HomeMy WebLinkAbout2021 Oct 20 - Whitewater Massachusetts Department of Environmental Protection
eDEP Transaction Copy
Here is the file you requested for your records.
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OCT 28 2021
Username: EBELAIR HEALTH DEPT
Transaction ID: 1310312
Document: Groundwater Discharge Monitoring Report Forms
Size of File: 1027.93K
Status of Transaction: Submitted
Date and Time Created: 10/20/2021:1:33:20 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.
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•
`h., UVIGGV VI I SGJVIJI GG I I I- VIVVI IVYVGIGI 1-,I0VI101lJ.G I I,./VI.111 I. r GIIIIII.1YU1111JOI
Groundwater Permit
2.Tax identification Number
DISCHARGE MONITORING REPORT
12021 SEP MONTHLY
3. Sampling Month&Frequency
A. Facility Information
Important:When
filling out forms on 1. Facility name,address:
the computer, use ,BUCK ISLAND CONDO.
only the tab key to a.Name
move your cursor
do not use the k81 BUCK ISLAND ROAD
return key. b.Street Address
YARMOUTH MA 02675
c.City d.State e.Zip Code
2. Contact information:
ANDREW WHITTER
a.Name of Facility Contact Person
5087786513 Andy@fpmcapecod.com
b.Telephone Number c.e-mail address
3. Sampling information:
19/9/2021 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 Sep 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
^,yam ✓UI GGIU VI I%GJVUI I.G I I IJIGl.1.11/4/1 I- VI'JUI IUVVOLO1 ✓IJ1..110190 I 11.1910111 I. 1 0111111 I UI I IIJ01
. s Groundwater Permit
DISCHARGE MONITORING REPORT 2 Tax identification Number
=2021 SEP MONTHLY I •
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
B°D 290 l ND 8.0
MG/L
TSS 110 9.0 2.0
MG/L
TOTAL SOLIDS 590
MG/L
AMMONIA-N 33
MG/L
NITRATE-N 0.97 0.050
MG/L
TOTAL NITROGEN(NO3+NO2+TKN) 5.3 0.50
MG/L
OIL&GREASE 0.77 0.50
MG/L
infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1
LJUIGCIU VI I%GJVUI VG I I VI.GVLIVI I- VI V11114VVOLGI VIJVI IQI I,G I I VI,.I OilI I. F0111111 11411111012.Tax identification Number
a . Groundwater Permit
MONITORING WELL DATA REPORT 12021 SEP MONTHLY
3. Sampling Month&Frequency
A. Facility Information
important:when
filling out forms on 1. Facility name,address:
the computer, use 'BUCK ISLAND CONDO.
only the tab key to a.Name
move your cursor-
do not use the 1481 BUCK ISLAND ROAD
return key. b.Street Address
ti 'YARMOUTH [MA 102675
R16 c.City d.State e.Zip Code
\
2. Contact information:
tANDREW WHITTER
a.Name of Facility Contact Person
5087786513 Andy@fpmcapecod.com
b.Telephone Number c.e-mail address
3. Sampling information:
19/1/2021 1WHITEWATER
a.Date Sampled(mm/dd/yyyy) b.Laboratory Name
IDAVE FISHER
c.Analysis Performed By(Name)
B. Form Selection
1. Please select Form Type and Sampling Month&Frequency
Monitoring Well Data Report-2021 Sep Monthly w
r- All forms for submittal have been completed.
2. rThis 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
LJUIGQU VI I SGJVUI VG I I VIGI,LIVII - VI VUI IUYYQLGI VIJVIIQIG I I%J JI Q111 I. 10111111 IYUIIIL/01
Groundwater Permit
2. Tax identification NumberMONITORING WELL DATA REPORT
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-10 MW-11 MW-12 MW-8 MW-9
Units Well#: 1 Well#:2 Well#: 3 Well#:4 Well#:5 Well#:6
PH 6.8 6.4 6.7 6.2 5.2
S.U.
STATIC WATER LEVEL 12.6 14.7 14.7 10.1 11.6
FEET
SPECIFIC CONDUCTANCE 676 486 604 298 206
UMHOS/C
mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1
✓UI GOU VI I\GJVUI VG I I VIGVIIVI I- VI VU114 YYQLGI ✓IJVI ICU lJ.G I I V1,I 0111 I. I GI l lilt IYUI I IIJGI
Li Groundwater Permit
2.Tax identification Number
DAILY LOG SHEET
2021 SEP DAILY
3.Sampling Month&Frequency
A. Facility Information
Important:When
filling out forms on 1. Facility name,address:
the computer, use 'BUCK ISLAND CONDO.
only the tab key to a.Name
move your cursor-
do not use the (481 BUCK ISLAND ROAD
return key. b.Street Address
YARMOUTH MA 102675
c.City d.State e.Zip Code
4
2. Contact information:
!ANDREW WHITTER
a.Name of Facility Contact Person
5087786513 ,Andy@fpmcapecod.com
b.Telephone Number c.e-mail address
3. Sampling information:
110/1/2021 ]WHITEWATER
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 Sep Daily
- 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
IJUI GQM VI I;GJVUI li0 I I dwater VlPriNllVlI- VIermitUVI KO ✓WNV
IVVIGI I 101 C I I yl all I I. F GI II Ill i UlI IVGI
Groun
DAILY LOG SHEET 2. Tax identification Number
2021 SEP 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 6781 I = I 7.0 =
2 9957 I I = I 1 7.4 I=
3 [7554 I I 7.4
(�
4 8689 I l [-I I I 1
_______] = =
5 8345
6 9150
7 7553 I I 7.2
8
8774 ��I 7.4
9 8971 i 1 1 I 7.6 1------1
10 8128 I = = 7.6 1
11 17054 I
12 18780 j
7264 7.2
14 16642 j I 7.1 I MIMI
15 12222 7.2
16 13460 I 7.2 =
17 18465 I = 7.1 I
18 18445 I I �i 1=—
19 8536 I ' _ I -
20 7484 I ( 6.8
21 16542 1 = I 6.8
22 7645 ( 6.6
23 6985 I = L______I 6.8
24 I 6926 1— = 6.8
25 8736 I =
26 ?8547
27 16487 I I 6.9
28 7091 [ ; 6.7
29 5927 1 6.7
30 17128 I ( 1 , 6.8
31
gdpols.doc•rev.09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1
✓UI GQU VI I SGJVUI VG I I IJIGVII�/I I - VI VU I IU VVG LGI VIJV11011,G I IVI,I UII l I. 10111111 I 11.111I1./G1
Groundwater Permit
2.Tax identification Number
Facility Information
Important:When BUCK ISLAND CONDO.
filling out forms on
a.Name
the computer, use
only the tab key to 1481 BUCK ISLAND ROAD
move your cursor- b.Street Address
do not use the YARMOUTH MA 102675
return key. c.City d.State e.Zip Code
Certification
11011rrub
"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
�tiWtit.
are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations."
ELIZABETH BELAIR 110/20/2021
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 Package Comments
following PLANT MET ALL DISCHARGE PERMIT REQUIREMENTS FOR SEPTEMBER 2021. PUMPED
certification 12,000 GALLONS FOR PRETREAT TANK MAINTENANCE.
If you are filing
electronic-ally and
want to attach
additional
comments, select
the check box.
gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit• Page 1 of 1
1
Massachusetts Department of Environmental Protection
eDEP TransactionCopy
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: 1310335
Document: Groundwater Discharge Monitoring Report Forms
Size of File: 1025.41K
Status of Transaction: Submitted
Date and Time Created: 10/20/2021:11:07:58 AM
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 GQU 41 I\CJ4U14G 1 1416411411 _ V144114YYULGI ✓IJ41101 JC I I4I 101111 I. l CI Il111 IVUIIIUGI
Groundwater Permit 1111111111111111111111.111111111111111.111
DISCHARGE MONITORING 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 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 MA 02675
c.City d.State e.Zip Code
2. Contact information:
WA/ 'MICHAEL EDWARDS
a.Name of Facility Contact Person
.5087713666 Imedwards@coveatyarmouth.com
b.Telephone Number c.e-mail address
3. Sampling information:
19/9/2021 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 Sep Monthly �W
- 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
LJUI GOU VI I\GJVUI VG I I VlGVLIVI I- VI VUI IU YY QIGI LJIGVI IOU VG I I VI,.I 0111
I. I GI MIL 1441114/GIGroundwater Permit
1 1111111111111
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 60 110 8.0
MG/L
TSS 67 9.3 2.0
MG/L
TOTAL SOLIDS 530
MG/L
NITRATE-N 3.4 0.050
MG/L
TOTAL NITROGEN(NO3+NO2+TKN) NS 6.6 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
Uul Gau VI I IGO\JUI I.G I I llIGl.Ul/1 I- VI Val I4VVQLG1 ✓IOl.l IOU I I Vyl allr I. 1 GI 1111l Ill-1111401
Groundwater Permit immummimum
,, -IL
MONITORING WELL DATA REPORT 2.Tax identification Number
12021 SEP MONTHLY 1
3.Sampling Month&Frequency
A. Facility Information
Important:When
filling out forms on 1. Facility name,address:
the computer, use ITHE 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 IMA 102675
rali i°11 :7—*N' c.City d.State e.Zip Code
1 1
2. Contact information:
1rNZu? [MICHAEL EDWARDS
a.Name of Facility Contact Person
15087713666 jmedwards@coveatyarmouth.com
b.Telephone Number c.e-mail address
3. Sampling information:
19/7/2021 1WHITEWATER
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 Sep Monthly
- All forms for submittal have been completed.
2. IThis 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
Li
✓UI GQU V1 I\GJVUI VG I I l01. 1/4.1.1,./1 I- VI VUI 14YYQLVI ✓IJVI101l.�G I IVW 0111 I. l Gl 11111 I'1UIII✓OI
Groundwater Permit IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIII
MONITORING WELL DATA REPORT 2.Tax identification Number •
2021 SEP MONTHLY I
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 4A 5 6A 7A
Units Well#: 1 Well#:2 Well#: 3 Well#: 4 Well#: 5 Well#:6
PH 6.10 6.50 6.40 6.10
s.U.
STATIC WATER LEVEL 19.7 18.1 11 13.9
I
FEET
SPECIFIC CONDUCTANCE 1 112 I 120 750 615
UMHOS/C
mwdgwp-blank.doc• rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1
L1 1,41 GPU VI I\GJVUI 1✓0 I I VIGVIISJI I- VI VUI IUYYQIGI 1.11J,.•1101 VG I WV!0111 1. f GI11 Ill IYUIIIVGI
111111111111111111111111.111111111111111111
Groundwater Permit 2.Tax identification Number
DAILY LOG SHEET
12021 SEP DAILY
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
/NI YARMOUTH IMA 102675
c.City d.State e.Zip Code
2. Contact information:
MICHAEL EDWARDS
a.Name of Facility Contact Person
5087713666 medwards@coveatyarmouth.com
b.Telephone Number c.e-mail address
3. Sampling information:
110/1/2021 JWHITEWATER
a.Date Sampled(mm/dd/yyyy) b.Laboratory Name
rDAVE FISHER
c.Analysis Performed By(Name)
B. Form Selection
1. Please select Form Type and Sampling Month&Frequency
Daily Log Sheet-2021 Sep Daily
- 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....11 GQU VI I\GJVUI VG I I VIGVUV11— VIVUI IUYYptGI VIJVI IDII,.G I I lJ10111 I. V GIM.1`IUI I IVGI
a Groundwater PermitIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
DAILY LOG SHEET 2.Tax identification Number
2021 SEP 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
119221 I I 1 6.9
2 12755 7.3 I
3 1361 I I I I 7.3 _______I_______Ir----1
4 17360 j
� --I I
5 17360 I
6 17360 I = = =
7 12910 1—_
8 14265 I 7-1 I 1 7.2
9 25729 I F-1 I I I 7.4
10
F7-2-58—I = 7.4
11 17258 I 1-----1 .jj I
12 17258 I F----1 1-1 ��
�
13 12 i 1 472 I I I 7-1 7 I (
L
r------
�
14 117784 I r-------i I 7.4 =15 13691 I I 7.4 1
16 18039 I _ I 7.5 1 1
17 16796 7.4 I
18 16795 I MI
19 16795 I I I
20 I
14355 __j 7.3
21 14357 I I I = 7.3
22 116786 I = I 7.6 1
23 116197 I 1------1 r I_� 7.2 =
24 '17717 I 1 1I I 7.2 I I
25 117717 I = I
26 17717 I 1-1 1----1 =27 35
123 I ('I ! I
28 16622 I 7.1
29 15936 I I I 7.2
30 12970 1----- F-7 = = 7.3 F
31
gdpdls.doc•rev.09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1
1-./,11 cau VI iwwu1cc u�ccuvii- ‘...JI WWI wvvawi 1-.I1o,1 IOU I I 1/4/VI a I. I 0111111.14411 wci
Groundwater Permit1111111111111.
IL
2.Tax identification Number
Facility Information
Important:when 'THE 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
fICertification
�
P "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
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 110/20/2021
Any person signing a.Signature b.Date(mm/dd/yyyy)
a document under
314 CMR 5.14(1)or
(2)shall make the Re.ortin' Package Comments
following PLANT MET ALL DISCHARGE PERMIT REQUIREMENTS FOR SEPTEMBER 2021.
certification
If you are filing
electronic-ally and
want to attach
additional
comments, select
the check box.
T
gdpols 2015-09-15.doc•rev. 09/15/15 Groundwater Permit• Page 1 of 1
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