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Home My WebLink About2021 Feb - Whitewater 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: 1254410 Document: Groundwater Discharge Monitoring Report Forms Size of File: 2779.09K Status of Transaction: Submitted Date and Time Created: 2/22/2021:4:36:06 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. c L LJUI Gau VI I%GOVu1 ,C I I lJLC,UVII - VI V\.11 NIYYQLG1 Vl.l.l101 I IVI i al11 I. I GI II lit 1,1U1111./G1.. Groundwater Permit DISCHARGE MONITORING REPORT 2•Tax identification Number '2021 JAN 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 if. YARMOUTH IMA 102675 c.City d.State e.Zip Code 2. Contact information: IMPAI IMICHAEL EDWARDS a.Name of Facility Contact Person 15085972717 medwards@coveatyarmouth.com b.Telephone Number c.e-mail address 3. Sampling information: 11/6/2021 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 I Discharge Monitoring Report-2021 Jan Monthly 1- 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 6.l.1 cal. VI I CJVl.11+O I I Vlcl.111/4.11 I l..l1 VUI IUVYOLCI VIJIA 101 I I l./yl 0111 I. r 0111 III 1,11-41111J01 Groundwater Permit DISCHARGE MONITORING REPORT 2.Tax identification Number ;2021 JAN 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 17 :5.3 3.0 MG/L TSS 32 _._. _...j 17.7 I 2.0 MG/L TOTAL SOLIDS 400 MG/L AMMONIA-N 8.6 MG/L NITRATE-N 5.6 ' 0.25 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 8,7 0.25 MG/L OIL&GREASE ND 0.5 MG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 UUI UCU VI I SGJJ SU l,G I%JI.Gl.IIVI I- VI'JUI ILIVVQLCI ✓JId 101yG I I Vyl0111 I. I G 1 l YUI111EJG L Groundwater Permit DISCHARGE MONITORING REPORT 2.Tax identification Number 2021 QUARTERLY 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 MA J02675 141frao c.City d.State e.Zip Code 2. Contact information: IFIFAII 'MICHAEL EDWARDS a.Name of Facility Contact Person 5085972717 Imedwards@coveatyarmouth.com b.Telephone Number c.e-mail address 3. Sampling information: '1/6/2021 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 Quarterly 1 A — All forms for submittal have been completed. 2. rThis is the last selection. 3. IDelete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 ✓UI GC1U VI I\GJVUI VG I IVlGI,IIVI I - VI VU1 IUYYCIIGI 1...,IJ1..I 1011.'G I I'Jul Cal II I I Glll111 1,11.11114G!\ : Groundwater Permit 111.111111111111111011111 DISCHARGE MONITORING REPORT 2.Tax identification Number '2021 QUARTERLY 1 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 ASP X7,0 I 0.02 MG/L ORTHO PHOSPHATE 7.0 0.02 MG/L infeffrp-blank.doc• rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 VW I COU VI I VO I I VIGVUVI I - VI VUI wvra 101 VIOVI 101 I I VVI all l 1. f Cl llllt IYUI111101 v Groundwater Permit 2.Tax identification Number DISCHARGE MONITORING REPORT 12021 ANNUAL 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 c.City d.State e.Zip Code ti 2. Contact information: Fr Ail MICHAEL EDWARDS a.Name of Facility Contact Person 5085972717 medwards@coveatya rmouth.com b.Telephone Number c.e-mail address 3. Sampling information: 11/6/2021 IRI 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-2021 Annual 1All 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-UI GOV VI I\GJVUI 1,0 I I V1 I- VIVUIIU YY OIGI ✓10%A 1W 3C I I1/91 OW I. !GI MIL IYUI I1✓G1 Groundwater Permit DISCHARGE MONITORING REPORT 2. Tax identification Number '2021 ANNUAL • 3. Sampling Month&Frequency E. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pg/I. • For 110", below detection limit, less than (<)value, or not detected, enter"ND" • NS = Not Sampled 1. Parameter/Contaminant 2.Influent 3.Effluent 4.Effluent Method Units Detection limit ACETONE IND 10 UG/L BENZENE (ND 1 UG/L 1,1 DICHLOROETHANE ND 1 UG/L 1,2 DICHLOROETHANE ND 1 UG/L 1,1 DICHLOROETHYLENE ND 1 UG/L CIS-1,2-DICHLOROETHYLENE ND 1 UG/L TRANS 1,2 DICHLOROETHYLENE ND 1 UG/L ETHYL BENZENE IND 1 1 UG/L METHYLENECHLORIDE ND 1 UG/L TOLUENE ND J 1 UG/L O-XYLENE ND 1 UG/L P/M XYLENE I ND 1 UG/L CARBON TETRACHLORIDE ND 1 UG/L CHLOROFORM ND 1 UG/L 2-BUTANONE(MEI() ND 1 UG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 LJUI Gall VI I',GOVu1 VG I I 1/4/t04lIVI I_ VI V4114YYalG1 v1O4110190 I Il/y1 all! 1. F 6111111 IYu111Vc1 I NkI.:7,tiT' Groundwater PermitIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIII DISCHARGE MONITORING REPORT 2.Tax identification Number 12021 ANNUAL 3.Sampling Month&Frequency E. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pg/I. • For"0", below detection limit, less than (<)value,or not detected, enter"ND" • NS = Not Sampled 1. Parameter/Contaminant 2.Influent 3.Effluent 4.Effluent Method Units Detection limit 4-METHYL-2-PENTANONE(MIBK) ND 1 UG/L TRICHLOROETHYLENE (ND I 1 UG/L TETRACHLOROETHYLENE ND 1 UG/L 1,1,1 TRICHLOROETHANE ND 1 UG/L VINYLCHLORIDE ND 0.4 UG/L STYRENE ND 1 UG/L CHLOROBENZENE ND 1 UG/L METHYL TERTIARY BUTYL ETHER ND 1 UG/L CHLOROETHANE ND 1 UG/L 1,2-DICHLOROPROPANE ND 1 UG/L DIBROMOCHLOROMETHANE ND 1 UG/L 1,1,2-TRICHLOROETHANE ND 1 UG/L 2-CHLOROETHYLVINYL ETHER ND 1 UG/L BROMODICHLOROMETHANE ND I 1 UG/L BROMOFORM ND I 5 UG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 '4 VuI GQu VI I%GOVUI VO I I VlCVtIVI I - VI l/u1 KIVYOlCI VWVIICII,.G I I*JjI QI II I. f CI11 IL I VII IVVI Groundwater Permit DISCHARGE MONITORING REPORT 2.Tax identification Number 12021 ANNUAL 3. Sampling Month&Frequency E. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pg/I. • For"0", below detection limit, less than (<)value, or not detected, enter"ND" • NS= Not Sampled 1. Parameter/Contaminant 2.Influent 3.Effluent 4.Effluent Method Units Detection limit 1,1,2,2-TETRACHLOROETHANE ND I 11 UG/L CHLOROMETHANE ND 1 UG/L BROMOMETHANE ND 1 UG/L CARBONDISULFIDE ND 1 UG/L 2-HEXANONE ND 1 UG/L ACROLEIN ND 1 UG/L ACRYLONITRILE ND 1 UG/L TRANS-I,3-DICHLOROPROPENE ND I 1 UG/L CIS-1,3-DICHLOROPROPENE ND I 1 14 UG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 I-JUI Ui QU VI I SGJVUI L.0 I I LILC ILIVI I- Vl JUI wrraLCI ✓iOLIi Cli I I VVI 4:1I11 I. r GI MIL III-AM./GI Groundwater Permit 2.Tax identification Number MONITORING WELL DATA REPORT 12021 QUARTERLY 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 MA 02675 p 1 c.City d.State e.Zip Code ti 2. Contact information: IMICHAEL EDWARDS a.Name of Facility Contact Person 5085972717 medwards@coveatyarmouth.com b.Telephone Number c.e-mail address 3. Sampling information: 11/8/2021 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 I Monitoring Well Data Report-2021 Quarterly 1 - All forms for submittal have been completed. 2. lThis 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 call vi I COlJUl L,.0 I I vw"1.1v11- 1.-41V1.11 I\AYY0LG1 vIoa,l iai y0 I 114y1 a111 I. I G11111t I Ul111401 Groundwater Permit L.,41 2.Tax identification Number MONITORING WELL DATA REPORT 2021 QUARTERLY 1 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 NITRATE-N 0.44 1.8 I 3.5 ND MG/L TOTAL NITROGEN(NO3+NO2+TK 1.06 1.8 4.28 0.91 MG/L TOTAL PHOSPHORUS AS P 0.24 0.13 16.5 0.28 MG/L ORTHO PHOSPHATE ND ND 5.2 ND MG/L mwdgwp-blank.doc• rev. 09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1 IL 1-,u1GC1u u1 I SGJuu1 NG I 1vtG%.uv1 I - 1.,...1 vul luvr0I.G1 1.010u110190 I 1v910111 I. I cinni 1vun1ucl Groundwater PermitIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 2.Tax identification Number MONITORING WELL DATA REPORT 2021 ANNUAL 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 1183 MAIN STREET/RTE. 28 do not use the return key. b.Street Address [YARMOUTH JMA 102675 ,,,,,r. c.City d.State e.Zip Code 2. Contact information: MICHAEL EDWARDS a.Name of Facility Contact Person 15085972717 Imedwards@coveatyarmouth.com b.Telephone Number c.e-mail address 3. Sampling information: 11/8/2021 RI 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 I Monitoring Well Data Report-2021 Annual J �- All forms for submittal have been completed. - 2. This is the last selection. 3. 1Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 ,_, � uoiGroundcau vi ISCJVawatl Ncer i ivPica,uvieri m- VIit VUI IMYYOIGI 1.011.01J1/4•11Jaiaiyc I ivyi ani I. I GI II Ill ivw IIV61 MONITORING WELL DATA REPORT 2.Tax identification Number • 12021 ANNUAL ! 3 3. Sampling Month&Frequency D. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pg/I. • For"0", below detection limit, less than (<)value, or not detected, enter"ND" • 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 ACETONE i ND ND ND ND UG/L BENZENE ND 'ND ND ND UG/L 1,1 DICHLOROETHANE I ND ( ND ND ND UG/L 1,2 DICHLOROETHANE !ND j ND ND ND UG/L 1,1 DICHLOROETHYLENE ND ND ND ND UG/L CIS-1,2-DICHLOROETHYLENE 'ND ND ND ND UG/L TRANS 1,2 DICHLOROETHYLENE IND ND ND ND UG/L ETHYL BENZENE 1 ND (ND ND (ND UG/L METHYLENECHLORIDE ND ND ND ND UG/L TOLUENE ND ND ND ND UG/L O-XYLENE 'ND ND ND ND UG/L P/M XYLENE ND ND ND ND UG/L CARBON TETRACHLORIDE ND ND ND ND UG/L CHLOROFORM ND ND ND ND UG/L 2-BUTANONE(MEK) !ND ND ND ND UG/L mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 IL. ✓u caU VI I SCJVIA VG I V1CVl VI - VI Vl11 Il.1YValct 1-01J,-el I I Vyl al I I I. GI l I'IU1 11G1 Groundwater Permit1.11111111 MONITORING WELL DATA REPORT 2.Tax identification Number 2021 ANNUAL 3. Sampling Month&Frequency D. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pg/I. • For"0", below detection limit, less than (<)value, or not detected, enter"ND" • 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 4-METHYL-2-PENTANONE(MIBK 'ND ND ND ND UG/L TRICHLOROETHYLENE ND ND ND ND UG/L TETRACHLOROETHYLENE ND ND ND ND UG/L 1,1,1 TRICHLOROETHANE IND ND ND ND UG/L VINYLCHLORIDE 3 ND ND ND ND UG/L STYRENE ND ND ND ND UG/L CHLOROBENZENE ND ND ND ND UG/L METHYL TERTIARY BUTYL ETHE 1.2 ND ND ND UG/L CHLOROETHANE ND ND ND ND UG/L 1,2-DICHLOROPROPANE ND ND ND ND UG/L DIBROMOCHLOROMETHANE ND ND ND ND UG/L 1,1,2-TRICHLOROETHANE ND ND ND ND UG/L 2-CHLOROETHYLVINYL ETHER ND ND ND ND UG/L BROMODICHLOROMETHANEND IND ND ND UG/L BROMOFORM �ND ND ND ND UG/L mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 LJUI GQU VI I WJVUI VG I I VIGl..l1V1 I- VI VU114YYQLVI IJIJVI IQI VG I 1519.10111 I. I GI II III.1•141111.101IL Groundwater Permit MONITORING WELL DATA REPORT 2.Tax identification Number 12021 ANN UAL j 3. Sampling Month&Frequency D. VOC Analysis Information • If VOCs are present, please indicate the amounts of the individual compounds in pg/I. • For"011, below detection limit, less than (<)value,or not detected, enter"ND" • 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 1,1,2,2-TETRACHLOROETHANE ND ND ND ND I UG/L CHLOROMETHANE (ND ND ND ND l UG/L BROMOMETHANE I ND ND ND ND UG/L CARBONDISULFIDE IND ND ND ND UG/L 2-HEXANONE IND ND ND ND UG/L ACROLEIN i ND ( ND ND ND UG/L ACRYLONITRILE !ND I ND ND ND UG/L TRANS-1,3-DICHLOROPROPENE ND ND NDND E UG/L CIS-1,3-DICHLOROPROPENE ND ND ND ND UG/L mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 LI.JUI GaU VI I\OOVUI l,C I I VIGVUVI I - ,..JI VUI IUVYQIGI 1-/101/4..1 IQIyG I I Vyl CII 11 I. I 0111111 IYLLI IIU61 1i Groundwater Permit IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIMI MONITORING WELL DATA REPORT 2.Tax identification Number 2021 JAN 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 Al YARMOUTH IMA 102675 � � c. City d.State e.Zip Code Al� 2. Contact information: MICHAEL EDWARDS a.Name of Facility Contact Person 5085972717 medwards@coveatyarmouth.com b.Telephone Number c.e-mail address 3. Sampling information: 11/8/2021 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 I Monitoring Well Data Report-2021 Jan 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 '•y uui cau WI IN.cwuI'JC I I vLCL,utJI I- VI VU11411raLci VIJNI 10190 I I UVI 0111 I. F C111111. i1uinucI Groundwater Permit 2.Tax identification Number . MONITORING WELL DATA REPORT )2021 JAN 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 4A 5 6A 7A Units Well#: 1 Well#:2 Well#: 3 Well#:4 Well#:5 Well#:6 PH 6.20 16.20 [6 .60 6.10 S.U. STATIC WATER LEVEL 19.8 17.9 11.1 13.6 I-Etl SPECIFIC CONDUCTANCE I 12 378 586 569 UMHOS/C mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 .. ✓UI COU VI I SGGVUI VG I I VICV1.1\/1 I- VI Vu IVVYQLGI VIOVI IOI VG I I Vyl 0111 .. f CIIlilt 1•VIIINGI Groundwater Permit DAILY LOG SHEET I 2.Tax identification Number 12021 JAN DAILY 3. Sampling Month&Frequency A. Facility Information Important:When filling out forms on 1. Facility name,address: the computer, use p 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 'YARMOUTHMA 02675 c.City d.State e.Zip Code 2. Contact information: ... 'MICHAEL EDWARDS a.Name of Facility Contact Person 5085972717 Imedwards@coveatyarmouth.com b.Telephone Number c.e-mail address 3. Sampling information: 11/31/2021 JWHITEWATER 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 Daily Log Sheet-2021 Jan Daily 1- 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 L G•41 OQ11 VI I SGJVNI VG I I Vt0lAl%l I- VI VUI HAVYQLGI VIJN IQI JC I I J jI 0I11 I. i GI IIIII.1141114/GI 1 Groundwater PermitIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMII DAILY LOG SHEET 2.Tax identification Number . 2021 JAN 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 i10945 I 2 110944 3 10944 I 4 7092 ( 6.9 1 5 5147 I 7.25 ... 6 6308 I I 7.13 1-1 7 5592 I = 6.8 8 15878 1 I 6.7 9 r- 3 5878 I _ —___I MIMI 10 5878 11 4787 6.9 12 2259 6.9 13 534 6.9 14 424 7 15 1098 I 7 16 1098 17 x1098 18 I714 I I 6.8 _____ I 19 1555 I 6.7 20 586 = 6.7 I 21 1621_ I 6.8 22 514 I I = x6.8 23 1514 I = 11= C 24 1514 — 25 1527 6.7 26 1615 I 6.7 27 1576 = 6.8 28 506 6.8 29 655 6.8 ( 30 [654 1 31 654 I I 1 I gdpols.doc•rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 -'"+.,, vul cau v1 I%G.,,...11 1..G I I vlcuuVI I - VI l/1-11 I IYYQLCI vvu1101 y6 I I vy10111 1. I Oil 1111 111.41111./01 `\ Groundwater Permit 11111111111111111111 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 rit j I 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. IirAill 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 i are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations." 'ELIZABETH BELAIR 12/22/2021 Any person signing a.Signature b.Date(mm/dd/yyyy) a document under 314 CMR 5.14(1)or (2)shall make the Re 1 ortin. Packa•e Comments following PLANT MET ALL DISCHARGE PERMIT REQUIREMENTS FOR JANUARY 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 . . If