HomeMy WebLinkAbout2021 Dec 17- Whitewater Massachusetts Department of Environmental Protection
eDEP Transaction Copy
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Username: EBELAIR
Transaction ID: 1332233
Document: Groundwater Discharge Monitoring Report Forms
Size of File: 1032.94K
Status of Transaction: Submitted
Date and Time Created: 12/17/2021:11:59:14 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.
JAN 0 3 2022
HE.,•%L__TH DEPT
i
*..4 ✓UI GQU VI I WJV41 VG I I VLGL..LIVI I - VI VIII IU VV QLGI ✓IJV1 ICU G I I S.I I CII I I 1. 1 CI III,IY41111JG1
. Groundwater Permit
DISCHARGE MONITORING 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 '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
rimi
FilAM c.City d.State e.Zip Code
2. Contact information:
II 'ANDREW WHITTER
a.Name of Facility Contact Person
5087786513 Andy@fpmcapecod.com
b.Telephone Number c.e-mail address
3. Sampling information:
11/16/2021 1RI 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
7 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
uU16QU VI 1 SGJVu1L,0 1 IVIcI,U VII - VIVuI IU VV Q LCI 1,I0,I101 I I VVI QIII I. r 6111111 I Y U111 LIG!
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 6.2 I 3.0
MG/L
TSS 170 3.7 I 2.0
MG/L
TOTAL SOLIDS 540
MG/L
AMMONIA-N 32
MG/L
NITRATE-N 3.9 0.050
MG/L 1TOTAL NITROGEN(NO3+NO2+TKN) 7.1 10.50
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
w.a,'., vuIGroundwacau VI I SCOlJterII lic I I vlcliuvIIPermit- .I vII 1,1YVOLCI 1-J10,41.1 yc I IU Jl C1111li 0111111 1,14111Q011,14111Q01DAILY LOG SHEET 2.Tax identification Number
:2021 NOV 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 IMA 02675
44c.City d.State e.Zip Code
2. Contact information:
'WA... ANDREW WHITTER
a. Name of Facility Contact Person
5087786513 Andy@fpmcapecod.com
b.Telephone Number c.e-mail address
3. Sampling information:
111/30/2021 IWHITEWATER
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
Daily Log Sheet-2021 Nov Daily
r
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
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11111111111111111111111111111111111111111111111111
,.. Groundwater Permit 2. Tax identification Number
DAILY LOG SHEET
2021 NOV DAILY E
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 6653 1 I 7.1
2 7036 I 7.0 I
3 C53-5-6—j i I F-1 I_......................—I 7.1
4
111.14-51-i0-1 7-1 7.0
5 5422 I
7.4 I=
6 15646 I
t-_
7 I 5762 I j= I 1
1
8 16736 1 ME 1 i7.6 1 MINI
9 6357 I I I 7.9
10 16052 I 7.6 �j
11 5056. I ( l
1 7.7 �_ I
12 15955 I 1( 7.5
13 5524 I
14 16237 I
15
17214 I I 7.6 _. ___I
17
'4205 I I 1 I 7.6 _________________I_
4151 I I 1 7.7 I
18 11433 I I 7.6 I
19 f
4482 ( I 7.1
20 4330 r 1 I- 1� 1-
_ I
I I
21 7614 I I I
22 I
3683 I I I 6.9 '
23 6581 I 1 I 6.6 I=
24 14881 I I 6.7 s
25 6235 j (( I 1=26 5012 I 7.0 I I
27 6235 I I ___
28 14881 I 1 I I I
29 4454 1 7.1 I
30 1-5-3-1-5--1 I = 7.1
31
gdpols.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1
UUI GOU VI 1\GJUUI\,C I IVIGVtIVII- VI VUI IUYYOIGI ✓IOI,IIOIyG I IVyI 0111
MONITORING WELL DATA REPORT I I 0111111 14U1114/G1
Groundwater Permit 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 !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
r; YARMOUTHMA 02675
c.City d.State e.Zip Code
2. Contact information:
'ANDREW WHITTER
a.Name of Facility Contact Person
15087786513 Andy@fpmcapecod.com
b.Telephone Number c.e-mail address
3. Sampling information:
111/8/2021 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
(Monitoring Well Data Report-2021 Nov Monthly _'J
1—
— All forms for submittal have been completed.
2. r This is the last selection.
3. f- Delete the selected form.
gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1
y -_ 1 l-/UI GQU VI I\GJVUI , I I VLGGLIVI I - VI VUI IUYYQLGI VIJVI IQI I,G I I,./ 10111 I. r GIIIIIL IVUIIIUGI
Groundwater Permit 2.Tax identification Number
MONITORING WELL DATA REPORT 2021 NOV MONTHLY J
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 6.6 6.6 6.7 6.1 5.4
S.U.
STATIC WATER LEVEL 11 13 13 8.3 9.8
rttI
SPECIFIC CONDUCTANCE 366 473 402 198 115
UMHOS/C
mwdgwp-blank.doc• rev. 09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1
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Groundwater Permit1111111111111111111111.11.11011111
' 2. Tax identification Number
Facility Information
Important:When 1BUCK ISLAND CONDO.
filling out forms on
a.Name
the computer, use
only the tab key to 481 BUCK ISLAND ROAD
move your cursor b.Street Address
do not use the 'YARMOUTH 1MA 102675
return key. c.City d.State e.Zip Code
Certification
r
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.
IIIIPAII
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 112/17/2021
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 PUMPING& HAULING:12,000. FACILITY WAS IN FULL COMPLIANCE WITH ALL PERMIT
certification REQUIREMENTS FOR THE MONTH
If you are filing
electronic-ally and
want to attach
additional
comments, select
the check box.
r
gdpols 2015-09-15.doc• rev. 09/15/15 Groundwater Permit• Page 1 of 1
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