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Home My WebLink About2021 Aug - 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. Username: EBELAIR Transaction ID: 1299023 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1581.27K Status of Transaction: Submitted Date and Time Created: 8/24/2021:12:16:36 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. LJUI cau VI I\CJVul lic I I VlCNl1V1 I- vi V.\ IUYVOLCI VIJN ICI I I,../ Ial11 I. f 0111111 IYu11111G1 2.Tax identification Number Groundwater Permit DISCHARGE MONITORING REPORT +�L (2021 JUL MONTHLY 3.Sampling Month & Frequency A. Facility Information important:when filling out forms on 1. Facility name,address: the computer, use MAYFLOWER PLACE only the tab key to a.Name move your cursor- do not use the (579 BUCK ISLAND ROAD return key. b.Street Address is (YARMOUTH IMA 102673 c.City d.State e.Zip Code 2. Contact information: I____ ill; (MARK WEINBERGER a.Name of Facility Contact Person 12035574777 Imweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 17/15/2021 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-2021 Jul Monthly zJ r- All forms for submittal have been completed. 2. I_ 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 -Nt UUI GQU Ill I\GJVUI VG 1 1,11.G,..1,/11- V1 VUI 14VVQLGI VIJVI101l,.G 1 I VI,.I Q111 I. F G111111.Ill-4111./01Groundwater Permit :.,, 2.Tax identification Number DISCHARGE MONITORING REPORT 12021 JUL MONTHLY 3. Sampling Month&Frequency D. Contaminant Analysis Information • For I'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 6.7 ND 3.0 MG/L TSS 17.8 2.2 2.0 MG/L TOTAL SOLIDS 390 MG/L AMMONIA-N 0.63 MG/L NITRATE-N 5.0 0.050 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 6.3 0.50 MG/L OIL&GREASE 0.87 0.50 MG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 ✓UI GOA 1.11 I SGJVUI I.G I I VlGI.liV1 I— V1 l.IU1 IUYVQLGI ✓IJVI IQII.JC I I VI,.I Cal II I. r GI MIL I'IUI I I✓GI i iGroundwater Permit DISCHARGE MONITORING REPORT 2.Tax identification Number 2021 QUARTERLY 3 3. Sampling Month &Frequency A. Facility Information Important:when filling out forms on 1. Facility name,address: the computer, use MAYFLOWER PLACE only the tab key to a.Name move your cursor do not use the 1579 BUCK ISLAND ROAD return key. b.Street Address 'YARMOUTH IMA 102673 c.City d.State e.Zip Code 2. Contact information: illtil ... MARK WEINBERGER a.Name of Facility Contact Person 12035574777 Imweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 17/15/2021 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-2021 Quarterly 3 2.r1 - All forms for submittal have been completed. 2. - This is the last selection. 3. rDelete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 LJui cau vi INcOuui r,c I ivror,uvi I - vi uui lrAYYQIGI vrar,i 101 yc I I uyi 0111 i. Groundwater Permit I Cl liar 11U1111101 2.Tax identification Number DISCHARGE MONITORING REPORT 2021 QUARTERLY 3 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 17.1 0.010 MG/L ORTHO PHOSPHATE 6.9 0.020 MG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 L, ' LJUICOU vi I Scwui,.c I ivicuuvii- vivu11u rraw viQuiis yc i ivy al I i r Clivui uc 2. Tax identification Number Groundwater Permit MONITORING WELL DATA REPORT 2021 QUARTERLY 3 3. Sampling Month&Frequency A. Facility Information Important:When filling out forms on 1. Facility name,address: the computer, use (MAYFLOWER PLACE only the tab key to a.Name move your cursor- do not use the 1579 BUCK ISLAND ROAD return key. b.Street Address 'YARMOUTH JMA 102673 Lim&� c.City d.State e.Zip Code 2. Contact information: 11111PII JMARK WEINBERGER a.Name of Facility Contact Person 12035574777 Jmweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 17/16/2021 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-2021 Quarterly 3 zi - All forms for submittal have been completed. 2. IThis is the last selection. 3. I- Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 Nya, `4UNI GQN VI I\GJVNI*,waterG I I VIGVIIVIPI- VIermit VNI INYYCILVI ✓IJI..I 10190 I I Vl9.10111 I. f G11111%IVNIIIVGI '-'srt I .._ Ground MONITORING WELL DATA REPORT 2. Tax identification Number ��, 12021 QUARTERLY 3 3. Sampling Month &Frequency • C. Contaminant Analysis Information • For I101I, 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-1 MW-2 MW-3D MW-3M MW-3S MW-4D Units Well#: 1 Well#: 2 Well#: 3 Well#:4 Well#: 5 Well#:6 NITRATE-N ND ND ND 1 N ND ND MG/L TOTAL NITROGEN(NO3+NO2+TK 0.50 ND ND 1 0.60 0.57 ND MG/L TOTAL PHOSPHORUS AS P 10.16 0.074 10.13 0.062 0.14 0.028 MG/L ORTHO PHOSPHATE ND ND ND ND NS I ND MG/L mwdgwp-blank.doc• rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 l-/UI GQU VI I\GJVUI VG I I VIGI.,IIVI I- VI VU11l.IVVQlGI IJIJVIICI G I I VW QIII I. I GIII III IYUI I IVGI Groundwater Permit 2. Tax identification Number ';3$ MONITORING WELL DATA REPORT 2021 QUARTERLY 3 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-4M MW-4S MW-5 MW-6 MW-8D MW-8S Units Well#: 1 Well#: 2 Well#: 3 Well#:4 Well#: 5 Well#:6 NITRATE-N ND ND ND ND ND ND MG/L TOTAL NITROGEN(NO3+NO2+TK 10.51 ND ND ND ND ND MG/L TOTAL PHOSPHORUS AS P 10.13 0.14 0.039 0.050 0.030 0.13 MG/L ORTHO PHOSPHATE ND ND ND ND ND ND MG/L mwdgwp-blank.doc• rev, 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 Ll 1-11.41GQU VI I%GJVUI VG I IVlGGl1V11- VI VUI IVYYQIGI ✓IJVI101lV.Gi I I VIJ.I Cal I I I. f G1111111`IU111VGI Groundwater Permit 2. Tax identification Number MONITORING WELL DATA REPORT 2021 JUL MONTHLY ( • 3. Sampling Month &Frequency A. Facility Information Important:When filling out forms on 1. Facility name,address: the computer, use (MAYFLOWER PLACE only the tab key to a.Name move your cursor- do not use the 1579 BUCK ISLAND ROAD return key. b.Street Address !YARMOUTH IMA 102673 i I c.City d.State e.Zip Code 2. Contact information: J17' L !MARK WEINBERGER a.Name of Facility Contact Person 12035574777 Imweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 17/16/2021 IWHITEWATER a.Date Sampled(mm/dd/yyyy) b.Laboratory Name (DOUG MURPHY c.Analysis Performed By(Name) B. Form Selection 1. Please select Form Type and Sampling Month&Frequency 'Monitoring Well Data Report-2021 Jul Monthly z! - All forms for submittal have been completed. 2. r 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 "*.;k LJUI GG1u VI ISGJVul l.c I IVIcI.UVII - VI VUI Iu VVOLGI 1-1IJl.1 IC11 c 1 IWU,CII I. I. F CI 11111 1141111101 Groundwater Permit MONITORING WELL DATA REPORT 2.Tax identification Number i, 2021 JUL 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 MW-1 MW-2 MW-3D MW-3M MW-3S MW-4D Units Well#: 1 Well#: 2 Well#: 3 Well#:4 Well#: 5 Well#:6 PH 5.9 5.9 6 6 6.1 5.9 s.u. STATIC WATER LEVEL 6.94 9.62 8.83 8.82 8.5 10.81 FEET SPECIFIC CONDUCTANCE 1238 305 184 206 224 262 UMHOS/C mwdgwp-blank.doc• rev. 09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1 'S . ✓UI GOU U1 I%GJVUI\jG I I UlGI,IIVII- V1 UI.11 IUYY aLGI ✓1J\i1101y G I IUJ I all, 1, i Glll111 IYUIIIVGI .: Groundwater Permit I 2. Tax identification Number MONITORING WELL DATA REPORT 2021 JUL MONTHLY 3. Sampling Month &Frequency 4 C. 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 • DRY= Not enough water in well to sample. Parameter/Contaminant MW-4M MW-4S MW-5 MW-6 MW-8D MW-8S Units Well#: 1 Well#: 2 Well#: 3 Well#:4 Well#: 5 Well#:6 PH 6.1 15.9 5.9 116.2 6 5.8 S.U. STATIC WATER LEVEL 9.83 10.51 7.62 8.59 10.88 10.89 FEET SPECIFIC CONDUCTANCE 1185 197 194 211 255 304 UMHOS/C mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 ' ✓ul cclu VI I SCJVul\ic I I VlclJUVI I- VI,-11.11 14 VVCl l ✓IJc11.1 lJ.c I I'.J IQIII I. F Gill!,IIUIIIAlc1 ‘ ..._ Groundwater Permit 2.Tax identification Number Facility Information Important:When (MAYFLOWER PLACE filling out forms on a.Name the computer, use only the tab key to 1579 BUCK ISLAND ROAD move your cursor- b.Street Address do not use the 'YARMOUTH IMA 102673 return key. c.City d.State e.Zip Code 1 Certification Vittrus: .y "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. IFFAI/1 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 18/24/2021 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' Packa_e Comments following PLANT MET ALL DISCHARGE PERMIT REQUIREMENTS FOR JULY 2021. certification If you are filing electronic-ally and want to attach additional comments, select the check box. n gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit• Page 1 of 1 ' • s