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Home My WebLink About2022 Jan -eDEP Massachusetts 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. \ Q2:1" r Username: EBELAIR Transaction ID: 1340895 Document: Groundwater Discharge Monitoring Report Forms Size of File: 2778.68K Status of Transaction: Submitted Date and Time Created: 2/18/2022:3:18:46 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. t "'N. LJUI GQU VI I SGJVUI 1.,G I I lfG1rLIVl I- VI VUI IUYYQLGI V1Jl,I IQII,.G I IVJ JI CuI II 1:. I. I- GI 11111 IYUIIIVGI i Groundwater Permit 2.Tax identification Number MONITORING WELL DATA REPORT IIIIIIIIIIIIIIIIIMMIIIIIIIIII 2022 QUARTERLY 1 j 3.Sampling Month &Frequency A. Facility Information Important:When filling out forms on 1. Facility name,address: the computer, use JTHE COVE RESORT HOTEL only the tab key to a.Name move your cursor- do not use the 183 MAIN STREET/RTE. 28 return key. b.Street Address YARMOUTH MA 02675 ,-alc.City d.State e.Zip Code 2. Contact information: I J IMICHAEL EDWARDS a.Name of Facility Contact Person 5087713666 medwards@coveatyarmouth.com b.Telephone Number c.e-mail address 3. Sampling information: 11/13/2022 FRI 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 Monitoring Well Data Report-2022 Quarterly 1 �- All forms for submittal have been completed. 2. - This is the last selection. I`- 3. — Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 iIUUIGau VI I\G'O\lul VO I I VIO%,UVI I- VI VIA I�AOVQLG1 VIJNI IanG I I'J l CAI 11 . r cllllll IWII14G1 Groundwater PermitIIIIIIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MONITORING WELL DATA REPORT 2.Tax identification Number '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 4A 5 6A 7A Units Well#: 1 Well#:2 Well#: 3 Well#:4 Well#: 5 Well#: 6 NITRATE-N 13.8 4.1 0.36 `ND MG/L TOTAL NITROGEN(NO3+NO2+TK 3.8 4.1 ND ND MG/L TOTAL PHOSPHORUS AS P 0.17 ,0.20 8.2 0.51 MG/L ORTHO PHOSPHATE ND l [0.043 ( 7.3 ND MG/L mwdgwp-blank.doc• rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 •1L ✓UI VOW VI I%GJVUI L.G I I VLGVLIVI I - VI V4114YYOLGI ✓1JVI IQII,.G I I%-•W 0111 I. I G111111.IYUIIIVGI w 2.Tax identification Number Groundwater Permit MONITORING WELL DATA REPORT 2022 ANNUAL 3. Sampling Month&Frequency A. Facility Information Important:When filling out forms on 1. Facility name,address: the computer, use .THE COVE RESORT HOTEL only the tab key to a.Name move your cursor do not use the 1183 MAIN STREET/RTE. 28 return key. b.Street Address ti .YARMOUTH MA 102675 4 c.City d.State e.Zip Code 1 2. Contact information: IL7 all IMICHAEL EDWARDS a.Name of Facility Contact Person 15087713666 Imedwards@coveatyarmouth.com b.Telephone Number c.e-mail address 3. Sampling information: 11/13/2022 1RI 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. 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.�. ✓LAI GPU VI I\GOVI.II VG I I VIGVIIVI I- L/1VNI 1l.1YY01G1 1,IOV11011,.G I I vjI 0111 I. r CIIIIll IvUI11V01 .. Groundwater Permit MONITORING WELL DATA REPORT 2.Tax identification Number 12022 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 4A 5 6A 7A Units Well#: 1 Well#:2 Well#: 3 Well#:4 Well#:5 Well#:6 ACETONE ND ND ND ND UG/L BENZENE ND ND ND ND UG/L 1,1 DICHLOROETHANE ND ND ND ND UG/L 1,2 DICHLOROETHANE ND ND ND ND UG/L 1,1 DICHLOROETHYLENE IND 1 1 ND ND IND UG/L CIS-1,2-DICHLOROETHYLENE ND i ND ND ND UG/L TRANS 1,2 DICHLOROETHYLENE ND ND ND ND UG/L ETHYL BENZENE ND ND ND ND UG/L METHYLENECHLORIDE ND ND ND ND UG/L TOLUENE ND ND ND ND UG/L O-XYLENE ND I ND ND ND UG/L P/M XYLENE ND ND ND ND UG/L CARBON TETRACHLORIDE 'ND I (ND ND ND UG/L CHLOROFORM I ND ( ND ND ND UG/L 2-BUTANONE(MEK) I ND ND ND ND UG/L mwdgwp-blank.doc• rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 IL ✓UI GQU VI I\GJVI_IIVG I I VIGVIIVI I` VI VUI IUVVOIGI ✓IJVI 101l,.G I I VIQIII I. I GIII III Groundwater Permit MONITORING WELL DATA REPORT 2.Tax identification Number 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 4A 5 6A 7A Units Well#: 1 Well#: 2 Well#: 3 Well#:4 Well#: 5 Well#:6 4-METHYL-2-PENTANONE(MIBK 3 ND ND ND I ND I I UG/L TRICHLOROETHYLENE ND ND ND ND UG/L TETRACHLOROETHYLENE x ND ND ND ND UG/L 1,1,1 TRICHLOROETHANE IND ND ND ND UG/L VINYLCHLORIDE I ND ND ND ND UG/L STYRENE ND ( ND ND ND UG/L CHLOROBENZENE 'ND + ND ND ND UG/L METHYL TERTIARY BUTYL ETHE I ND ND ND ND UG/L CHLOROETHANE 'ND 1 ND ND ND UG/L 1,2-DICHLOROPROPANE ND I ND ND ND UG/L DIBROMOCHLOROMETHANE ND ND ND ND UG/L 1,1,2-TRICHLOROETHANE ND ND ND ND UG/L 2-CHLOROETHYLVINYL ETHER I ND I ND ND ND UG/L BROMODICHLOROMETHANE ND I ND ND II ND UG/L BROMOFORM ND I ND ND I ND UG/L mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 LJUI GQU UI I\GJUUI I+G I I I- VI VUI IU VVQIGI VIJli11a, I IUIJ.I llGil I. r CI 11111 I 11.11I11../01 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 4A 5 6A 7A Units Well#: 1 Well#:2 Well#:3 Well#:4 Well#: 5 Well#:6 1,1,2,2-TETRACHLOROETHANE ND ND I ND ND UG/L CHLOROMETHANE ND ND ND ND UG/L BROMOMETHANE I ND j ND IND ND UG/L CARBONDISULFIDE ND ND ND ND UG/L 2-HEXANONE ND ND ND ND UG/L ACROLEIN ND ND ND ND UG/L ACRYLONITRILE ND ND ND ND UG/L TRANS-1,3-DICHLOROPROPENE ,ND ND ND ND UG/L CIS-1,3-DICHLOROPROPENE IND 1 ND ND ND UG/L mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 :\711 UU GOU VI SGJVIA1 I#G VlGI,IIV - VI V1U UYYOIGI Vt0V1101UG I Ivy1Q11I I. f G l I`IU111VGI Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 12022 JAN MONTHLY 3. Sampling Month & Frequency A. Facility Information important:when filling out forms on 1. Facility name,address: the computer, use ITHE COVE RESORT HOTEL only the tab key to a.Name move your cursor do not use the 1183 MAIN STREET/RTE. 28 return key. b. Street Address !YARMOUTH MA 02675‘f. c.City d.State e.Zip Code 2. Contact information: Jl3MICHAEL EDWARDS a. Name of Facility Contact Person 5087713666 medwards@coveatyarmouth.com b.Telephone Number c.e-mail address 3. Sampling information: 11/21/2022 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 zJ f- 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 vul COU v1 I wovuI,C I I I- v1 vul i,1vr0I.c1 10I yv I I 1/4/y10111 I. r G111111 I UI nvcl � .. Groundwater Permit MONITORING WELL DATA REPORT 2• Tax identification Number 2022 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 4A 5 6A 7A Units Well#: 1 Well#: 2 Well#: 3 Well#:4 Well#: 5 Well#:6 PH 6.70 6.60 6.70 6.70 S.U. STATIC WATER LEVEL 10.1 j 18.3 111.4 t14.1 Nht SPECIFIC CONDUCTANCE 1430 I 595 727 634 UMHOS/C mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 ✓UI GQU VI I GG I I VLGGLIVI I- VI VU1 IUVVQIGI ✓IJGI101lJ.G I I l./UI 0111 I. f GIII III 11UI114/GI Groundwater Permit DAILY LOG SHEET 2.Tax identification Number 12022 JAN DAILY 3. Sampling Month &Frequency A. Facility Information important:When filling out forms on 1. Facility name,address: the computer, use ITHE COVE RESORT HOTEL only the tab key to a.Name move your cursor- do not use the 1183 MAIN STREET/RTE. 28 return key. b.Street Address 1YARMOUTH IMA 02675 114: c.City d.State e.Zip Code 1 2. Contact information: 'MICHAEL EDWARDS a.Name of Facility Contact Person 5087713666 'medwards@coveatyarmouth.com b.Telephone Number c.e-mail address 3. Sampling information: 1/31/2022 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-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 1-"1110011 VI I SCO*J1111.0 I I lJ101illlJl I- VI V1.11111YYaLCI VI.,lol 101 0 I IV9l alll I. F0111111 IVWIIVGI ._ 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 10282 2 110282 3 2518 i II 1 6.9 FI I 4 24 j79 = = I1 6.9 I 5 5127 6.9 1 6 1611 I = 6.9 7 4059 I = 6.8 1 8 [4059 9 14058 M 10 4216 I 6.8 1 11 4628 = 6.9 I 12 4224 (� 6.9 _____I______I13 3875 I l� IIIIII = 7 14 110275 I 7 15 10275 I I 1 I 16 110275 17 4247 I 6.9 I 18 4621 = 6.9 I 19 5637 I 6.96.9 20 14268 I i 1 21 16500 JI I I 1 22 16500 I = 23 6499 I 1 1 24 15309 II111111 I = 6.8 25 14144 I ___, I 6.7 264525 I 6.8 I 27 4640 6.9 I I 28 3093 I 6.9 ('' II 29 3092 I I � I_ 1 30 3092 I I. ! I H____i 31 2867 I I j 6.8 I gdpdls.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 ✓UI COU VI I SGJVU I VG I I V IGVLIVlI - VI VUI 14 VVGILG1 ✓IJV(ICI I IVJ Jl GUI I I. r Cl llllL 1141114/GI Groundwater Permit 2. 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 'THE COVE RESORT HOTEL only the tab key to a.Name move your cursor do not use the 1183 MAIN STREET/RTE. 28 return key. b.Street Address IYARMOUTH WA '02675 c.City d.State e.Zip Code Il ailimm 2. Contact information: (MICHAEL EDWARDS a.Name of Facility Contact Person 15087713666 medwards@coveatyarmouth.com b.Telephone Number c.e-mail address 3. Sampling information: 1/20/2022 ERI 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 Jan Monthly 1- All forms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet•Page 1 of 1 LJUI GOU VI I%GOVUI VG I I I- V11.11.11 14111ICILVI VIJIUI 101I,.G 1 I VW al I I I. r 0111111 I 1.11I14/01 Groundwater Permit DISCHARGE MONITORING REPORT 2.Tax identification Number 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 BCD 60 IND 3.0 MG/L TSS 22 12.0 2.0 MG/L TOTAL SOLIDS 430 MG/L NITRATE-N 2.6 0.050 1 MG/L TOTAL NITROGEN(NO3+NO2+TKN) NS 1 3.75 0.50 MG/L OIL&GREASE ND 0.50 MG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 IJUIGQU VI I\GJVUI VG I I VLGVLIVI I- V1 VU114YYgLG1 VIJVIIOII�G I “../ 1UIII I. F VIIIIII IVUI 11401 IL:i Groundwater Permit 2.Tax identification Number DISCHARGE MONITORING REPORT 12022 QUARTERLY 1 3. Sampling Month &Frequency A. Facility Information Important:When filling out forms on 1. Facility name,address: the computer, use ITHE COVE RESORT HOTEL only the tab key to a.Name move your cursor- do not use the 1183 MAIN STREET/RTE. 28 return key. b.Street Address YARMOUTH MA 02675 c.City d.State e.Zip Code 2. Contact information: IIRFAIllMICHAEL EDWARDS a.Name of Facility Contact Person 15087713666 Imedwards@coveatyarmouth.com b.Telephone Number c.e-mail address 3. Sampling information: 1/20/2022 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 Discharge Monitoring Report-2022 Quarterly 1 1All forms for submittal have been completed. 2. - This is the last selection. 3. 1Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 ' VUIGQU UI I SGJUUI VG I I UlG1/4il1U1 I- VI UTAI IUYYQIGI VIJGI 101l9G I I 1J91011I I. l GI II III I\UI11VG1 Groundwater Permit DISCHARGE MONITORING REPORT 2•Tax identification Number ;2022 QUARTERLY 1 3. Sampling Month&Frequency D. Contaminant Analysis Information • For 110", 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 4.7 0.010 MG/L ORTHO PHOSPHATE 14,9 I 10.020 MG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 La GOU VI I%GJ\IUI VG I I VIGVIIVI I - VI VU114VVGILG1 VIJVIIGII I.'G 1 IVI,l QI11 I. f GI 11 Ill IYUIIIUGI Groundwater Permit11111111111111111111111111111111111. L 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 THE COVE RESORT HOTEL only the tab key to a.Name move your cursor do not use the 1183 MAIN STREET/RTE. 28 return key. b.Street Address YARMOUTH 1MA 02675 Vtiiirrt c.City d.State e.Zip Code 2. Contact information: a .e_ 1grAil MICHAEL EDWARDS a. Name of Facility Contact Person 15087713666 imedwards@coveatyarmouth.com b.Telephone Number c.e-mail address 3. Sampling information: 11/20/2022 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 Discharge Monitoring Report-2022 Annual w — 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 *.w IJUIGGI.! VI I SGJVUIVG I I VIGVIIVl I — VI V4114YYCILGl 1—,IJV1 ICI 1,.G I I,./ 1 0I11 1. ! GI1111( 1YUIIIVGI \ie, Groundwater Permit 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 ACETONE ND 10 UG/L BENZENE ND 1.0 UG/L 1,1 DICHLOROETHANE ND 1.0 UG/L 1,2 DICHLOROETHANE ND 1.0 UG/L 1,1 DICHLOROETHYLENE ND 1.0 UG/L CIS-1,2-DICHLOROETHYLENE ND 1.0 UG/L TRANS 1,2 DICHLOROETHYLENE ND 1.0 UG/L ETHYL BENZENE ND 1.0 UG/L METHYLENECHLORIDE ND 1.0 UG/L TOLUENE ND 1.0 UG/L O-XYLENE ND 1.0 UG/L P/M XYLENE ND 1.0 UG/L CARBON TETRACHLORIDE ND 1.0 UG/L CHLOROFORM IND I 1.0 UG/L 2-BUTANONE(MEK) ND ----I 1.0 UG/L infeffrp-blank.doc•rev.09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 uai caa v1 IScovui 3.c I I v30I.uv1 I - vi vai cvratCI viol..a is yc I I 0111 I. I GI Mil vui vc Groundwater Permit 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 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 X1.0 UG/L VINYLCHLORIDE ND 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 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 I 1.0 UG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 VUIGGIU VI 1%GJVUI VG I I VI.GVIIVI I- VI VUI IU YYQ LG1 VIJVI IQIyG I I QIII I. 1 CI 11111.I 141111./01 ;.. Groundwater Permit 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 IND 1.0 UG/L CHLOROMETHANE [ND ( 1.0 UG/L BROMOMETHANE j ND 1.0 UG/L CARBONDISULFIDE (ND 1.0 UG/L 2-HEXANONE ND 1.0 UG/L ACROLEIN ND !1.0 UG/L ACRYLONITRILE ND 11.0 UG/L TRANS-I,3-DICHLOROPROPENE ND 1.0 UG/L CIS-1,3-DICHLOROPROPENE j ND 1.0 UG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 1-/1-11 COW VI I SCJIIU l,G I 1 VlCVl VII- VI VUI 1,11111131.G1 VIJI.I IOU l,.c I 1%../V113111 I. r GI MIL Ill-MIL/GI Groundwater Permit IIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ' ' . 2.Tax identification Number Facility Information Important:when 'THE COVE RESORT HOTEL filling out forms on a.Name the computer, use only the tab key to 1183 MAIN STREET/RTE. 28 move your cursor- b. Street Address do not use the 'YARMOUTH 'MA 1-02675 return key. c.City d.State e.Zip Code 4 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. WM 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 .2/18/2022 Any person signing a.Signature b.Date(mm/dd/yyyy) a document under 314 CMR 5.14(1)or (2)shall make the Re I ortin' Package Comments following PLANT MET ALL DISCHARGE PERMIT REQUIREMENTS FOR JANUARY 2022. certification If you are filing electronic-ally and want to attach additional comments, select the check box. r gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit• Page 1 of 1