HomeMy WebLinkAbout2019 Jan - WhitewaterMassachusetts Department of Environmental Protection
eDEP Transaction Copy
Here is the file you requested for your records.
To retain a copy of this file you must save and/or print.
Username:
Transaction ID:
Document:
Size of File:
Status of Transaction:
Date and Time Created:
Note: This file only includes forms that were part of your
transaction as of the date and time indicated above. If you need
a more current copy of your transaction, return to eDEP and
select to “Download a Copy” from the Current Submittals page.
1079067
2/21/2019:8:42:43 AM
2779.18K
EBELAIR
Groundwater Discharge Monitoring Report Forms
Submitted
Important:When
filling out forms on
the computer, use
only the tab key to
move your cursor
do not use the
return key.
A. Facility Information
1. Facility name, address:
BUCK ISLAND CONDO
a. Name
481 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA
c. City d. State e. Zip Code
2. Contact information:
ANDREW WHITTER
a. Name of Facility Contact Person
5087786513 Andy@fpmcapecod.com
b. Telephone Number c. email address
3. Sampling information:
1/9/2019 RI ANALYTICAL
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
PAUL PERROTTI
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Monitoring Well Data Report 2019 Quarterly 1
All forms for submittal have been completed.
2.This is the last selection.
3.Delete the selected form.
gdpdls 20150915.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
MONITORING WELL DATA REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 QUARTERLY 1
3. Sampling Month & Frequency
C. Contaminant Analysis Information
For "0", below detection limit, less than (<) value, or not detected, enter "ND"
TNTC = too numerous to count. (Fecal results only)
NS = Not Sampled
DRY = Not enough water in well to sample.
<
Parameter/Contaminant MW10 MW11 MW12 MW8 MW9
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
NITRATEN 1.9 2.6 1.2 0.30 0.62
MG/L
TOTAL NITROGEN(NO3+NO2+TK 2.79 3.70 2.60 0.86 1.34
MG/L
mwdgwpblank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
MONITORING WELL DATA REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 QUARTERLY 1
3. Sampling Month & Frequency
Important:When
filling out forms on
the computer, use
only the tab key to
move your cursor
do not use the
return key.
A. Facility Information
1. Facility name, address:
BUCK ISLAND CONDO
a. Name
481 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA
c. City d. State e. Zip Code
2. Contact information:
ANDREW WHITTER
a. Name of Facility Contact Person
5087786513 Andy@fpmcapecod.com
b. Telephone Number c. email address
3. Sampling information:
1/9/2019 RI ANALYTICAL
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
PAUL PERROTTI
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Monitoring Well Data Report 2019 Annual
All forms for submittal have been completed.
2.This is the last selection.
3.Delete the selected form.
gdpdls 20150915.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
MONITORING WELL DATA REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 ANNUAL
3. Sampling Month & Frequency
C. Contaminant Analysis Information
For "0", below detection limit, less than (<) value, or not detected, enter "ND"
TNTC = too numerous to count. (Fecal results only)
NS = Not Sampled
DRY = Not enough water in well to sample.
<
Parameter/Contaminant MW10 MW11 MW12 MW8 MW9
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
TOTAL PHOSPHORUS AS P 1.6 1.7 2.8 0.16 0.18
MG/L
ORTHO PHOSPHATE 0.80 0.64 1.1 ND ND
MG/L
mwdgwpblank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
MONITORING WELL DATA REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 ANNUAL
3. Sampling Month & Frequency
D. VOC Analysis Information
If VOCs are present, please indicate the amounts of the individual compounds in µg/l.
For "0", below detection limit, less than (<) value, or not detected, enter "ND"
NS = Not Sampled
DRY = Not enough water in well to sample.
Parameter/Contaminant MW10 MW11 MW12 MW8 MW9
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
ACETONE ND ND ND ND ND
UG/L
BENZENE ND ND ND ND ND
UG/L
1,1 DICHLOROETHANE ND ND ND ND ND
UG/L
1,2 DICHLOROETHANE ND ND ND ND ND
UG/L
1,1 DICHLOROETHYLENE ND ND ND ND ND
UG/L
CIS1,2DICHLOROETHYLENE ND ND ND ND ND
UG/L
TRANS 1,2 DICHLOROETHYLENE ND ND ND ND ND
UG/L
ETHYL BENZENE ND ND ND ND ND
UG/L
METHYLENECHLORIDE ND ND ND ND ND
UG/L
TOLUENE ND ND ND ND ND
UG/L
OXYLENE ND ND ND ND ND
UG/L
P/M XYLENE ND ND ND ND ND
UG/L
CARBON TETRACHLORIDE ND ND ND ND ND
UG/L
CHLOROFORM ND ND ND ND ND
UG/L
2BUTANONE (MEK)ND ND ND ND ND
UG/L
mwdgwpblank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
MONITORING WELL DATA REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 ANNUAL
3. Sampling Month & Frequency
D. VOC Analysis Information
If VOCs are present, please indicate the amounts of the individual compounds in µg/l.
For "0", below detection limit, less than (<) value, or not detected, enter "ND"
NS = Not Sampled
DRY = Not enough water in well to sample.
Parameter/Contaminant MW10 MW11 MW12 MW8 MW9
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
4METHYL2PENTANONE (MIBK ND ND ND ND ND
UG/L
TRICHLOROETHYLENE ND ND ND ND ND
UG/L
TETRACHLOROETHYLENE ND ND ND ND ND
UG/L
1,1,1 TRICHLOROETHANE ND ND ND ND ND
UG/L
VINYLCHLORIDE ND ND ND ND ND
UG/L
STYRENE ND ND ND ND ND
UG/L
CHLOROBENZENE ND ND ND ND ND
UG/L
METHYL TERTIARY BUTYL ETHE ND ND ND ND ND
UG/L
CHLOROETHANE ND ND ND ND ND
UG/L
1,2DICHLOROPROPANE ND ND ND ND ND
UG/L
DIBROMOCHLOROMETHANE ND ND ND ND ND
UG/L
1,1,2TRICHLOROETHANE ND ND ND ND ND
UG/L
2CHLOROETHYLVINYL ETHER ND ND ND ND ND
UG/L
BROMODICHLOROMETHANE ND ND ND ND ND
UG/L
BROMOFORM ND ND ND ND ND
UG/L
mwdgwpblank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
MONITORING WELL DATA REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 ANNUAL
3. Sampling Month & Frequency
D. VOC Analysis Information
If VOCs are present, please indicate the amounts of the individual compounds in µg/l.
For "0", below detection limit, less than (<) value, or not detected, enter "ND"
NS = Not Sampled
DRY = Not enough water in well to sample.
Parameter/Contaminant MW10 MW11 MW12 MW8 MW9
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
1,1,2,2TETRACHLOROETHANE ND ND ND ND ND
UG/L
CHLOROMETHANE ND ND ND ND ND
UG/L
BROMOMETHANE ND ND ND ND ND
UG/L
CARBONDISULFIDE ND ND ND ND ND
UG/L
2HEXANONE ND ND ND ND ND
UG/L
ACROLEIN ND ND ND ND ND
UG/L
ACRYLONITRILE ND ND ND ND ND
UG/L
TRANS1,3DICHLOROPROPENE ND ND ND ND ND
UG/L
CIS1,3DICHLOROPROPENE ND ND ND ND ND
UG/L
mwdgwpblank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
MONITORING WELL DATA REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 ANNUAL
3. Sampling Month & Frequency
Important:When
filling out forms on
the computer, use
only the tab key to
move your cursor
do not use the
return key.
A. Facility Information
1. Facility name, address:
BUCK ISLAND CONDO
a. Name
481 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA
c. City d. State e. Zip Code
2. Contact information:
ANDREW WHITTER
a. Name of Facility Contact Person
5087786513 Andy@fpmcapecod.com
b. Telephone Number c. email address
3. Sampling information:
1/10/2019 RI ANALYTICAL
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
DAWNE SMART
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Discharge Monitoring Report 2019 Jan Monthly
All forms for submittal have been completed.
2.This is the last selection.
3.Delete the selected form.
gdpdls 20150915.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
DISCHARGE MONITORING REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 JAN MONTHLY
3. Sampling Month & Frequency
D. Contaminant Analysis Information
For "0", below detection limit, less than (<) value, or not detected, enter "ND"
TNTC = too numerous to count. (Fecal results only)
NS = Not Sampled
1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method
Units Detection limit
BOD 340 14 8.0
MG/L
TSS 350 15 2.0
MG/L
TOTAL SOLIDS 750
MG/L
AMMONIAN 46
MG/L
NITRATEN 0.39 0.25
MG/L
TOTAL NITROGEN(NO3+NO2+TKN)4.04 0.25
MG/L
OIL & GREASE 1.1 0.5
MG/L
infeffrpblank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
DISCHARGE MONITORING REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 JAN MONTHLY
3. Sampling Month & Frequency
Important:When
filling out forms on
the computer, use
only the tab key to
move your cursor
do not use the
return key.
A. Facility Information
1. Facility name, address:
BUCK ISLAND CONDO
a. Name
481 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA
c. City d. State e. Zip Code
2. Contact information:
ANDREW WHITTER
a. Name of Facility Contact Person
5087786513 Andy@fpmcapecod.com
b. Telephone Number c. email address
3. Sampling information:
1/10/2019 RI ANALYTICAL
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
DAWNE SMART
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Discharge Monitoring Report 2019 Annual
All forms for submittal have been completed.
2.This is the last selection.
3.Delete the selected form.
gdpdls 20150915.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
DISCHARGE MONITORING REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 ANNUAL
3. Sampling Month & Frequency
D. Contaminant Analysis Information
For "0", below detection limit, less than (<) value, or not detected, enter "ND"
TNTC = too numerous to count. (Fecal results only)
NS = Not Sampled
1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method
Units Detection limit
TOTAL PHOSPHORUS AS P 2.6 0.02
MG/L
ORTHO PHOSPHATE 2.1 0.08
MG/L
infeffrpblank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
DISCHARGE MONITORING REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 ANNUAL
3. Sampling Month & Frequency
E. VOC Analysis Information
If VOCs are present, please indicate the amounts of the individual compounds in µg/l.
For "0", below detection limit, less than (<) value, or not detected, enter "ND"
NS = Not Sampled
1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method
Units Detection limit
ACETONE ND 10
UG/L
BENZENE ND 1
UG/L
1,1 DICHLOROETHANE ND 1
UG/L
1,2 DICHLOROETHANE ND 1
UG/L
1,1 DICHLOROETHYLENE ND 1
UG/L
CIS1,2DICHLOROETHYLENE ND 1
UG/L
TRANS 1,2 DICHLOROETHYLENE ND 1
UG/L
ETHYL BENZENE ND 1
UG/L
METHYLENECHLORIDE ND 5
UG/L
TOLUENE ND 1
UG/L
OXYLENE ND 1
UG/L
P/M XYLENE ND 1
UG/L
CARBON TETRACHLORIDE ND 1
UG/L
CHLOROFORM ND 1
UG/L
2BUTANONE (MEK)ND 10
UG/L
infeffrpblank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
DISCHARGE MONITORING REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 ANNUAL
3. Sampling Month & Frequency
E. VOC Analysis Information
If VOCs are present, please indicate the amounts of the individual compounds in µg/l.
For "0", below detection limit, less than (<) value, or not detected, enter "ND"
NS = Not Sampled
1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method
Units Detection limit
4METHYL2PENTANONE (MIBK)ND 10
UG/L
TRICHLOROETHYLENE ND 1
UG/L
TETRACHLOROETHYLENE ND 1
UG/L
1,1,1 TRICHLOROETHANE ND 1
UG/L
VINYLCHLORIDE ND 1
UG/L
STYRENE ND 1
UG/L
CHLOROBENZENE ND 1
UG/L
METHYL TERTIARY BUTYL ETHER ND 1
UG/L
CHLOROETHANE ND 10
UG/L
1,2DICHLOROPROPANE ND 1
UG/L
DIBROMOCHLOROMETHANE ND 1
UG/L
1,1,2TRICHLOROETHANE ND 1
UG/L
2CHLOROETHYLVINYL ETHER ND 2
UG/L
BROMODICHLOROMETHANE ND 1
UG/L
BROMOFORM ND 1
UG/L
infeffrpblank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
DISCHARGE MONITORING REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 ANNUAL
3. Sampling Month & Frequency
E. VOC Analysis Information
If VOCs are present, please indicate the amounts of the individual compounds in µg/l.
For "0", below detection limit, less than (<) value, or not detected, enter "ND"
NS = Not Sampled
1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method
Units Detection limit
1,1,2,2TETRACHLOROETHANE ND 1
UG/L
CHLOROMETHANE ND 10
UG/L
BROMOMETHANE ND 10
UG/L
CARBONDISULFIDE ND 5
UG/L
2HEXANONE ND 10
UG/L
ACROLEIN ND 10
UG/L
ACRYLONITRILE ND 10
UG/L
TRANS1,3DICHLOROPROPENE ND 1
UG/L
CIS1,3DICHLOROPROPENE ND 1
UG/L
infeffrpblank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
DISCHARGE MONITORING REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 ANNUAL
3. Sampling Month & Frequency
Important:When
filling out forms on
the computer, use
only the tab key to
move your cursor
do not use the
return key.
A. Facility Information
1. Facility name, address:
BUCK ISLAND CONDO
a. Name
481 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA
c. City d. State e. Zip Code
2. Contact information:
ANDREW WHITTER
a. Name of Facility Contact Person
5087786513 Andy@fpmcapecod.com
b. Telephone Number c. email address
3. Sampling information:
1/9/2019 WHITEWATER
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
DAVE FISHER
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Monitoring Well Data Report 2019 Jan Monthly
All forms for submittal have been completed.
2.This is the last selection.
3.Delete the selected form.
gdpdls 20150915.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
MONITORING WELL DATA REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 JAN MONTHLY
3. Sampling Month & Frequency
C. Contaminant Analysis Information
For "0", below detection limit, less than (<) value, or not detected, enter "ND"
TNTC = too numerous to count. (Fecal results only)
NS = Not Sampled
DRY = Not enough water in well to sample.
<
Parameter/Contaminant MW10 MW11 MW12 MW8 MW9
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
PH 6.4 6.5 6.6 5.9 5.4
S.U.
STATIC WATER LEVEL 10.4 12.4 12.4 7.6 9.3
FEET
SPECIFIC CONDUCTANCE 170 357 364 262 71
UMHOS/C
mwdgwpblank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
MONITORING WELL DATA REPORT
1
1. Permit Number
042980286
2. Tax identification Number
2019 JAN MONTHLY
3. Sampling Month & Frequency
Important:When
filling out forms on
the computer, use
only the tab key to
move your cursor
do not use the
return key.
A. Facility Information
1. Facility name, address:
BUCK ISLAND CONDO
a. Name
481 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA
c. City d. State e. Zip Code
2. Contact information:
ANDREW WHITTER
a. Name of Facility Contact Person
5087786513 Andy@fpmcapecod.com
b. Telephone Number c. email address
3. Sampling information:
1/31/2019 WHITEWATER
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
DAVE FISHER
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Daily Log Sheet 2019 Jan Daily
All forms for submittal have been completed.
2.This is the last selection.
3.Delete the selected form.
gdpdls 20150915.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
DAILY LOG SHEET
1
1. Permit Number
042980286
2. Tax identification Number
2019 JAN DAILY
3. Sampling Month & Frequency
C. Daily Readings/Analysis Information
Date Effluent
Flow GPD
Reuse
Flow GPD
Irrigation
Flow GPD
Turbidity Influent pH Effluent
pH
Chlorine
Residual
(mg/l)
UV
Intensity
(%)
1 7095
2 5608 6.7
3 5462 6.5
4 6880 7.1
5 5277
6 5803
7 4249 6.8
8 5092 7.2
9 4608 7.0
10 4518 7.1
11 4241 7.0
12 4876
13 4638
14 4825 6.7
15 4692 7.2
16 4369 7.1
17 4488 7.2
18 5085 6.7
19 4954
20 6449
21 5080 6.7
22 5404 6.9
23 5563 6.9
24 5122 7.2
25 4242 7.1
26 4874
27 4704
28 4776 6.5
29 4830 7.0
30 3972 7.0
31 4268 7.0
gdpdls.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
DAILY LOG SHEET
1
1. Permit Number
042980286
2. Tax identification Number
2019 JAN DAILY
3. Sampling Month & Frequency
Important:When
filling out forms on
the computer, use
only the tab key to
move your cursor
do not use the
return key.
Any person signing
a document under
314 CMR 5.14(1) or
(2) shall make the
following
certification
If you are filing
electronically and
want to attach
additional
comments, select
the check box.
Facility Information
BUCK ISLAND CONDO
a. Name
481 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA
c. City d. State e. Zip Code
Certification
“I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted.
Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that the
are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.”
ELIZABETH BELAIR 2/20/2019
a. Signature b. Date (mm/dd/yyyy)
Reporting Package Comments
PLANT PASSED PERMIT REQUIREMENTS FOR JANUARY 2019.
gdpdls 20150915.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
1
1. Permit Number
042980286
2. Tax identification Number