HomeMy WebLinkAbout2021 Aug 2- Whitewater Massachusetts Department of Environmental Protection
eDEP Transaction Copy
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Username: EBELAIR
Transaction ID: 1299224
Document: Groundwater Discharge Monitoring Report Forms
Size of File: 429.08K
Status of Transaction: Submitted
Date and Time Created: 8/2/2021:1:56:47 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.
AUG 0 5 2021
HEALTH DEPT.
4
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1
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Groundwater Permit 2.Tax identification Number
MONITORING WELL DATA REPORT ;2021 QUARTERLY 2 j
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 102675
Rimc.City d.State e.Zip Code
2. Contact information:
lMICHAEL EDWARDS
a.Name of Facility Contact Person
5087713666 medwards@coveatyarmouth.com
b.Telephone Number c.e-mail address
3. Sampling information:
14/21/2021 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
Monitoring Well Data Report-2021 Quarterly 2
— 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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mit
1 MONITORING WELL DATA REPORT 2. Tax identification Number
,2021 QUARTERLY 2 I•
3. Sampling Month&Frequency
C. 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
• 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 11.5 1 1.6 6.5 I 1.3
MG/L
TOTAL NITROGEN(NO3+NO2+TK 2.09 11.6 6.5 1.3
MG/L
TOTAL PHOSPHORUS AS P 10.22 0.23 4.8 0.46
MG/L
ORTHO PHOSPHATE 10.096 0.037 4.8 ND
MG/L
mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1
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Groundwater PermitIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
2.Tax identification Number
Facility Information
Important:When ITHE 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 02675
return key. c.City d.State e.Zip Code
tiOrt N 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.
I 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 BELAIR 17/30/2021
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' Packa•e Comments
following THE QUARTER TWO WELL SAMPLING WAS OMITTED FROM THE DMR 4-2021
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