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NOV 2 4 2020
Username: EBELAIR HEALTH
Transaction ID: 1234409
Document: Groundwater Discharge Monitoring Report Forms
Size of File: 1609.60K
Status of Transaction: Submitted
Date and Time Created: 11/12/2020:10:20:24 AM
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.
IL
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Groundwater Permit111111111111111
DISCHARGE MONITORING REPORT 2.Tax identification Number
;2020 OCT MONTHLY
3. Sampling Month &Frequency
A. Facility Information
Important:When
filling out forms on 1. Facility name,address:
the computer, use 'KING'S WAY CONDOMINIUM
only the tab key to a.Name
move your cursor- {
do not use the 110 KING'S CIRCUIT
return key. b. Street Address
YARMOUTH IMA 02675
� �em
c.City d.State e.Zip Code
im
2. Contact information:
IPMIRENE ROTHMAN
a.Name of Facility Contact Person
16178393364 Propertymanager.kwc@gmail.com
b.Telephone Number c.e-mail address
3. Sampling information:
110/20/2020 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-2020 Oct Monthly
- 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
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Groundwater
DISCHARGE MONITORING REPORT 2.Tax identification Number
2020 OCT MONTHLY
3. Sampling Month&Frequency
D. Contaminant Analysis Information
• For"011, 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 190 ND 3.0 [
MG/L
TSS 350 2.8 2.0
MG/L
TOTAL SOLIDS 720
MG/L
AMMONIA-N 47
MG/L
NITRATE-N 3.3 0.25
MG/L
TOTAL NITROGEN(NO3+NO2+TKN) 5.6 0.25
MG/L
OIL&GREASE 0.6 0.5
MG/L
FOAMING AGENTS(MBAS) 0.3210.12 i
MG/L
infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1
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Groundwater Permit
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z.Tax identification Number
DISCHARGE MONITORING REPORT 12020 QUARTERLY 4
3. Sampling Month &Frequency
A. Facility Information
important:when
filling out forms on 1. Facility name,address:
the computer, use KING'S WAY CONDOMINIUM
only the tab key to a.Name
move your cursor
do not use the 110 KING'S CIRCUIT
return key. b. Street Address
YARMOUTH MA 02675
riff c.City d.State e.Zip Code
2. Contact information:
FIFA IRENE ROTHMAN
a.Name of Facility Contact Person
6178393364 1Propertymanager.kwc@gmail.com
b.Telephone Number c.e-mail address
3. Sampling information:
110/20/2020 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-2020 Quarterly 4
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
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Groundwater Permit
DISCHARGE MONITORING REPORT 2.Tax identification Number
12020 QUARTERLY 4
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 ASP 6.3 0.02
MG/L
ORTHO PHOSPHATE 6.9 0.02
MG/L
infeffrp-blank.doc•rev.09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1
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GrounMONITORING WELLdwater DAPerTA REPORmit
T 2.Tax identification Number
2020 QUARTERLY 4
3. Sampling Month&Frequency
A. Facility Information
Important:when
filling out forms on 1. Facility name,address:
the computer, use 'KING'S WAY CONDOMINIUM
only the tab key to a.Name
move your cursor
do not use the 110 KING'S CIRCUIT
return key. b.Street Address
YARMOUTH MA 02675
btfir
Pat c.City d.State e.Zip Code
2. Contact information:
IRENE ROTHMAN
a.Name of Facility Contact Person
6178393364 Propertymanager.kwc@gmail.com
b.Telephone Number c.e-mail address
3. Sampling information:
110/20/2020 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-2020 Quarterly 4
- 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
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MONITORING WELL DATA REPORT 2.Tax identification Number
=2020 QUARTERLY 4
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 MW1 MW2A MW3 MW4A MW5
Units Well#: 1 Well#: 2 Well#: 3 Well#:4 Well#: 5 Well#: 6
NITRATE-N 10.91 ( €1.8 1 1.6 0.75 3.1
MG/L
TOTAL NITROGEN(NO3+NO2+TK 10.91 1.8 1.6 0.75 1 3.1
MG/L
TOTAL PHOSPHORUS AS P !0.12 I 0.08 0.16 10.26 0.10
MG/L
ORTHO PHOSPHATE ,0.04 ,ND 0.07 0.07 0.08
MG/L
mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1
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roundwaer ermVitI VUI IUVVQI.CI VIJl.11011J.G I IIJ lCIIII I. r CI Mil 111.1111L/G1111.1111L/G1GP
2.Tax identification Number
DAILY LOG SHEET 2020 OCT DAILY I
3. Sampling Month & Frequency
A. Facility Information
Important:When
filling out forms on 1. Facility name,address:
the computer, use 'KING'S WAY CONDOMINIUM
only the tab key to a.Name
move your cursor-
do not use the 110 KING'S CIRCUIT
return key. b. Street Address
YARMOUTH MA — 102675
+ � c.City d.State e.Zip Code
SRI
2. Contact information:
'WA IRENE ROTHMAN
a.Name of Facility Contact Person
16178393364 Propertymanager.kwc@gmail.com
b.Telephone Number c.e-mail address
3. Sampling information:
110/31/2020 JWH ITEWATER
a.Date Sampled(mm/dd/yyyy) b.Laboratory Name
IDAVE FISHER
c.Analysis Performed By(Name)
B. Form Selection
1. Please select Form Type and Sampling Month&Frequency
1 Daily Log Sheet-2020 Oct Daily •J
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
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Groundwater Permit 1111111.111111.1.11.1111111.11
DAILY LOG SHEET 2.Tax identification Number
2020 OCT 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 47892 I I _ [ 1-1 17.1 1
2 149667 I I 1T-7
3 50401 {�j = 7.1 u
4 50558 I I I I F-7 I 7 I
5 51382 ( 7
6 46543 I I II = MI 7-1
7 149893 I I 7.1 1
8 148723 I 1 7.1 1
9 149679 I I N
10 53429 I II 7
11 [..71-8-677----
1 ( I I I7.1
12 51376 13 I
1
REIM
14 49509 I I I I ( 1 7.1 I =
149685 I F-1
7
15 149007 I = 7 I
16 53210 I I I1 6.9 _______J4806
17 5 I Fi-------i
18 51039 7 I
19 51543 = 7
20 145313 16.9 I
21 51560 _ I 7
22 50966 I— I 7
23 49767 J 1 II( 6.9 I
24 151602 ( I = 6.9
25 155336 ( I = = _7 _._I
26 [55989
1-11-1
27 !48185 I 6.9 I
28 51243 (r 7-1 7.1 I
29 52388 1 {____ = 7
30 154368 I� I 7 _......_ __
31 49946 I J
I I I 7
gdpols.doc•rev.09/15/15 Groundwater Permit Daily Log Sheet•Page 1 of 1
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Via_ Groundwater PermitIIIIIIIIIIIIINIINIIIIIIIIIIMIIIIIII
MONITORING WELL DATA REPORT 2.Tax identification Number
2020 OCT MONTHLY
3. Sampling Month&Frequency
A. Facility Information
Important:When
filling out forms on 1. Facility name,address:
the computer, use KING'S WAY CONDOMINIUM
only the tab key to a.Name
move your cursor-
do not use the 110 KING'S CIRCUIT
return key. b.Street Address
YARMOUTH IMA 02675
ii4r -., c.City d.State e.Zip Code
2. Contact information:
IIWIIRENE ROTHMAN
a.Name of Facility Contact Person
6178393364 Propertymanager.kwc@gmail.com
b.Telephone Number c.e-mail address
3. Sampling information:
110/20/2020 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-2020 Oct Monthly
- All forms for submittal have been completed.
2. 1This is the last selection.
r
3. — Delete the selected form.
gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1
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. I CI MIL 111.11111J01I Groundwater Permit
MONITORING WELL DATA REPORT 2.Tax identification Number
12020 OCT 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 MW1 MW2A MW3 MW4A MW5
Units Well#: 1 Well#:2 Well#: 3 Well#:4 Well#: 5 Well#:6
PH 5.6 1 5.6 5.5 5.3 6.3
S.U.
STATIC WATER LEVEL 5.7 18.3 10.6 4.5 8
FEET
SPECIFIC CONDUCTANCE 174 1 221 ,434 1188 447
UMHOS/C
mwdgwp-blank.doc• rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1
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Groundwater PermitIIIIIIIIIIIIIOIIIIIIMIIIIIIIIIIIIII
2. Tax identification Number
Facility Information
Important:When (KING'S WAY CONDOMINIUM
filling out forms on
a.Name
the computer, use
only the tab key to 110 KING'S CIRCUIT
move your cursor- b.Street Address
do not use the 'YARMOUTH MA 02675
return key. c.City d.State e.Zip Code
Certification
' P17—Tha
"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.
I
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 111/12/2020
Any person signing a.Signature b.Date(mm/dd/yyyy)
a document under
314 CMR 5.14(1)or
(2) shall make the Reportin. Packa,e Comments
following PLANT MET ALL PERMIT REQUIREMENTS FOR OCTOBER 2020. 20,000 GALLONS PUMPED/
certification DIGESTER MAINTENANCE
If you are filing
electronic-ally and
want to attach
additional
comments, select
the check box.
gdpols 2015-09-15.doc• rev. 09/15/15 Groundwater Permit•Page 1 of 1