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Home My WebLink About2021 Oct - 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. OCT 2 8 2021 HEALTH DEPT. Username: EBELAIR Transaction ID: 1314830 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1166.72K Status of Transaction: Submitted Date and Time Created: 10/19/2021:8:14:45 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. J 1—,..111 Ga.,.VI I\GJVUI VG I I%JIGVIIVI I — VI VUI IUVVOIGI ✓IJVIIUII,.G I I VWQM1. f GI1111\IVUIIIVGI L.. Groundwater Permit 111111111111111111 DAILY LOG SHEET 2.Tax identification Number 12021 SEP DAILY 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 1MA 102673 illAimmI c.City d.State e.Zip Code 2. Contact information: Ig' I 4111111111 MARK WEINBERGER a.Name of Facility Contact Person 2035574777 mweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 19/30/2021 IWHITEWATER a.Date Sampled(mm/dd/yyyy) b.Laboratory Name .JAIME STEWART c.Analysis Performed By(Name) B. Form Selection I. Please select Form Type and Sampling Month&Frequency I Daily Log Sheet-2021 Sep Daily "I — All forms for submittal have been completed. 2. rThis is the last selection. 3. t- Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 LIMII�. uui Gall VI W.,,V1.11 . ,Vc I I Ji ,uvuI.. IM VI VIu vUI I va IuVI. , I I VW ani I. r V41114/01GI suit I vu1ici Groundwater Permit II 2. Tax identification Number DAILY LOG SHEET 2021 SEP DAILY i 3.Sampling Month&Frequency i 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 11156.._.I 1 r------1 I 1 7.2 1- 1 2 112841 1 1 1 ( 1 7.2 LJ 3 110200 1 1 1 HJ 02J� 4 100 [—I 1 I 1 I I--I 1 �'"�'"'��j TH I�--1 5 110200 1 1 1 1 11 1 1 1 6 10200 1 F-1 l [ 1 1 HJ 7 9459 I = 1_1 7.8 11111111 8 10747 1 1 7.7 1 9 111870 1 1111111 11 F-1 7.6 10 10211 1 LL HI LJ 7.5 1 11 10211 1 1 HJ I 12 110211 1 1 = 1 MI 13 10178 ( ___-__ 1 1—_---j 7.8 14 9706 1 � �1 7.6 1 1 15 9664 i 1 1-� 7.6 HJ 16 9664 = I 17.7 1 LH 17 9664 1 = HJ 1_72--1 1= 18 9300 = = ____ 19 9300 1 1 = 1 Lu llHI 20 9300 1 1 1 1 I 1 1-1 7.6 TJ 21 8166 1 1 1 7.5 __ ______1 LH 22 10715 1 11 1 I 7.5 1 1 23 8491 .—._._.—1 I - 1_ 7.9 ___�__J 24 [6-16-171 1H 7.9 1 1 I 25 19897 1 = 1 14 � 1 26 9897 I 1 �� 1 7.5 I 27 10678 I I_.----1( 1 1 —_1 28 .10443 �___---.-.� � 7 6 29 11472 _______� 1 '� I__---i 30 8 �-------- (— 1 7.5 31 Groundwater Permit Daily Log Sheet• Page 1 of 1 gdpols.doc•rev. 09/15/15 *y,. v. uw cau vi iwovw�,C I iv�c�.uvii - vivwiu vvaLci ✓w‘,i1a1yc I IvJ I all I t„...,I Groundwater Permit I. F ciini� 1,11.11111./G1t MONITORING WELL DATA REPORT 2• Tax identification Number !2021 SEP 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 fMYARMOUTH MA 02673 i l c.City d.State e.Zip Code MAIr 2. Contact information: [MARK WEINBERGER mataxa. a.Name of Facility Contact Person 12035574777 mweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 19/28/2021 IW H ITEWATER a.Date Sampled(mm/dd/yyyy) b.Laboratory Name (JAIME STEWART c.Analysis Performed By(Name) B. Form Selection 1. Please select Form Type and Sampling Month&Frequency Monitoring Well Data Report-2021 Sep Monthly fa — 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 L tJUIGQU VI I SGJVUI VG I I VI.GVIIVI I - VI VUI IUYYgLGI 1..41.21,1101 VG I I VJJI CII II I. I Gillilt IVUIIIUGI Groundwater Permit MONITORING WELL DATA REPORT 2.Tax identification Number 2021 SEP MONTHLY 3. Sampling Month&Frequency 17 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 5.6 5.7 6.2 6.6 6.4 6.6 s.U. STATIC WATER LEVEL 17.9 11.2 9.2 9.6 9.6 11.6 rLEI SPECIFIC CONDUCTANCE 1173 I 82 168 89.4 110 268 UMHOS/C . Monitoring Well Data for Groundwater Permit•Page 1 of 1 mwdgwp blank.doc• rev09/15/15 UUIGaU VI 1\GJV 41liG 1 IVIGVUVII - VlVullu vvQ VIJUIa1l�.G I IV' %Q11\ 1. f G111111.IYUI IL/GI T-: Tcwater PermitRING WELL DATA REPORT 2.Tax identification Number ;2021 SEP 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-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 6.4 I 6.1 4.9 16.1 6.1 6.3 . s.U. STATIC WATER LEVEL 11.6 11.5 10.1 7.9 1 12.8 110.9 I FEET SPECIFIC CONDUCTANCE 1284 940 140 I 150 540 I 480 UMHOS/C mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1 a•L ✓UI GQU VI I%GJVUI IiG I I VICtl1'Jl I— VI V4114 VV OlGI 1,101,1 CII VG I I Vl l 0111 1. r Cl lilt IYUII1/GI Groundwater Permit 2. Tax identification Number • DISCHARGE MONITORING REPORT (2021 SEP MONTHLY 3. Sampling Month&Frequency A. Facility Information mportant:When Wing out forms on 1. Facility name,address: the computer, use 1MAYFLOWER PLACE only the tab key to a.Name move your cursor 1579 BUCK ISLAND ROAD do not use the return key. b.Street Address YARMOUTH 1MA 02673 (MI� c.City d.State e.Zip Code 2. Contact information: lira 1MARK WEINBERGER ilk firl a.Name of Facility Contact Person 2035574777 mweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 19/23/2021 IRI ANALYTICAL a.Date Sampled(mm/dd/yyyy) b.Laboratory Name IKRYSTOF TRAFALSKI c.Analysis Performed By(Name) B. Form Selection 1. Please select Form Type and Sampling Month& Frequency .. ... .. .... .. .. I Discharge Monitoring Report-2021 Sep Monthly > All forms for submittal have been completed. 2. — This is the last selection. 3. � Delete the selected form. Groundwater Permit Daily Log Sheet• Page 1 of 1 gdpdls 2015-09-15.doc• rev.09/15/15 UU1001/V1 I COl/1A L.6 I 1 V1.0Nall%/ J0 1 I- VI% 1111YY0l01 V101✓1101y C I Il./ 11 10111 I. I C111114U1 I IVG1 LNGroundwater Permit DISCHARGE MONITORING REPORT 2.Tax identification Number 2021 SEP 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 ND 3.2 3.0 MG/L TSS 15 18.7 2.0 i MG/L TOTAL SOLIDS 1400 MG/L AMMONIA-N 'ND MG/L NITRATE-N 10 0.050 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 12 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 uuicau Vi i�c��uil.c I IVICVUVII- VIV4114 VV OlGI VIJVI101 IVy161111 I. ( cIIIul IVUI I11/GI Groundwater Permit lTAIN,, , 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 MA 102673 return key. c.City d.State e.Zip Code ti Certification 4 "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 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 110/19/2021 Any person signing a.Signature b.Date(mm/dd/yyyy) a document under 314 CMR 5.14(1)or (2)shall make the Reporting Packa.e Comments following PLANT DID NOT MEET ALL DISCHARGE PERMIT REQUIREMENTS FOR SEPTEMBER 2021. certification TN=12. 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