNECTICUT UST REMOVAL (PLUMBING & PIPING LIMITED CONTRACTOR) LICENSE r PATH ENVIRONMENTAL • 3600 Clipper Mill Road, Suite 201 1 Baltimore, Maryland 21211 • 443.255.9684 1 pathenvironmental.com • • s • • • • • • • s • � • • � • • • • • • • • • • • • • • • • s • • • • • • • • • • • • . moo, .�.•k t'-,�~�F1•\Sv,� :�•�,'•�i•.r% :..•.,�\'' r:��'•}:%'.. :_','�ti xY•i,:• ;it•v}� =i.{{{{� f�.:::t.,,15:•'I ti, •f' r•,•}., 't'.rt 'f�,n ";�• i - ,. - ..}... � :� y�a.%ic=- r r'. •.vt:�},,..,'.-. .,;, •.�ty'%':: ;�•.,•:h1.ff,•: ..}.•,••: :,,},.,'t: .Av:• ahS�y., •,l.}r/. .,.{^} 'f'�., `t `I •t 'f� •V •2 •♦ r.' %IRt'•. ^� .r. t •,1f. h•` t l y .. \ *,� , • 1 ' ' / , 6�� t �'?��, •� `. it I r 1�; � +l �'<<•�y. • -N �• Y `� ��� �� _ ;k � y (•1 s��S� �h �j�uS�""; rc�� �i�t f��' iJ �f... a•, ,f J,,•, s -f ,r• .ti fft •,� •.�: ..0 :�i i ! •7 ••CC f/!' f '1' r• �{ f f - i tt f t� t•f •'v i, •J tt• r v ,> 7 :�' •ti r �.{; ;:� sit s L. 'tit. �•t.'.::=..;fr .K ••Y .� •:{�'ti:• ''t� !� •7 ''4'Y.S�" •.•, �• V' C..- •,r. '��Tt ..�{ '�� '•�.f•t.; r ti.s:. :�•.t• :w 1 t, .,,•y,t..' {'•;;� 't m,,,�t, y., •. ..74aw..• �.7. •., •7.'' �.ti '" ti fit.' "w \•t•;�;'{� \: !f r .•,. �J}�'' :i';• rr.,,, ,�,. ,• ,�.. �.. . :, '{t, -•;�•;rt se:, f;�i •�.s•ti'� ;:�••;�ii... .;�+. �t•"�?•=• • .�,1?� 'iJ- '�2• �Sw k• •mot- it . /3�. '/A. 2w �•. jt�. ,�t�, , J•.' ..t•••, riw �Jw �1w, %I• ..1 .J• \ ,•rJ� ,ice.. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • � • i • • • • • • • • APPENDIX 3. OIL/SLUDGE & TANK DISPOSAL CERTIFICATES 0 PATH ENVIRONMENTAL • 3600 Clipper Mill Road, Suite 201 1 Baltimore, Maryland 21211 • 443.255.9684 1 pathenvironmental.com • 0 0 0 Fuel Tank Disposal Certificate THIS CERTIFIES THAT TANKWORKS LEGALLY DISPOSED OF ONE (1) 1,000 GALLON UNDERGROUND HEATING OIL TANK From: 235 Buckland Road South Windsor, CT 06074 AT: City Scrap Yard 26 Fishfry St, Hartford, CT 06120 On Monday May 13, 2019 Rosemary Viola Rainville/Owner • • • • • • • • • � • • • • • • • • ! • • • • • • • • • • • • • • • • i • • • • • • • • Heating Oil Disposal Certificate THIS CERTIFIES THAT TANKWORKS LEGALLY DISPOSED OF ONE ALL REMAINING OIL AND SLUDGE IN THE UNDERGROUND HEATING OIL TANK From: 235 Buckland Road South Windsor, CT 06074 AT: Tradebe Waste Disposal Facility 136 Gracey Ave Meriden, CT 06451 Rosemary Viola Rainville/Owner 0 APPENDIX 4. ANALYTICAL RESULTS •0 PATH ENVIRONMENTAL 3600 Clipper Mill Road, Suite 201 1 Baltimore, Maryland 21211 • 443.255.9684 1 pathenvironmental.com • • • PH0F,1VIX(,,--.-,--- ,e5a-,, • Environmental Laboratories, Inc. • • • Thursday, May 16, 2019 • • Attn: Justin W. Custer Path Environmental, LLC. • 3600 Clipper Mill Road Suite 201 • Baltimore, MD 21211 • Project ID: 235 BUCKLAND ROAD UST REMOVAL S SDG ID: GCD11378 • Sample ID#s: CD11378 • This laboratory is in compliance with the NELAC requirements of procedures used except where indicated. This report contains results for the parameters tested, under the sampling conditions • described on the Chain Of Custody, as received by the laboratory. This report is • incomplete unless all pages indicated in the pagination at the bottom of the page are included. All soils, solids and sludges are reported on a dry weight basis unless otherwise noted • in the sample comments. A scanned version of the COC form accompanies the analytical report and is an exact • duplicate of the original. If you are the client above and have any questions concerning this testing, please do • not hesitate to contact Phoenix Client Services at ext.200. The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. • • Sincerely yours, • ALL • Phyllis hiller • Laboratory Director • • NJ Lab Registration #CT-003 NELAC -#NY11301 NY Lab Registration #11301 CT Lab Registration #PH-0618 PA Lab Registration #68-03530 • MA Lab Registration #M-CT007 RI Lab Registration #63 • ME Lab Registration #CT-007 UT Lab Registration #CT00007 NH Lab Registration #213693-A,B VT Lab Registration #VT11301 • • 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06040 Telephone(860)645-1102 Fax(860)645-0823 • Page 1 of 12 ��• • • • • • • • • • • • • • • � • • i • • • • • • • • • � � � • • `� i • • • • • • • • • PHOENIXi.5,m F • q-nW L, ^� Environmental Laboratories, Inc. 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 NY# 11301 • Tel.(860)645-1102 Fax(860)645-0823 • SDG Comments 0 May 16, 2019 SDG I.D.. GCD11378 • CD11378- Client provided soil jar for volatile analysis. Phoenix prepared sample per method 5035. • Page 2 of 12 • PH0EWXM,, ..Environmental Laboratories, Inc. • 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 0 Tel.(860)645-1102 Fax(860)645-0823 Sample Id Cross Reference May 16, 2019 SDG I.D.. GCD11378 Project ID: 235 BUCKLAND ROAD UST REMOVAL Client Id Lab Id Matrix BR-051319 ICD11378 SOIL s • • • s • • 0 • • • • • • • • • • • i • • • • • • r 0 Page 3 of 12 • • • • • • • • � • • • • s � � • • • • � • � • • • • • • • • s • • • • • � • • • • � • • • • • PHOENIX - Environmental Laboratories, Inc. • 587 East Middle Turnpike,P.O.Box 370, Manchester,CT 06045 • Tel.(860)645-1102 Fax(860)645-0823 • Analysis Report FOR: Attn: Justin W. Custer • Path Environmental, LLC. May 16, 2019 3600 Clipper Mill Road Suite 201 • Baltimore, MD 21211 Sample Information Custody Information Date Time • Matrix: SOIL Collected by: 05/13/19 9:30 • Location Code: PATHENV Received by: CP 05/13/19 13:21 Rush Request: Standard Analyzed by: see"By" below • P.O.#. Laboratory Data SDG ID: GCD11378 Phoenix ID: CD11378 Project ID: 235 BUCKLAND ROAD UST REMOVAL • Client ID: BR-051319 RU • Parameter Result PQL Units Dilution Date/Time By Reference Percent Solid 88 % 05/13/19 ML SW846%Solid Extraction of CT ETPH Completed 05/13/19 Q/QNL SW3545A • Gasoline Range Hydrocarbons (C6-CIO) • GRO(C6-C10) ND 5.5 mg/Kg 50 05/15/19 KB SW8015D QA/QC Surrogates • %2,5-Dibromotoluene(FID) 98 % 50 05/15/19 KB 70- 130% • TPH by GC (Extractable Products) • Ext. Petroleum H.C. (C9-C36) ND 56 mg/Kg 1 05/15/19 JRB CTETPH 8015D • Identification ND mg/Kg 1 05/15/19 JRB CTETPH 8015D QA/QC Surrogates • % n-Pentacosane 70 % 1 05/15/19 JRB 50-150% Volatiles • 1,1,1,2-Tetrachloroethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • 1,1,1-Trichloroethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • 1,1,2,2-Tetrachloroethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C 1,1,2-Trichloroethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • 1,1-Dichloroethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C 1,1-Dichloroethene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C 1,1-Dichloropropene ND 5.7 ug/Kg 1 05/14/19 Al SW8260C • 1,2,3-Trichlorobenzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • 1,2,3-Trichloropropane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • 1,2,4-Trichlorobenzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C 1,2,4-Trimethylbenzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • 1,2-Dibromo-3-chloropropane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • 1,2-Dibromoethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • Ver 1 • • Page 4 of 12 Project ID: 235 BUCKLAND ROAD UST REMOVAL Phoenix I.D.. CD11378 M Client ID: BR-051319 • RL/ Parameter Result PQL Units Dilution Date/Time By Reference • 1,2-Dichlorobenzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C 1,2-Dichloroethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • 1,2-Dichloropropane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • 1,3,5-Trimethylbenzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C 1,3-Dichlorobenzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • 1,3-Dichloropropane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C 1,4-Dichlorobenzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • 2,2-Dichloropropane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C 2-Chlorotoluene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • 2-Hexanone ND 28 ug/Kg 1 05/14/19 JLI SW8260C • 2-Isopropyltoluene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C 4-Chlorotoluene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • 4-Methyl-2-pentanone ND 28 ug/Kg 1 05/14/19 JLI SW8260C • Acetone ND 110 ug/Kg 1 05/14/19 JLI SW8260C Acrylonitrile ND 11 ug/Kg 1 05/14/19 JLI SW8260C Benzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • Bromobenzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • Bromochloromethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C Bromodichloromethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • Bromoform ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C Bromomethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C Carbon Disulfide ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C Carbon tetrachloride ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • Chlorobenzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • Chloroethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C Chloroform ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • Chloromethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • cis-1,2-Dichloroethene ND 5.7 ug1Kg 1 05/14/19 JLI SW8260C • cis-1,3-Dichloropropene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C Dibromochloromethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C i Dibromomethane ND 5.7 ug/Kg 1 05/14119 JLI SW8260C • Dichlorodifluoromethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C Ethylbenzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • Hexachlorobutadiene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • Isopropylbenzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C m&p-Xylene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C A Methyl Ethyl Ketone ND 28 ug/Kg 1 05/14/19 JLI SW8260C • Methyl t-butyl ether(MTBE) ND 11 ug/Kg 1 05/14/19 JLI SW8260C • Methylene chloride ND 11 ug/Kg 1 05/14/19 JLI SW8260C Naphthalene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • n-Butylbenzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C . n-Propylbenzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C o-Xylene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • p-Isopropyltoluene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • sec-Butylbenzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C . Styrene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C tert-Butylbenzene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • Tetrachloroethene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • Tetrahydrofuran(THF) ND 11 ug/Kg 1 05/14/19 JLI SW8260C • Ver 1 • • Page 5 0/72 Project ID: 235 BUCKLAND ROAD UST REMOVAL Phoenix I.D.. CD11378 Client ID: BR-051319 • RU • Parameter Result PQL Units Dilution Date/Time By Reference Toluene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C Total Xylenes ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • trans-1,2-Dichloroethene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • trans-1,3-Dichloropropene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C trans-1,4-dichloro-2-butene ND 11 ug/Kg 1 05/14/19 JLI SW8260C Trichloroethene ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • Trichlorofluoromethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C • Trichlorotrifluoroethane ND 5.7 ug/Kg 1 05/14/19 JLI SW8260C Vinyl chloride ND 5.7 ug/Kg 1 05114/19 JLI SW8260C • QA/QC Surrogates % 1,2-dichlorobenzene-d4 98 % 1 05/14/19 JLI 70-130% % Bromofluorobenzene 97 % 1 05/14/19 JLI 70-130% • % Dibromofluoromethane 99 % 1 05/14/19 JLI 70-130% %Toluene-d8 96 % 1 05/14/19 JLI 70- 130% • RL/PQL=Reporting/Practical Quantitation Level ND=Not Detected BRL=Below Reporting Level • QA/QC Surrogates:Surrogates are compounds (preceeded with a%)added by the lab to determine analysis efficiency. Surrogate • results(%) listed in the report are not"detected"compounds. Comments: • This sample was not collected in accordance with EPA method 5035. NELAC requires the laboratory to qualify the volatile soil data as biased low. The GRO(C6-C10)is quantitated using an gasoline standard. • All soils,solids and sludges are reported on a dry weight basis unless otherwise noted in the sample comments. If you are the client above and have any questions concerning this testing,please do not hesitate to contact Phoenix Client Services at ext.200. • The contents of this report cannot be discussed with anyone other than the client listed above without their written consent. • • Phyllis hiller, Laboratory Director May 16,2019 Reviewed and Released by: Helen Geoghegan, Project Manager • Ver 1 • • Page 6 o/12 • • • • • • • • • • • • • • • • • • • • • i • • • • • • • • • • • • • • • • • • i • • • PHOENIX , Environmental Laboratories, Inc. • 587 East Middle Turnpike, P.O.Box 370, Manchester,CT 06045 QA/QC Report Tel. (860)645-1102 Fax(860)645-0823 May 16, 2019 QA/QC Data SDG I.D.. GCD11378 % % • Blk LCS LCSD LCS MS MSD MS Rec RPD • Parameter Blank RL % % RPD % % RPD Limits Limits • QA/QC Batch 478654 (mg/Kg), QC Sample No: CD11337 (CD11378) TPH by GQ (Extractable Products) - Soil • Ext.Petroleum H.C.(C9-C36) ND 50 87 103 16.8 62 67 7.8 60 120 30 %n-Pentacosane 81 % 82 91 10.4 63 63 0.0 50 150 30 • Comment: Additional surrogate criteria: LCS acceptance range is 60-120%MS acceptance range 50-150%.The ETPH/DRO LCS has been • normalized based on the alkane calibration. QA/QC Batch 479018 (mg/Kg), QC Sample No: CD11378(CD11378(50X)) Gasoline Range Hydrocarbons (Q6Q10) - Soil GRO(C6-C10) ND 0.10 86 86 0.0 99 99 0.0 70-130 30 i %2,5-Dibromotoluene(FID) 94 % 90 92 2.2 99 101 2.0 70-130 30 • QA/QC Batch 478779 (ug/kg), QC Sample No: CD11378(CD11378) • Volatiles - Soil 1,1,1,2-Tetrachloroethane ND 5.0 94 91 3.2 87 83 4.7 70-130 30 1,1,1-Trichloroethane ND 5.0 93 92 1.1 84 89 5.8 70-130 30 1,1,2,2-Tetrachloroethane ND 3.0 92 94 2.2 88 83 5.8 70-130 30 1,1,2-Trichloroethane ND 5.0 91 92 1.1 86 82 4.8 70-130 30 • 1,1-Dichloroethane ND 5.0 96 95 1.0 90 91 1.1 70-130 30 • 1,1-Dichloroethene ND 5.0 102 98 4.0 92 95 3.2 70-130 30 1,1-Dichloropropene ND 5.0 97 94 3.1 89 90 1.1 70-130 30 1,2,3-Trichlorobenzene ND 5.0 96 97 1.0 68 66 3.0 70 130 30 m • 1,2,3-Trichloropropane ND 5.0 92 96 4.3 88 85 3.5 70 130 30 1,2,4-Trichlorobenzene ND 5.0 91 92 1.1 66 64 3.1 70-130 30 m • 1,2A-Trim ethylbenzene ND 1.0 93 95 2.1 85 83 2.4 70-130 30 • 1,2-Dibromo-3-chloropropane ND 5.0 87 93 6.7 86 79 8.5 70 130 30 1,2-Dibromoethane ND 5.0 92 91 1.1 82 80 2.5 70-130 30 • 1,2-Dichlorobenzene ND 5.0 93 95 2.1 83 79 4.9 70 130 30 • 1,2-Dichloroethane ND 5.0 94 94 0.0 88 85 3.5 70 130 30 1,2-Dichloropropane ND 5.0 96 97 1.0 91 90 1.1 70 130 30 • 1,3,5-Trimethylbenzene ND 1.0 93 93 0.0 88 85 3.5 70 130 30 • 1,3-Dichlorobenzene ND 5.0 95 94 1.1 81 79 2.5 70 130 30 1,3-Dichloropropane ND 5.0 91 92 1.1 85 81 4.8 70 130 30 • 1,4-Dichlorobenzene ND 5.0 94 93 1.1 79 76 3.9 70 130 30 • 2,2-Dichloropropane ND 5.0 99 93 6.3 84 87 3.5 70 130 30 2-Chlorotoluene ND 5.0 95 96 1.0 89 87 2.3 70-130 30 • 2-Hexanone ND 25 80 79 1.3 65 64 1.6 70 130 30 m • 2-Isopropyltoluene ND 5.0 93 92 1.1 85 84 1.2 70.130 30 4-Chlorotoluene ND 5.0 91 91 0.0 81 80 1.2 70-130 30 • 4-Methyl-2-pentanone ND 25 85 88 3.5 76 77 1.3 70 130 30 • Acetone ND 10 89 86 3.4 62 66 6.3 70-130 30 m Acrylonitrile ND 5.0 88 89 1.1 64 66 3.1 70-130 30 m • Benzene ND 1.0 96 94 2.1 91 88 3.4 70-130 30 • Page 7 of 12 • � � � � � � � � � � � � � � � � � � � � � � r � � � � � � � � � � � � � � � � � � � • QA/QC Data SDG I.D.. GCD11378 Rio Rio • Blk LCS LCSD LCS MS MSD MS Rec RPD • Parameter Blank RL % % RPD % % RPD Limits Limits Bromobenzene ND 5.0 90 92 2.2 84 79 6.1 70 130 30 Bromochloromethane ND 5.0 91 92 1.1 85 83 2.4 70 130 30 • Bromodichloromethane ND 5.0 94 94 0.0 89 88 1.1 70 130 30 Bromoform ND 5.0 91 90 1.1 80 76 5.1 70 130 30 • Bromomethane ND 5.0 98 93 5.2 87 90 3.4 70 130 30 . Carbon Disulfide ND 5.0 95 93 2.1 83 88 5.8 70 130 30 • Carbon tetrachloride ND 5.0 93 94 1.1 84 90 6.9 70 130 30 Chlorobenzene ND 5.0 94 93 1.1 86 83 3.6 70 130 30 • Chloroethane ND 5.0 94 89 5.5 85 89 4.6 70-130 30 • Chloroform ND 5.0 94 91 3.2 86 86 0.0 70 130 30 Chloromethane ND 5.0 89 89 0.0 82 83 1.2 70 130 30 • cis-1,2-Dichloroethene ND 5.0 97 93 4.2 91 87 4.5 70-130 30 • cis-1,3-Dichloropropene ND 5.0 97 99 2.0 88 86 2.3 70.130 30 Dibromochloromethane ND 3.0 94 94 0.0 87 84 3.5 70-130 30 • Dibromomethane ND 5.0 93 93 0.0 86 84 2.4 70-130 30 • Dichlorodifluoromethane ND 5.0 85 84 1.2 72 76 5.4 70-130 30 Ethylbenzene ND 1.0 95 95 0.0 89 86 3.4 70-130 30 • Hexachlorobutadiene ND 5.0 100 102 2.0 81 83 2.4 70-130 30 • Isopropylbenzene ND 1.0 94 95 1.1 88 86 2.3 70-130 30 m&p-Xylene ND 2.0 94 94 0.0 86 84 2.4 70-130 30 • Methyl ethyl ketone ND 5.0 90 87 3.4 76 79 3.9 70-130 30 • Methyl t-butyl ether(MTBE) ND 1.0 84 91 8.0 81 80 1.2 70-130 30 Methylene chloride ND 5.0 91 87 4.5 80 82 2.5 70-130 30 Naphthalene ND 5.0 98 99 1.0 76 72 5.4 70-130 30 • n-Butylbenzene ND 1.0 100 99 1.0 86 85 1.2 70 130 30 n-Propylbenzene ND 1.0 96 96 0.0 89 86 3.4 70 130 30 • o-Xylene ND 2.0 97 93 4.2 88 84 4.7 70 130 30 • p-Isopropy[toluene ND 1.0 96 95 1.0 86 85 1.2 70 130 30 sec-Butylbenzene ND 1.0 101 101 0.0 94 92 2.2 70 130 30 • Styrene ND 5.0 93 92 1.1 82 80 2.5 70 130 30 • tert-Butylbenzene ND 1.0 95 95 0.0 88 87 1.1 70 130 30 Tetra chloroethene ND 5.0 99 97 2.0 87 86 1.2 70 130 30 • Tetrahydrofuran(THF) ND 5.0 84 87 3.5 78 78 0.0 70 130 30 Toluene ND 1.0 98 97 1.0 91 90 1.1 70 130 30 trans-1,2-Dichloroethene ND 5.0 99 98 1.0 95 94 1.1 70 130 30 trans-1,3-Dichloropropene ND 5.0 94 93 1.1 82 81 1.2 70 130 30 trans-1,4-dichloro-2-butene ND 5.0 90 94 4.3 76 72 5.4 70-130 30 Trichloroethene ND 5.0 95 92 3.2 89 89 0.0 70-130 30 Trichlorofluoromethane ND 5.0 82 79 3.7 76 80 5.1 70-130 30 • Trichlorotrifluoroethane ND 5.0 101 99 2.0 93 96 3.2 70-130 30 Vinyl chloride ND 5.0 91 91 0.0 85 90 5.7 70-130 30 . %1,2-dichlorobenzene-d4 98 % 98 101 3.0 98 98 0.0 70-130 30 • %Bromofluorobenzene 96 % 99 97 2.0 97 97 0.0 70-130 30 %Dibromofluoromethane 100 % 101 101 0.0 99 99 0.0 70 130 30 • %Toluene-d8 96 % 102 101 1.0 101 104 2.9 70.130 30 • Comment: Additional 8260 criteria:10%of LCS/LCSD compounds can be outside of acceptance criteria as long as recovery is 40-160%. m=This parameter is outside laboratory MS/MSD specified recovery limits. • i • Page 8 of 12 QA/QC Data SDG I.D.. GCD11378 Rio Rio • Blk LCS LCSD LCS MS MSD MS Rec RPD • Parameter Blank RL % % RPD % % RPD Limits Limits • If there are any questions regarding this data, please call Phoenix Client Services at extension 200. RPD- Relative Percent Difference • LCS - Laboratory Control Sample /, DD'• LCSD- Laboratory Control Sample Duplicate (///�., MS- Matrix Spike Phyllis hiller, Laboratory Director MS Dup- Matrix Spike Duplicate May 1 , 2 119 • NC - No Criteria • Intf- Interference • Page 9 of 12 I � • Thursday,May 16.2019• Criteria: None Sample Criteria Exceedances Report State: CT GCD11378-PATHENV • RL Analysis SampNo Acode Phoenix Analyte Criteria Result RL Criteria Criteria Units • No Data to Display • Phoenix Laboratories does not assume responsibility for the data contained In this exceedance report. It is provided as an additional tool to Identify requested criteria exceedences. All efforts are made to ensure the accuracy of the data(obtained from appropriate agencies). A lack of exceedence information does not necessarily suggest conformance to the criteria. It is ultimately the site professional's responsibility to determine appropriate compliance. • • • • • • • • • • • • • • • • • • • Page 10 of 12 • • • • • • • • 0000000000000000000000000000000000000000000o • �\ O �N ACCp90 0 PHOENIXO-,-�&- • Environmental Laboratories, Inc. NY# 11301 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06045 • Tel.(860)645-1102 Fax(860)645-0823 Analysis Comments May 16, 2019 SDG I.D.. GCD11378 • The following analysis comments are made regarding exceptions to criteria not already noted in the Analysis Report or • QA/QC Report: VOA Narration • CHEM14 05h3/19-2: CD11378 • The following Initial Calibration compounds did not meet RSD%criteria:Acetone 26%(15%), Methylene chloride 23%(15%) The following Initial Calibration compounds did not meet maximum RSD%criteria:None. • The following Initial Calibration compounds did not meet recommended response factors:Tetrachloroethene 0.181 (0.2) The following Initial Calibration compounds did not meet minimum response factors:None. • • Up to eight compounds can be outside of ICAL%RSD criteria and up to sixteen compounds can be outside of CCAL%Dev criteria if less than • 40%. • • • • • • • • • • • • • • • • • • • • • • • Page 17 of 72 WIMP 4111111, 41111111111, RV Milli, Milli, Milli, Ak -*- - -o-0000000000000000000000 Cooler. Yes No Coolant: IPK ICE N CHAIN OF CUSTODY RECORD 7em C Pg of Data Delivery/Contact Options: PH0ENjff*:7;114 587 East Middle Turnpike,P.O.Box 370,Manchester,CT 06040 Fax: Environmental Laboratories, Inc. Email:info@phoenixlabs.com Fax(860)645-0823 Phone: Client Services (860) 645-8726 ]Email: gi�F��e �Cnt�tro„n"tV0,&(-coo Customer: 'PA+k Fr1v(ronhttrftzLl LL C Project: 7.3r 13ucic1-Av,4t Rosd ViT¢etHaex) Project P.O: Address: 3(ec-Cl poc,1M-'{t eov4, C u01 Report to: ,Kcr"„ W Cy4mi This section MUST be tMD -2,%'LL l Invoice to: Ikth Ent 1cbj%wv%61 LLC completed with QUOTE# PO4-49" Bottle Quantities. lient Sample-Information-Identification Sampler's Analysis Sign Raw er re Date:13 MAV 2� Q �1 Zti y5 �o Request RDW3 t Code:=D ing W GW=Ground Water SW=Surface Water WW=Waste Water W= SE=Sediment SL=Sludge S=Soil SD=Solid W=Wipe OIL=Oi1 �� a� �► ��Oe Fe` �Py �`1P�`,o��` B=Bulk L=Liquid X= (Other) ? 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Q5 l4 t01.N CFr -7-oR�Gt,'apNl C i�c�P ouo c�NSEevATro►.� P►.Aa.> pt�Q•c.EL T' c x^" 1 o T, 1 V\NOtio2,Gah�1N'>`C:'['C uT-�SueyES gBU O RapDo 'Soc�THd- rp A ♦'ti f:,' 1�3 �bvo E 1l1 Qod ►1E TtcUT `7CbLE 1 = 40 _ ' GI LL D, diETZ1.1►J �AtJ G :' z'", ,r��. c_ � pd-r•,� /�qY S, 19 84• A �,.� �" p� :�t c+ �,'s'" v Z. -LEva-rlos.�ti iL�K� =Izai�. in ETTZaPvL tTa►J •D 7�'>zI CT � 4 M4if x P�[ buD �opaG,eaPu�cd� 5ue.,Ey innp, �Su��T- s�O, `���u wI►.�o'�� Y �c�+.� ��. �E�; c�85oZ �•�°$ :A <t �; _ k ' �. .`,"; D�Tu�►. t� �5c-�G 5 �bTU.�n ,�r-;�z. �� .:'��, �.,«� ti:r,� �r 1. Lv_ v • n Volume 245 Page 182 C361—WMMNTY DEED—NURWORENR 0111179 ALL-STATE LEGAL SUPPLY CO. .} FROM IND.OR CORP. - DORVST 200 ant11eW Street.Mwnts,n►ide,N.J.07002 . 871 0Mwsm� R Ol�lP, �P� lip tnuYu Tr,That We, DOROTHY D. HARRISON, FLOREttCE D. LANE, AUREL D. HAMBERLA�, all of South Windsor, Connecticut; WELLS L. DEWEY of Avon, Connecticut! MABEL �• WARD of East Berlin, Connecticut and ELMER T. DEWEY of Manchester ConnecticutF ' herein referred to as the Grantors, j y:€ tt for the consideration of FORTY FIVE THOUSAND ($45,000.00) DOLLARS jI L 1 i received to the full satisfaction of the Grantors, hereby give, grant, bargain, self and convey to RAYMOND k; F. HOYT and MARJORIE F. HOYT, both of the Town of South Windsor, County I• of Hartford and State of Connecticut, .f ' r herein referred to as the Grantees, and unto the aurtgror of there and unto such sur•vivorL Aeirs and assigns fomtr all that certain piece or parcel of land situated in the Town of South Windsor, being j bounded and described as followst j NORTHERLYt By land now or formerly of Henry Kupchunos et al, " now or formerly of Elmer T. and Jean S. Dewey, partly by each! I�A 'i EASTERLYt By land now or formerly of Elmer T. and Jean S. Dewey, by Buckland Road, and by land now or formerly n of James and Jeanne Sabi*, partly by eachl SOUTHERLYi By land now for formerly of James and Jeanne Sabia, . � • by land now or formerly of one Hackettl being land formerly of Walton W. Grant, and by land now or formerly of Catholic Cemetries Association, Inc., " i partly by each. ;i WESTERLYi By Lard now or formerly of Catholic Cemetries Associ atior., Inc. Containing eight acres of land more or less. } ` Said piece is subject to a 20 foot drainage right of way running along the Northerly boundary line of James and Jeanne Sabia in favor of the j Town of South Windsor as described in a Quit-Claim Deed from Levi T. jI Dewey to said Town dated November 3, 1967 and recorded in Volume 128, Page 114 of the South Windsor Land Recordsl and to a drainage easement running into said drainage right of way as'described in a Quit-Claim Deed from Levi T. Dewey to James and Jeanne H. Sabia dated November 31 1967 and recorded in Volume 121, Page 690 of the South Windsor Land o • Records. Said premises are subject to building, building line and zoning restric- tions of the Town of South Windsor and taxes on the List of October 1, 3 1977 which said taxes the Grantees herein assume and agree to pay as part consideration for this transfer. Cflnve�+a�nce Tax receive o 6' Town Clerk of South Windsor � t.. daughter of the deceased, of the Town of EAst Berlin, Connecticut; and ELMER T. DEWEY, son of the deceased, of the Town of North "H Chatham, Massachusetts , each of whom took one-sixth (1/6) of all such right, title and interest as said deceased had at the time of his decease in and to those two certain pieces or parcels of land ,: located in the Town of South Windsor, County of Hartford and State of Connecticut , described as follows : FIRST PIECE: Containing 10.6 acres more or less and being bounded and described as follows: ' NORTHERLY: by land now or formerly of J. Alden and Dorothy D. Harrison, and lane; now or formerly of Alfred W. ` Cavedon, partly by each; ; EASTERLY: By land now or formerly of Alfred W. Cavedon; , SOUTHERLY: by land now or for of Harvey and Velma Dubinsl� and land now or formerly of Karol and Gertrude y« Siuta, and land now or formerly of William E. and ;,v Arlene 11. Ready, partly by each; WESTERLY: By land now or formerly of William L . and Arlene H, Ready, by Buckland Road and by land now or former�y of J. Alden and Dorothy D. Harrison, partly by ea h,?,. SECOND PIECE: Containing $ acres more or less and being bounded and described as follows: • NOR`1'1lERLY: By land now or formerly of henry Kupchunos et al, �'. now or formerly of Elmer T. and Jean S. Dewey, partly by each; EASTERLY: land now or formerly of Elmer T. and Jean Dewey , by I3uckland Road, and by land now or forme- t . ' ly of James and Jeanne Sabia, partly by each; SOUTHERLY: By land now or formerly of Jameo and Jeanne Sabia, by land now or foett ; beinf; rmerly of one Hack lan� *, formerly of Walton W. Grant , and by land now or � r' formerly of Catholic Cemetries Association, partly by each. WESTERLY: By land now or formerly of Catholic Cemetries Asso ' iation, Inc. Said second piece is subject to a 20 foot drainage right of way run-„ ning along the Northerly boundary line of James and Jeanne Sabia i ,. . favor of the To of South Windsor as described in a Quit-Claim Deed from Levi T. Dewey to said. Town dated November 3 ,1967 and re- corded in Vol. 128, Pa;e 114 of South Windsor Land Records ; and to ;A drainage easement running into said drainage right of way as de a - scribed in a G�uit=Claim Deed from Levi T. Dewey to James and Sabia dated November 3, 1967 and recorded in Vol. 121, I Jeanne 11. +. _ . Page 690 of South Windsor Land Records. The above two pieces of land are the major portion of those first two pieces of land described in a Warrantee Deed from Charles J. 1-1 Dewey to Levi T. Dewey dated April 1 , 1918 and recorded' -in Vol. 21 Page 331 of South 'Windsor Land Records. 1 tteceived For Record k, .lc Lecember 21,1970 at CLLRI; I' 4:00 Sic<Van lin . '' ' t,ss'L 'Town Clerk �, ; *f' AWL r J. LO ui W 519.13' 820- 44' zoo- - �� o if) 300' 7-7717 4o n W 2�5 TZ •` 3p5.84' O Soo Lf) r GOO. 305 8 ' a 4 N N i CIF Hb�T N Z(o 00, SC).oa � l�J4C- . f TE S I 121i 3 Z E LEA! 87.►'z. Kl /5 i- TFS7 9I7 #Z � 1 ri Nor; : � h v a 43 �� ST• 13�X�5 io µ i&H . LE vEL 'o ►Z P-L)t..+ O 0TLE T u i pt' i to k/7 LL O TEST 9 i # � 0) ELEv 9o_G-L (M 1D C )4 Z--\-- T -- -- m Al 56 Cc) s (MDc 14q 7S/ 1=E5 o E I 150 S ''' /' f / 00 / t p i t- 1 Z I i SA.,o- ZoA"-, r, I 3O' r e (�q 34 tiles I FEA c H 1,4 C_0.3 -cE 4 C� -7S 3 w �c t u SO=B'L� i � S:JILVE - ltil TF_ 1Z17t7)C A F`Ij A T J 11,1 i S G - 0 _ 00 - o\ "4 _ f i - - SU r x BROAD 8M E�Ev goo ----- I S L f'T I C S I G P" PIERS � �� >�2a� FoIZn Lt-� Ct_) �IzIGHT )UCKLAn11) 2_IA SOC)T 1 k_)IN 1) r` O LUCEK ENGINEERING ASSOC. INC. N0. REVISIONS DATE SCALE � = Z-�' DATE t1 CONSULTING ENGINEERS Mou z SE n T�c_ TdHKL j-g 490 BUCKLAND ROAD DRAWN vv o CHECKED E SOUTH WINDSOR. CONN. -- 203-644-0550 - PROJECT SHEET ' ' I HEREBY CERTIFY THAT THIS . MAP AND SURVEY WERE PREPARED IN ACCORDANCE WITH THE ` STANDARDS OF A CLASS ^' SURVEY AS DEFINED. (N THE EXISTING "CODE OF PRACTICE FOR STANDARDS OF ACCURACY OF SURVEYS AND MAPS", ADOPTED BY THE CONNECTICUT --- ASSOCIATION OF LAND SURVEYORS INC. of0 PLOT P L L,t-A PO R E� RL O, 7C) PD LEE \NR ► G ► —T 6UCXLi-\S1D ROLL SOUTH W )N0SO R, C O N►4S c. 'C I C U 7 Sc. dLa - 1 - 2C� �PR11..� 15S4-.. 2 o I e . 1 1 - 11 w ---- 3co. ao' FDLD tZt,'AG _ / t� toy �� _— 9' � FOLD — (� 1 o o 1 1 1 N -DL�yp- - Z /-Z /,S 0� �"- rho �zoN,�c� tZ�.G,v�taT- lo►�s .r,oL.d.Z�t7 a (� r �IEeE��( C.ERTt�'�{ T+at�T Tu.� S MdP ��D Su2vEY A WE�c PREPdR�� �►1 dCCpQt7dt.iCE WIT" THE �rot.,00eos a� o c�cs5 a-2 5v2vay Lt� n1=FoNto i+.l TuE c��E oP PR�C�-Iclr �pcZ 'ZT4�.Q0/�Ra � c� Acc�R�cY of SuG2vEYS o►ao c�nbPS npcp'*'�c� 12 f10f "15 1]' dME;tJDEO nY 7"a 4:aN4►4, aSSoc.to-l;-la� cG' M r 'r �1 tJ+�ot� Lc�T��Fe ��. e�. L s, �►�►.� +'�,. 1�.427 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# Date: Aq✓IT/h Sprinkler# Estimated Cost $ Z�dt) FINAL APPROVALS Permit Fee $ Building _ COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.for CO. ► SIGN ON REVERSE SIDE DO Total Fee $ TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: �f-s/C&7 5 L Applicant LocationofWork ZW 5Vd-k14AJ v LotNo. Applicant's Address !S�- Mt;, otSkr, (-T Tel # 00- 614W 33fr K Town Zip V 6 0 g 0 Lic.# O'L g 6Zy Owner V<r q�.tr�► 01C �� Architect Owner's Address 3I.O NooF:cld t AV _ Architect's Address 1-C`LJSC �I1/:..dsor. CT Zip Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit {++Out,) of Hot11o, LA,,Je5r0w.4 t)-j 4-"lL _ bl>n6 0L City Water J Well J Septic System J Sewer 7 Ins: HO SP I Area Basement Garage Approved by ++!jgDate Use Group Construjr'ion T pe 100 j1 eves 08 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this , permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in hich this b1i an�s allowed. Signe I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 04/04/22 Printed by Middleton, Morgan 13 23 49 INSPECTION: 115972 TANK INSTALL / REMOVE ABV GRND PERMIT: STATUS: APPLICATION: 201900717 LOC: 235 BUCKLAND ROAD SOUTH WINDSOR PROPERTY ID: 15300235 OWNER: EVERGREEN WALK LLC CONTRACTOR: REQUEST BY: PROJ DESC: REMOVAL OF 1 1000 GAL UNDERGROUND OIL TANK ABANDONED WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 05/13/19 PRIORITY: SCHEDULED: 05/13/19 AM COMPLETED: 05/13/19 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: TANK REMOVAL IN PREPARATION FOR DEMO OF HOUSE SOIL TEST WILL BE SUBMITTED BY PATH ENVIRONMENTAL LLC JUSTIN W CUSTER. 1-443-255-9684 ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION BO10 FINAL 1900200 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 04/22/2019 GIS ID: 15300235 FEE: 54.00 MUNIS APPLICATION# 201900717 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: TANKWORKS ADDRESS: 235 BUCKLAND ROAD ADDRESS: 360 EAST CENTER STREET OWNER: EVERGREEN WALK LLC CITYPLACE 185 A MANCHESTER,CT 06040 DESCRIPTION OF WORK: REMOVAL OF 1 1000 GAL UNDERGROUND OIL TANK ABANDONED SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUIL L 4/22/2019 10:46 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1900403 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 06/12/2019 GIS ID: 15300235 FEE: 306.00 MUNIS APPLICATION# 201901236 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ASSOCIATED BUILDING WRECKERS ADDRESS: 235 BUCKLAND ROAD ADDRESS: 352 ALBANY STREET OWNER: EVERGREEN WALK LLC CITYPLACE 185 A SPRINGFIELD,MA 01105 DESCRIPTION OF WORK: DEMOLITION OF HOUSE SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILWI 6/12/2019 3:57 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE