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Home My WebLink About2022 May - 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: 1370193 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1888.07K Status of Transaction: Submitted Date and Time Created: 5/31/2022:12:19:44 PM ' ECEIVEL Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need � 0 3 2027 a more current copy of your transaction, return to eDEP and HEALTH DEPT. select to "Download a Copy" from the Current Submittals page. ✓UI COU VI I SGJVUI VG I I VLGVLIVI I- VI V411UYYQLGI ✓IJVI 101lJ.G I IVLJ.I OM w I. I CI lilt I'll-MIL/GI St^ GroundwPmit MONITORING WELLater DATAerREPORT 2.Tax identification Number 2022 APR 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 1 'YARMOUTH IMA 102673 or: c.City d.State e.Zip Code 2. Contact information: IMARK WEINBERGER a.Name of Facility Contact Person 12035574777 Imweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 14/29/2022 IWHITEWATER a.Date Sampled(mm/dd/yyyy) b.Laboratory Name IJAIME STEWART c.Analysis Performed By(Name) B. Form Selection 1. Please select Form Type and Sampling Month&Frequency I Monitoring Well Data Report-2022 Apr Monthly - 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 LI VI 1\0OVUI I-f0 1 IVL0 LI II-VI VUI IUVVIQL01 VIOII 10190 I IV910111 I. 1 0111 Ill IMUI*LL/OI I L iGroundwater Permit MONITORING WELL DATA REPORT 2.Tax identification Number 12022 APR 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 6.1 6.1 6.3 6.2 6 6.2 S.U. STATIC WATER LEVEL 8.21 11.17 9.59 9.51 9.53 11.66 I-E I SPECIFIC CONDUCTANCE 222 124 1358 376 395 188 UMHOS/C mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1 ✓U1644 VI I\GJVUIVG 1 IVIGVlIV1I- VIVUI IV VVOIGI ✓IJGI IQI yG I I,../VI 4:1111 I. I GI II1II I'I UI I IVGI Groundwater Permit ,2.Tax identification Number MONITORING WELL DATA REPORT 12022 APR 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 6.3 16.4 6.2 6.1 6 16.2 S.U. STATIC WATER LEVEL 11.68 11.67 10.19 9.73 12.72 10.81 FEE SPECIFIC CONDUCTANCE 1244 1 300 177 344 426 288 UMHOS/C mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 '''''''''\,--,-:1 1JU1GOU 1.11 I SGO•JUI VG I I4tGVl1V11- VI VUI IlJYY0lG1 ✓IJVI IOU yC. I IVl`.'I 0111 I. 0111111 141-J1111)01Groundwater Permit IIIIIIIIIIIIIIIIMIIIIIIIIIIIIIIIIIIII DAILY LOG SHEET 2.Tax identification Number 2022 APR 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 J579 BUCK ISLAND ROAD return key. b.Street Address YARMOUTH IMA 102673 1141.: '1 c.City d.State e.Zip Code 2. Contact information: 'WA MARK WEINBERGER a.Name of Facility Contact Person 12035574777 jmweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 14/30/2022 IWH ITEWATE R 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 I Daily Log Sheet-2022 Apr Daily T- All forms for submittal have been completed. 2. - This is the last selection. 3. —n Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 uu,cau vi ,wroundwaovu, t�,cer, IvJL0P,uvi,-v,ermitvu„vvraac, v,o,,,,a,yc I ,vy,a,,, I. r GlllIll,vu,iivci G DAILY LOG SHEET 2.Tax identification Number 12022 APR 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 11128 = ! I 7.4 2 1-171-12-9-1 I I I I 3 11128 I = II 4 9108 7.3 5 9884 = 7.2 j I= 6 8958 1 7.3 7 F1-10-13-87-1 7.2 8 9072 I 7.1 9 9072 I 10 9072 11 10859 = 7.1 12 11866 7 13 1-6-6-9-6-7 7.1 14 7654 7 15 10831 7 7 16 10832 I I 17 10831 7- 18 11466 I j 7.1 19 10963 I = 7 — 20 11215 I 7.1 I 21 10996 I 7.2 I 22 110599 1-----7 r----1 7.2 I I I I 23 10599 II = I( 24 10599 �J ..__..�..I 4I� 25 1-1-0-6-85— H7.3 26 11102 11111.117.2 __ 27 11532 7—I 7.2 3 I 28 10673 7.3 29 11044 I I7.4 I1� 30 r1-00-3-67 I I I I I I 31 gdpols.doc• rev.09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 IJUI GOU VI I\GJVUI UG I I VIGI,IIVI I- VI VUI IUVVQIGI 1-0IJV1101lJ.G I I%../ 1 C4111 I. f 0111111 IYUIIIUGI 4 a Groundwater PermitIIMIIIMIIIIIIIIIIIINIIIPIIIII MONITORING WELL DATA REPORT 2.Tax identification Number 2022 QUARTERLY 2 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 1-579 BUCK ISLAND ROAD return key. b.Street Address 4 n YARMOUTH rMA 02673 c.City d.State e.Zip Code N 2. Contact information: IgrAll MARK WEINBERGER a.Name of Facility Contact Person 2035574777 Imweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 14/29/2022 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-2022 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 1-,41CIU 41 IlGJ4U1dwat4G I I4LG1P.L141 I- LII44114YYgLGI ✓1J1.1 IOU 1 I4L,.10111 I. f 0111111 11U1111./01Grouner �_ 2.Tax identification Number MONITORING WELL DATA REPORT 12022 QUARTERLY 2 3. Sampling Month&Frequency C. Contaminant Analysis Information • For 11011, 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 ND ND ND MG/L TOTAL NITROGEN(NO3+NO2+TK ND ND ND ND ND ND MG/L TOTAL PHOSPHORUS AS P 10.076 0.064 0.068 0.083 0.026 0.12 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 L I,UI GQU VI I\GJVUI I,G I I VI.Vl+llllI I- VI VU'IUVYQIGI ✓IJ1/4•I101lJ.G I ILJ Ipill I. f GI 11111.IYUIIIVGI 2.Tax identification Number Groundwater Permit MONITORING WELL DATA REPORT 12022 QUARTERLY 2 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 IND ND ND ND s ND ND MG/L TOTAL NITROGEN(NO3+NO2+TK ND ND ND ND 1.7 ND MG/L TOTAL PHOSPHORUS AS P 10.066 0.15 0.13 10.093 0.084 0.044 MG/L ORTHO PHOSPHATE ND ND 1 ND I ND ND ND MG/L mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 k vui ccau vi 1%covui1.c I 1 VtCI_,IIVI I - vi VI-11 iurvatci vial.,iiaiyc I 1 vyi ani I. F 0111111 1114111401\.. Groundwater Permit IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII DISCHARGE MONITORING REPORT 2. Tax identification Number 2022 APR 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 102673 ati C.City d.State e.Zip Code 4 2. Contact information: 'FAA MARK WEINBERGER a.Name of Facility Contact Person 12035574777 Imweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 14/26/2022 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-2022 Apr 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 LJUIGQU VI I\GJVUI VG I I VIGI,IIVI I - VI VUI IVY QIG1 LIIJVI IUI J0 I I VIJ.I 0111 I. f 0111111 IYUIIIVGI Groundwater Permit DISCHARGE MONITORING REPORT 2.Tax identification Number 2022 APR MONTHLY IJ 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 27 IND 3.0 MG/L TSS 116 IND 2.0 MG/L TOTAL SOLIDS 410 MG/L AMMONIA-N 0.48 MG/L NITRATE-N 4.0 0.050 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 14.7 0.50 MG/L OIL&GREASE 10.80 0.50 MG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 UUI GQU VI I\GJVUI.,G I I I VI VVI IVYYCIIGI UIJli1!CAI 1J.G I IS../ 1 CAI II I. r 0111111 IYUI I IIJGI Groundwater Permit 2.Tax identification Number DISCHARGE MONITORING REPORT 2022 QUARTERLY 2 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 'YARMOUTH MA 02673 c.City d.State e.Zip Code 2. Contact information: ;MARK WEINBERGER a.Name of Facility Contact Person 2035574777 mweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: /4/26/2022 'RI ANALYTICAL a.Date Sampled(mm/dd/yyyy) b.Laboratory Name INICOLE SKYLESON c.Analysis Performed By(Name) B. Form Selection 1.Please select Form Type and Sampling Month&Frequency Discharge Monitoring Report-2022 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 LI ✓UI GQU V1 I SGJl/U1 VG I I VI.G\,LIV1 I - VI VUI IUYYQIGI ✓IJVI IQII,.G I I U3I 0111 I. f 0111111.1`1U1111.101 Groundwater Permit 2.Tax identification Number DISCHARGE MONITORING REPORT 2022 QUARTERLY 2 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 P6.2 0.010 MG/L ORTHO PHOSPHATE 6.6 0.020 MG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 "wt UUIGQU VI I\GJVUI I,G I I VlCI+IIVI I- JI VUI IUYYQIGI VIJVI IQII.'G I I VW VIII I. r GI Hill IYUI I IIJGI 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 JMA 102673 return key. c.City d.State e.Zip Code 111001ra0 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. 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 isminl.'ri�ia are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations." ELIZABETH BELAIR 15/31/2022 Any person signing a.Signature b.Date(mm/dd/yyyy) a document under 314 CMR 5.14(1)or (2)shall make the Re s ortin' Packa.e Comments following PLANT MET ALL DISCHARGE PERMIT REQUIREMENTS FOR APRIL 2022. PUMPED 2,500 certification GALLONS FROM FET. 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