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HomeMy WebLinkAbout2022 Feb 18 - Whitewater Massachusetts Department of Environmental Protection L71._ 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. MAR 0 2 2O22 Username: EBELAIR Transaction ID: 1339561 Document: Groundwater Discharge Monitoring Report Forms Size of File: 2779.92K Status of Transaction: Submitted Date and Time Created: 2/18/2022:3:21:51 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. Li uuI 00u vi I%GJvLI,,,,CI l../1.G.../1.1,./1 I- .IlVWAW wvrawI vlOU.ollal JC I I VIalli I. I CI I I Ill III-1111401rGroundwater Permit MONITORING WELL DATA REPORT2.Tax identification Number 2022 ANNUAL 3. Sampling Month&Frequency A. Facility Information important:when filling out forms on 1. Facility name,address: the computer, use BUCK ISLAND CONDO. only the tab key to a.Name move your cursor do not use the 481 BUCK ISLAND ROAD return key. b. Street Address YARMOUTH MA 02675 f MIc.City d.State e.Zip Code 2. Contact information: 1LLVLI 1ANDREW WHITTER a.Name of Facility Contact Person 5087786513 Andy@fpmcapecod.com b.Telephone Number c.e-mail address 3. Sampling information: 11/6/2022 IRI ANALYTICAL a.Date Sampled(mm/dd/yyyy) b.Laboratory Name !NICOLE SKYLESON c.Analysis Performed By(Name) B. Form Selection 1. Please select Form Type and Sampling Month&Frequency Monitoring Well Data Report-2022 Annual - All forms for submittal have been completed. 2. 1This is the last selection. 3. - Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 *:,. ✓UI GQ1.1 VI I SGJVUI VG I I VlGVLIVI I - VI VUI IU1YVCALG1 ✓IJVI I=1 I I VW 0111 Ni Groundwater Permit 1. r G111111.IVUII IVGI 2.Tax identification Number MONITORING WELL DATA REPORT 2022 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 MW-10 MW-11 MW-12 MW-8 MW-9 Units Well#: 1 Well#:2 Well#: 3 Well#:4 Well#: 5 Well#:6 TOTAL PHOSPHORUS AS P 3.6 1.2 3.1 0.53 0.25 MG/L ORTHO PHOSPHATE 11.4 0.79 '2.3 ND ND MG/L mwdgwp-blank.doc• rev. 09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1 IL7,,iUUI CQV VI I\GOVVI 1.,0 I I VIGI,Ul/1 I - VI VVIIVYYOLOI 1..JIJV1 IOU I I VVI 0111 1. r 0111111 IYU111U01 Groundwater Permit MONITORING WELL DATA REPORT 2.Tax identification Number 2022 ANN UAL 3. Sampling Month &Frequency D. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pg/I. • 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 MW-10 MW-11 MW-12 MW-8 MW-9 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 I ND ND ND ND UG/L 1,1 DICHLOROETHYLENE ND ND ND ND ND UG/L CIS-1,2-DICHLOROETHYLENE l ND 3 ND ND ND ND UG/L TRANS 1,2 DICHLOROETHYLENE I ND ND ND ND ND UG/L ETHYL BENZENE I ND ND ND ND ND UG/L METHYLENECHLORIDE ND ( ND ND ND 1 ND UG/L TOLUENE ND ND ND ND ND UG/L O-XYLENE ND (ND ND ND ND UG/L P/M XYLENE ND ND ND ND ND UG/L CARBON TETRACHLORIDE 'ND I ND ND ND ND UG/L CHLOROFORM 'ND I1ND ND (ND ND UG/L 2-BUTANONE(MEK) ND E 'ND 'ND I ND ND UG/L mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1 LIUI Oats VI 1 SGJVUI VG I I VIGI.IIVI I- vI VUI IUYYQIGI 1-‘1J1.1 ICI 90 I I V9.1 alI I I. r Cl IIIA 1`IUIIIUGI Groundwater Permit 2.Tax identification Number MONITORING WELL DATA REPORT 2022 ANNUAL 3. Sampling Month&Frequency , D. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pg/I. • 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 MW-10 MW-11 MW-12 MW-8 MW-9 Units Well#: 1 Well#: 2 Well#:3 Well#:4 Well#: 5 Well#:6 4-METHYL-2-PENTANONE(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 IND ND ND ND ND UG/L VINYLCHLORIDE !ND ND ND ND ND UG/L STYRENE s ND ND ND ND ND 1 UG/L CHLOROBENZENE �ND END ( ND ND ND IND I1 - UG/L METHYL TERTIARY BUTYL ETHE ND ND ND ND ND UG/L CHLOROETHANE ND ND ND ND ND UG/L 1,2-DICHLOROPROPANE ''ND ND ND ND ND UG/L DIBROMOCHLOROMETHANE ND ND ND ND ND UG/L 1,1,2-TRICHLOROETHANE ND ND ND ND ND UG/L 2-CHLOROETHYLVINYL ETHER IND IND ND ND ND UG/L BROMODICHLOROMETHANE ND ND ND ND ND UG/L BROMOFORM ND ND I ND ND ND UG/L mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 Ll1-11 VOILA VI I SGJV4I VG I I I./lGlalll/I I- VI V411VYYOLG1 VIJV1 IC111,G I I VW al II1 Li A 1. 1 Cr1111l IY4111VG1 Groundwater Permit 111111111111111111111111111111111111111 MONITORING WELL DATA REPORT 2.Tax identification Number 2022 ANNUAL I 3. Sampling Month&Frequency D. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pg/I. • For 1101', below detection limit, less than (<)value, or not detected, enter"ND" • NS = Not Sampled • DRY = Not enough water in well to sample. Parameter/Contaminant MW-10 MW-11 MW-12 MW-8 MW-9 Units Well#: 1 Well#: 2 Well#: 3 Well#:4 Well#: 5 Well#:6 1,1,2,2-TETRACHLOROETHANE 1 ND ND ND ND ND UG/L CHLOROMETHANE CND 1 N ND ND ND UG/L BROMOMETHANE I ND ND ND ND ND UG/L CARBONDISULFIDE i ND i ND ND ND ND UG/L 2-HEXANONE `ND ND ND ND ND i UG/L ACROLEIN ND ND ND ND ND UG/L ACRYLONITRILE IND ND ND ND ND UG/L TRANS-I,3-DICHLOROPROPENE IND ND ND ND ND UG/L CIS-1,3-DICHLOROPROPENE j ND I ND ND ND ND UG/L mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 LJUI GCU VI I\GJVUI VG I IVI.GVLIVI I— LJIVUI IVVVCLGI ✓IJVI ICIL.'G I I VVI CIII I. r GIIIIIt I44111IGI € e Groundwater Permit MONITORING WELL DATA REPORT 2.Tax identification Number 12022 QUARTERLY 1 3.Sampling Month &Frequency A. Facility Information Important:When filling out forms on 1. Facility name,address: the computer, use !BUCK ISLAND CONDO. only the tab key to a.Name move your cursor- do not use the 1481 BUCK ISLAND ROAD return key. b.Street Address in IYARMOUTH IMA 10-2-6--7T- 1 c.City d.State e.Zip Code 2. Contact information: IFFAIll' ANDREW WHITTER a.Name of Facility Contact Person 5087786513IAndy@fpmcapecod.com b.Telephone Number c.e-mail address 3. Sampling information: 11/6/2022 IRI ANALYTICAL a.Date Sampled(mm/dd/yyyy) b.Laboratory Name NICOLE SKYLESON c.Analysis Performed By(Name) B. Form Selection 1. Please select Form Type and Sampling Month&Frequency I Monitoring Well Data Report-2022 Quarterly 1 .1 - All forms for submittal have been completed. 2. - This is the last selection. 3. - Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 ^.y la C.41 G CALA VI I\CJVVI VG I IVIGVlIVI I- VI VVI IVYVOLCI ✓IJVIIalyG 1 1 VVI 0111 I. f GI III, I YUI I IVVI Groundwater Permit 2.Tax identification Number MONITORING WELL DATA REPORT 2022 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 MW-10 MW-11 MW-12 MW-8 MW-9 Units Well#: 1 Well#: 2 Well#: 3 Well#:4 Well#: 5 Well#:6 NITRATE-N 6.0 2.5 4.0 0.36 0.082 MG/L TOTAL NITROGEN(NO3+NO2+TK 16.87 2.5 14.1 ND ND MG/L mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 1-,UIGQ4 VI 1\GJVUI VG 1 1VIGVIIVI I` VI VUI IUYYQIGI ✓IJVI 101 VG 1 1VJ I OI11 I. f GI 1111t 1,11.1111L/GI Groundwater Permit 2.Tax identification Number MONITORING WELL DATA REPORT 2022 JAN MONTHLY 3. Sampling Month&Frequency A. Facility Information Important:when filling out forms on 1. Facility name,address: the computer, use [BUCK ISLAND CONDO. only the tab key to a.Name move your cursor- do not use the 481 BUCK ISLAND ROAD return key. b.Street Address YARMOUTH 1MA 02675 Itd? c.City d.State e.Zip Code 2. Contact information: 'WM 'ANDREW WHITTER a.Name of Facility Contact Person 15087786513 Andy©fpmcapecod.com b.Telephone Number c.e-mail address 3. Sampling information: 11/6/2022 IWHITEWATER 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-2022 Jan Monthly — All forms for submittal have been completed. 2. - This is the last selection. 3. - Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 I ^ vu�cau V� I COV u�Vc �vwVuv��- v�vu��u vralc� vwld�a�yc I Cliff I. F 0111111 !NI-MIL/GI Permit 1 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ' 2.Tax identification Number MONITORING WELL DATA REPORT :2022 JAN MONTHLY 3. Sampling Month&Frequency L., C. Contaminant Analysis Information • For"0", below detection limit, less than (<)value, or not detected, enter"ND" < • TNTC=too numerous to count. (Fecal results only) • NS = Not Sampled • DRY= Not enough water in well to sample. Parameter/Contaminant MW-10 MW-11 MW-12 MW-8 MW-9 Units Well#: 1 Well#:2 Well#: 3 Well#:4 Well#:5 Well#:6 PH 6.4 I 6.4 6.6 5.8 5.2 S.U. STATIC WATER LEVEL "11.8 13.9 13.9 8.8 10.5 FEET SPECIFIC CONDUCTANCE 641 495 698 303 101 UMHOS/C mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 '.,, ✓U1 GPU VI I VG 1 IVlGliII VII- VI VW ILIVVOt I ✓IJI+I IQIIJG I I V9I CII 11 I. !GI II 111 I11.1I I IVGI Groundwater Permit DAILY LOG SHEET 2.Tax identification Number ;2022 JAN DAILY 3. Sampling Month&Frequency A. Facility Information Important:When filling out forms on 1. Facility name,address: the computer, use 'BUCK ISLAND CONDO. only the tab key to a.Name move your cursor- do not use the 481 BUCK ISLAND ROAD return key. b.Street Address 'YARMOUTH 1MA 102675 c.City d.State e.Zip Code AINEL 2. Contact information: 'ANDREW WHITTER a.Name of Facility Contact Person 5087786513 'Andy@fpmcapecod.com b.Telephone Number c.e-mail address 3. Sampling information: 11/31/2022 IWH ITEWATE R 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-2022 Jan Daily - All forms for submittal have been completed. 2. - This is the last selection. 3. - Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 4 UUIGOU VI ISCOU INC i ivac.uvii- vi vui 111YYQl01 vw..i iaiyc i I*J Iani i. r cinui rvun ivcI Groundwater Permit ' DAILY LOG SHEET 2. Tax identification Number :2022 JAN DAILY 3. Sampling Month&Frequency C. Daily Readings/Analysis Information Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine UV Flow GPD Flow GPD Flow GPD pH Residual Intensity (mg/I) (%) 1 1 -z-1-71 1 2 6956 3 4955 = = 6.9 4 5896 = 1 F----1 5 [5054 I 1 1 16.8 6 6569 I7.28 7 5147 = = 7.38 8 534 9 5920 I 10 5934 I = = 7.4 I 11 4311 I 7.5 12 3389 I� 7.5 13 .1 u 350 I I IT.:1 I L 14 4270 I = 1 7.5 I 15 6356 j _J I I 16 5204 I I I I 17 6421 I r---1 1 6.8 18 3554 _J I j I 6.8 I 1 19 15710 I = 7.0 1_�_jj� 20 6230 I 7.1 1= I= 21 5263 I 1--- = 7.1 22 13224 I 23 4827 ' 1.---1 I ( _______._J = r----1 24 6089 i I = 7.0 25 14995 I = 7.0 26 17408 I (� 6.7 I 27 4828 L I I I I 6.7 28 16577 7.0 I 29 5077 I = = � 30 15313 _ � 31 15574 . I I I I 7.1 I I I gdpdls.doc•rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 ✓UI 04:1C-4VI I\GJVUI VG I I VIGVIIVI I- VI VUI IU YY GILGI VIJVI 101l,.G 1 I VW CAW I I. I GI IIIA Ill/M./01 Permit IL2.Tax identification Number DISCHARGE MONITORING REPORT 2022 JAN MONTHLY 3. Sampling Month&Frequency A. Facility Information Important:when filling out forms on 1. Facility name,address: the computer, use IBUCK ISLAND CONDO. only the tab key to a.Name move your cursor- 481 BUCK ISLAND ROAD do not use the return key. b.Street Address YARMOUTH JMA 102675 c City d.State e.Zip Code 2. Contact information: Il (ANDREW WHITTER a.Name of Facility Contact Person 5087786513 Andy@fpmcapecod.com b.Telephone Number c.e-mail address 3. Sampling information: 11/20/2022 RI ANALYTICAL a.Date Sampled(mm/dd/yyyy) b.Laboratory Name NICOLE SKYLESON c.Analysis Performed By(Name) B. Form Selection 1. Please select Form Type and Sampling Month&Frequency 1 Discharge Monitoring Report-2022 Jan Monthly — All forms for submittal have been completed. 2. - This is the last selection. 3. - Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 'yy uul cau vi I CO%Jul l,c I I I- vl vul wvvalcI vlJI..I 101 VC I IU Jl all I I. I GI 11111 I lUI111J01 Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT 12022 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 380 3.0 3.0 MG/L TSS 220 12.0 2.0 MG/L TOTAL SOLIDS 570 MG/L AMMONIA-N 26 MG/L NITRATE-N 3.7 10.050 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 5.8 I 0.50 MG/L OIL&GREASE 11.6 0.50 MG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 LJul cau VI \C../Jul VG I I JLCVUVI - V Vu11,JYYa1.G VI...A 10 yc I IVyl all, I. F GI 1111.I\UI AJG Groundwater Permit 1111111111111111111111111111111111111111111 DISCHARGE MONITORING REPORT 2•Tax identification Number ;2022 ANNUAL 3. Sampling Month&Frequency A. Facility Information Important:When filling out forms on 1. Facility name,address: the computer, use BUCK ISLAND CONDO. only the tab key to a.Name move your cursor- do not use the 481 BUCK ISLAND ROAD return key. b.Street Address YARMOUTH IMA 102675 c.City d.State e.Zip Code 2. Contact information: 1L5!?L Ie ANDREW WHITTER a.Name of Facility Contact Person 15087786513 Andy@fpmcapecod.com b.Telephone Number c.e-mail address 3. Sampling information: 11/21/2022 IRI ANALYTICAL a.Date Sampled(mm/dd/yyyy) b.Laboratory Name 'NICOLE SKYLESON c.Analysis Performed By(Name) B. Form Selection 1. Please select Form Type and Sampling Month&Frequency I Discharge Monitoring Report-2022 Annual - All forms for submittal have been completed. 2. - This is the last selection. 3. - Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 ✓ QUVIJ UIGU VI INGJVIG 1 I IGVU VVQ 1.010,1101IJ. IIVII- VI VUI ILGI IJVI101 I,G I I VI al II LiGroundwater Permit I. F Cllllll IVUIIIVCI DISCHARGE MONITORING REPORT IIIIMIIIIIIIIIIIIIIIIIIM 2. Tax identification Number '2022 ANNUAL 3. Sampling Month&Frequency D. Contaminant Analysis Information • For 11011, 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 ASP 0.33 0.010 MG/L ORTHO PHOSPHATE 0.14 0.020 MG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 , UUIGOU VI I\CJVU1'..G I I VIGVIIVI I- VI VU11UVYOLCI IJIJVI 101 I,G I IIJ JI 0111 I 10111111 IYUIIIVGI Groundwater PermitIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII DISCHARGE MONITORING REPORT 2.Tax identification Number 12022 ANNUAL 3. Sampling Month&Frequency E. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pg/I. • 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 IND 10 UG/L BENZENE ND 1.0 UG/L 1,1 DICHLOROETHANE ND 1.0 UG/L 1,2 DICHLOROETHANE ND 1.0 UGiL 1,1 DICHLOROETHYLENE ND 1.0 UG/L CIS-1,2-DICHLOROETHYLENE ND 1.0 UG/L TRANS 1,2 DICHLOROETHYLENE ND 1.0 I UG/L ETHYL BENZENE 1 ND I 1.0 I UG/L METHYLENECHLORIDE ND 1.0 UG/L TOLUENE ND 1.0 UG/L O-XYLENE ND 1.0 UG/L PIM XYLENE ND 1.0 UG/L CARBON TETRACHLORIDE ND 1.0 UG/L CHLOROFORM ND 1.0 UG/L 2-BUTANONE(MEK) I ND 1.0 UG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 �, IJNIGQU VI I%GJVUI VG I I VLGI.IIVI I - V1 VUI IUVVQLGI IJIJVI 101 l,G I I VJ 161111 I. r G11111 IYNIIIUGI Groundwater Permit DISCHARGE MONITORING REPORT 2.Tax identification Number ?2022 ANNUAL I 3. Sampling Month &Frequency E. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pg/I. • 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 4-METHYL-2-PENTANONE(MIBK) ND 1.0 UG/L TRICHLOROETHYLENE ND 1.0 UG/L TETRACHLOROETHYLENE ND 1.0 UG/L 1,1,1 TRICHLOROETHANE ND 1.0 UG/L VINYLCHLORIDE 1 ND 1 0.40 UG/L STYRENE ND 1.0 UG/L CHLOROBENZENE ND 1.0 UG/L METHYL TERTIARY BUTYL ETHER ;ND 1.0 UG/L CHLOROETHANE ND 1.0 UG/L 1,2-DICHLOROPROPANE ND 1.0 UG/L DIBROMOCHLOROMETHANE ND j' 1.0 UG/L 1,1,2-TRICHLOROETHANE ND ( 1.0 UG/L 2-CHLOROETHYLVINYL ETHER ND 1.0 UG/L BROMODICHLOROMETHANE ND 1.0 UG/L BROMOFORM ND 1.0 UG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 4 , LJUI OCU VI I\GJVUI I,aterG I I UIGPI'ermitLIVI I- VI UUI IUVVQLGI VIJIil IOU l`U I I f... 14:11111. 1 0111 III 111.11111/01111.11111/01x. 45 Groundw DISCHARGE MONITORING REPORT 2. Tax identification Number 2022 ANNUAL 3. Sampling Month&Frequency E. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pg/I. • 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 1,1,2,2-TETRACHLOROETHANE ND 1.0 UG/L CHLOROMETHANE I ND I 11.0 UG/L BROMOMETHANE ND 1.0 UG/L CARBONDISULFIDE ND 11.0 UG/L 2-HEXANONE ND 1.0 UG/L ACROLEIN ND 1.0 UG/L ACRYLONITRILE ND 1.0 UG/L TRANS-I,3-DICHLOROPROPENE ND 11.0 UG/L CIS-1,3-DICHLOROPROPENE ND 1.0 UG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 ^ U41 G04 VI I%GJV411.,G I I VIGVLIV1 I- VI l/4114VVOLG1 IJIJVI IOIIJ.G I IVlJ.10111 I. 1 Gllllll 1441114/GIGroundwater Permit 2.Tax identification Number Facility Information Important:When !BUCK ISLAND CONDO. filling out forms on a.Name the computer, use only the tab key to 481 BUCK ISLAND ROAD move your cursor- b.Street Address do not use the 1YARMOUTH MA 102675 return key. c.City d.State e.Zip Code 4ti 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 12/18/2022 Any person signing a.Signature b.Date(mm/dd/yyyy) a document under 314 CMR 5.14(1)or (2)shall make the Res ortin Packae Comments following PLANT MET ALL DISCHARGE PERMIT REQUIREMENTS FOR JANUARY 2022.PUMPED 12,000 certification GALLONS FOR ANOXIC TANK MAINT.AND RBC REPAIR. If you are filing electronic-ally and want to attach additional comments, select the check box. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit• Page 1 of 1 / ir