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Home My WebLink About2021 Dec - 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: 1328191 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1172.48K Status of Transaction: Submitted Date and Time Created: 12/27/2021:2:53:45 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. f L t, UUI COLA VI I YGJ,./UI VG I I VIGVIIVI I - VI VUI IUVYQIGI ✓IJVI IQIIJ.G I ItJ I alll I I GlllllI III-MIL/GI2. . Groundwater Permit DISCHARGE MONITORING REPORT 2021Tax NOVidentification MONTHLYNumber 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 teirali c.City d.State e.Zip Code 1 2. Contact information: 1L1kW AllMARK WEINBERGER a.Name of Facility Contact Person 12035574777 1mweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 111/16/2021 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 Nov Monthly r — 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 Uul caU VI I\ciJVal l.G I I IJIGIiU\JI I - ,..J1 Va111.1YVOLCI uWl.l 101 1 1 Vyl all, I. f CI lllll IYUI I Il/G1 y Groundwater Permit DISCHARGE MONITORING REPORT 2. Tax identification Number `2021 NOV 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 120 13.6 3.0 MG/L TSS 1200 I 7.3 2.0 MG/L TOTAL SOLIDS 550 MG/L AMMONIA-N 123 MG/L NITRATE-N 7.0 0.050 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 8.9 0.50 MG/L OIL&GREASE 0.57 0.50 MG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 UUI GQU VI I\GJSJUI VG I I V\GVUVt I-�IVVI Ill VVOLCI L/IJVI IOU C 1 11,./U1 0111 I. F CIII Ill 1,101111./01 Groundwater Permit IIIIIIIIIIIIIIMIIIIIIMIIMIIIIM 2. Tax identification Number DAILY LOG SHEET 2021 NOV 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 4 •. YARMOUTH IMA 102673 c.City d.State e.Zip Code ti 2. Contact information: 1IrV [MARK WEINBERGER a.Name of Facility Contact Person 2035574777 mweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 111/30/2021 IWH ITEWATER 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 I Daily Log Sheet-2021 Nov Daily r- - 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 -. uui cau vi I wove I Vlc\,Uvl I - v1 vui UVYalcl vwvi IOU yc I I vyi 0111 I. I =111111 I'Iui I II./G1 Groundwater Permit 2.Tax identification Number DAILY LOG SHEET 2021 NOV 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 7 1 —1 7-1 7.6 2 6794 1 8 3 19874 I7.7 7.7 I j 4 1 F----219 � 7.9 1. ... .... L___ I 5 5866 1 7.8 6 6866 1 7 5866 g 1 = II 8 *78-1 INN 7.3 II 9 7516 7.6 10 6818 = = 7.4 I 11 *60-1 7.4 12 8955 I 7.5 13 8955 l-- = 14 8955 15 6382 I ___J 7.6 —� 16 9203 1 1----7 7.9 � 179628 I 1 7.9 18 7819 I 1-1 i I7.5 19 8186 —�� 7.6 20 8186 1 . _________I 21 8186 I 7—I 2211684 7.5 1�� 23 9166 _ I I 1-1 7.6 I 7-1 24 10919 I F-7 7.6 I 25 10919 1 1 1 26 17850 I = I7.5 27 ;78497-1 I I 28 7849 III 7.6 1 1 I 29 10450 I �__( .__._� 7.5 I 30 6954 ==j i I 1-1 ' I I I 1 31 gdpols.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 UUI caU VI I\COVUI Vc I I VIVVLIVI I - VI VUI IUVVOLCI VIOVI101 I I Vy1 all I I. I 0111111 1141I11./ 1 Groundwater Permit 1 MONITORING WELL DATA REPORT 2.Tax identification Number 2021 NOV 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 MA 02673 c.City d.State e.Zip Code ti 2. Contact information: I MO Al I MARK WEINBERGER a.Name of Facility Contact Person 12035574777 Imweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 11/30/2021 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 I Monitoring Well Data Report-2021 Nov Monthly - All forms for submittal have been completed. 2. - This 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 ' ✓UIGCIU VI I\GJVU1 GG I I I,/IGGlulJ1 I— VI VUI IUVVOIGI 1,10,1 CII I I l/ I61111 I. F GI II III IVUs I1VG1 . Groundwater Permit 1111•=11111=111111111111111111. -NN----- MONITORING WELL DATA REPORT 2.Tax identification Number 2021 NOV MONTHLY 1 3. Sampling Month &Frequency 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-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 16.2 6.1 6.9 6.6 6.3 6.6 S.U. STATIC WATER LEVEL 8.2 10.9 9.3 9.6 9.7 11.8 FttI SPECIFIC CONDUCTANCE 190 175 1180 810 185 277 UMHOS/C mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1 ✓uI GPU VI ICJVul ltiC I I VLG'+UVI I- V1 lJuI HAYYGIIGI VIJl,I1CII yQ 1 I Vyl Qlll F GI II!IL 1,14111V01I Groundwaer Permit MONITORING WELL DATA REPORT 2.Tax identification Number 2021 NOV 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 16.4 6.2 I 5.7 NS 6.7 6.4 S.U. STATIC WATER LEVEL 111.7 11.8 I 10.1 NS 13 11 rtti SPECIFIC CONDUCTANCE 510 ( 560 170 NS 466 606 UMHOS/C mwdgwp-blank.doc• rev. 09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1 IL vuIcau WI I�wuul..c I ivwwvii- VI V�.1114 VV QLCI vwv.l IaUyc IU 10111 I. r Glll 111 1,141I11./01 Groundwater Permit1111111111111111.111111111111111111111111111 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 02673 return key. c.City d.State e.Zip Code r MICertification "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. !WA 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 BELAIR12/27/2021 Any person signing a.Signature b.Date(mm/dd/yyyy) a document under 314 CMR 5.14(1)or (2)shall make the Reportin; Package Comments following PLANT MET ALL DISCHARGE PERMIT REQUIREMENTS FOR NOVEMBER 2021. PUMPED certification 40,000 GALLONS FOR SEMIANNUAL TANK MAINTENANCE. 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 t ,