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Home My WebLink About2020 Dec - 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: 1244751 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1032.34K Status of Transaction: Submitted Date and Time Created: 12/14/2020:1:10:58 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. Massachusetts Department of Environmental Protection li Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number fi cGroundwater Permit DISCHARGE MONITORING REPORT 2.Tax identification Number 2020 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 02675 c.City d.State e.Zip Code IICI 2. Contact information: IFIrAll _.. ANDREW WHITTER a.Name of Facility Contact Person 15087786513 ;Andy@fpmcapecod.com b.Telephone Number c.e-mail address 3. Sampling information: 11/4/2020 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 Discharge Monitoring Report-2020 Nov Monthly zj — All forms for submittal have been completed. 2. — This is the last selection. ra 3. — Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet•Page 1 of 1 Massachusetts Department of Environmental Protection 1 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number .. Groundwater Permit 2. Tax identification Number DISCHARGE MONITORING REPORT 2020 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 240 14 8.0 MG/L TSS '210 11 12.0 MG/L TOTAL SOLIDS 560 ` MG/L AMMONIA-N 133 MG/L NITRATE-N 12.2 1 0.25 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 15.9 10.25 MG/L OIL&GREASE 1.9 10.5 MG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 r_ Massachusetts Department of Environmental Protection H Bureau of Resource Protection-Groundwater Discharge Program 1. Permit Number Groundwater Permit ` 2.Tax identification Number MONITORING WELL DATA REPORT 2020 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 .. ,... .. .v do not use the 2481 BUCK ISLAND ROAD return key. b.Street Address •� 1YARMOUTH IMA 102675 rat c.City d.State e.Zip Code 2. Contact information: 1± L All 'ANDREW WHITTER a.Name of Facility Contact Person 5087786513 Andy@fpmcapeco l.com b.Telephone Number c.e-mail address 3. Sampling information: 111/4/2020 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 I Monitoring Well Data Report-2020 Nov 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 Massachusetts Department of Environmental Protection 1 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Groundwater Permit . Lill--,-1, MONITORING WELL DATA REPORT 2.Tax identification Number 2020 NOV 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 't',.', F; °I J .. >'v-i-'I' MW-8 MW-9 Units Well#: 1 Well#: 2 Well#: 3 Well#:4 Well#: 5 Well#: 6 PH 6.4 1 6.4 6.3 5.8 15.1 S.U. STATIC WATER LEVEL l._. 12.1 j 14 X14 i9.4 110.9 Ftt i SPECIFIC CONDUCTANCE 1 506 1526 520 ( (296 200 UMHOS/C mwdgwp-blank.doc• rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 Massachusetts Department of Environmental Protection 1 Bureau of Resource Protection-Groundwater Discharge Program 1. Permit Number Groundwater Permit 2. Tax identification Number DAILY LOG SHEET 2020 NOV DAILY .__._ �._._�_v......... . 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 .02675 c.City d.State e.Zip Code 2. Contact information: ;ANDREW WHITTER a.Name of Facility Contact Person '5087786513 lAndy@fpmcapecod.com b.Telephone Number c.e-mail address 3. Sampling information: 111/30/2020 1WH ITEWATER 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-2020 Nov Daily All forms for submittal have been completed. r- 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 Massachusetts Department of Environmental Protection 1 Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number Is Li Groundwater Permit i DAILY LOG SHEET 2.Tax identification Number 2020 NOV DAILY I 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 6685 I 1 I 2 6531. I I 6.8 ,..______1 3 6776 I 6.8I M 4 6876 I I I 6.7 _ I 5 5783 f 6.7 . M. I 6 6452 6.6 I 7 6995I = I 8 7198. I I L____ I 9 7325 _I I6.6 I 10 I 1----- L 7826 I .. 6.5 11 7212 �) ! 6.6 12 6714 6.6 I I 13 7642 .._„j I 6.6_ 14 11335 I r i 15 11485 = I F-_ 16 10630 6.8 _ I I I I 17 9112 MI ______I 6.7 I = I I 18 5707 I 16.9 I I ! 19 6005 I = I 6.9 II 20 1858 6.9 _. 1 I 21 4465 ( I 22 7540 I I 23 5301 _ I ____i 6.7 I I 24 6622 ( I 6.7 I 25 7264— I ! l 6.6 26 8248 ___ I 27 6619 I I ( _____ 6.6 I 28 L840 l I I I 29 6345 30 17268 ( 6.8 31 gdpols.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 Massachusetts Department of Environmental Protection 1 Bureau of Resource Protection-Groundwater Discharge Program Groundwater Permitr. oil 1. Permit Number 1111111111111111111 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 IMA !02675 return key. c.City d.State e.Zip Code N. 4 ,, 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. PrAl 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 112/14/2020 Any person signing a.Signature b.Date(mm/dd/yyyy) a document under 314 CMR 5.14(1)or (2)shall make the Reporting Package Comments following PLANT MET ALL DISCHARGE PERMIT REQUIREMENTS FOR NOVEMBER 2020 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 s . ,WhiteWater 12/15/2020 MA Department of Environmental Protection One Winter Street, 6th Floor Boston, MA 02108 Attn: Title 5 Program RE: Monthly Inspection & Sampling Results — November 2020 Center School — Stow, MA Dear Sir or Madam, Please find the attached sampling results and inspection report for the above referenced system. Should you have any questions or require any additional information, please feel free to contact me at (508) 864-0840. Sincerely, Joseph Malloy Wastewater Manager CC: William Cleary, Nashoba School District 253B Worcester Road, Charlton MA 01507 - Phone: 888-377-7678 / Fax 508-248-2895 L BureauMassachusettsofResource DepaProtectionrtmentTitle of5 Environmental Protection - RSF System Operation and Maintenance Inspection Checklist A. Installation & Service Information Center School 11/6/2020 Facility Street Address Date of Service Stow MA _ Whitewater Inc City Operator/O&M Firm B. Septic tank(s) Inspect&note Sludge Pumping Required: Yes No x x Sludge Depth: 0" if plumbing is required. Effluent tee filter: Yes x No If yes,inspect x &clean at least yearly Inspect& clean effluent C. Recirculation tank tee filter. Clean as necessary. x Check if sludge accumulating Pumping required: Yes No x Inspect for sludge. Odor problems: Yes No x Bucket filter cleaned 11/11/20 If yes,description lnpsect for D. Equalization tank (if installed) sludge x Check if sludge accumulating Pumping required: Yes No x E. Pumps, switches, floats, alarm system Inspect pumps &electrical switches,test x Pump Inspections(all units) as necessary. If problems,describe Run pumps in x Test pump alternator,or record hours 186.6,51.7,2325.1,1943.5 manual mode. Hours of operation Record x Float switches readings from meters& Check all switches for operation counters. x Test alarm If non-functioning,corrective action(s) Note if weeds F. Recircultation Sand Filter &debris are present on x Inspect for ponding Ponding Present: Yes No x bed. Clean.maintain bed surface to Clean bed: Yes No x allow proper operation of x Distribution pipes Flush:Yes No x Brush:Yes No x the system. Check head loss in pipes Headloss and comments G. Sample Collection Yes x No If yes: x BOD x TSS pH x TN x Other NH3 Page 1 of 3 4 R.I. ANALYTICAL Specialists in Environmental Services LABORATORY REPORT Whitewater, Inc. Date Received: 11/6/2020 Attn: Mr. Eric Smith Date Reported: 11/12/2020 Wastewater Division P.O. Number 253B Worcester Rd., Bldg 2 Charlton, MA 01507 Work Order#: 2011-18397 Project Name: CENTER SCHOOL - STOW MA Enclosed are the analytical results and Chain of Custody for your project referenced above. The sample(s) were analyzed by our Warwick, RI laboratory unless noted otherwise. When applicable, indication of sample analysis at our Hudson, MA laboratory and/or subcontracted results are noted and subcontracted reports are enclosed in their entirety. All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met, unless otherwise noted at the end of a given sample's analytical results or in a case narrative. The Detection Limit is defined as the lowest level that can be reliably achieved during routine laboratory conditions. These results only pertain to the samples submitted for this Work Order# and this report shall not be reproduced except in its entirety. We certify that the following results are true and accurate to the best of our knowledge. If you have questions or need further assistance,please contact our Customer Service Department. Approved by: i _ 42.443A--- Nicole Skyleson Data Reporting Manager Laboratory Certification Numbers(as applicable to sample's origin state): Warwick RI * RI LAI00033,MA M-RI015,CT PH-0508 Hudson MA *M-MA1117,RI LA000319 41 Illinois Avenue,Warwick. RI 02888 www rlanalytiCal.com 131 Coolidge Street, Suite 105, Hudson MA 01749 Phone:401-737-8500 Fax:401-738-1970 Phone: 978-568-0041 Fax:978-568-0078 Page 2 of 3 R.I. Analytical Laboratories, Inc. Laboratory Report Whitewater, Inc. Work Order#:2011-18397 Project Name: CENTER SCHOOL - STOW MA Sample Number: 001 Sample Description: EFFLUENT Sample Type: GRAB Sample Date/Time: 11/06/2020 @ 12:35 SAMPLE DET. DATE/TIME PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST BOD 5 <3.0 3.0 mg/I SM5210B 21ed 11/6/2020 23:55 LAB Total Suspended Solids 4.7 2.0 mg/1 SM2540D 2011 11/9/2020 16:00 TP Total Solids 460 10 mg/1 SM2540B 18-21ed 11/6/2020 18:00 TP Nitrite(as N) <0.25 0.25 mg/1 EPA 300.0 11/6/2020 21:22 TML Nitrate(as N) 25 0.25 mg/I EPA 300.0 11/6/2020 21:22 TML TKN(as N) <0.50 0.50 mg/1 SM4500NOrg-D 18-21ed 11/9/2020 16:16 JMD Ammonia(as N) <0.20 0.20 mg/1 EPA 350.1 11/9/2020 14:34 BR IID ! Pe3of o n • I a tgN w C F �� Q G 0 W_ T 0 N on U � ' 6B z a. I 1-2 E` m3Lxc •u uoyg a o H 1 r E G.a '? 3Z =E w �3 ' ° a a a avZ-c z � a y � ° c cc 3 = ! f .0 13, co v - ci) o x O v lc U u z 1 u) v. , v OKA Po 2- Z Ai V NNCD se ue6oJP!N eiuowwy-E 1N X I f %'6 0 = c O Z Z ua6oa;!N 14eP!eCll lelol-N7!1 )C O ,`A _ Ili' � 01 Ea N se us6a;!N a;ui!N CON X Z u N se ue6a�;!N a;ea;iN-CON X •'• f., m a. 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Username: EBELAIR Transaction ID: 1238999 Document: Groundwater Discharge Monitoring Report Forms Size of File: 722.08K Status of Transaction: Submitted Date and Time Created: 12/20/2020:10:08:22 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. ! Massachusetts Department of Environmental Protection 645 'L , Bureau of Resource Protection- Groundwater Discharge Program 1. Permit Number Groundwater Permit MONITORING WELL DATA REPORT 2.Tax identification Number 2020 NOV MONTHLY 3. Sampling Month&Frequency A. Facility Information Important:When filling out forms on 1. Facility name,address: the computer, use CISCO SYSTEMS-SITE II only the tab key to a.Name move your cursor- do not use the 'BEAVER BROOK ROAD return key. b.Street Address TBOXBOROUGH IMA 101719 t c.City d.State e.Zip Code ti 2. Contact information: Ia 1' DONNA COURTNEY a.Name of Facility Contact Person 9789360160 Idocourtn@cisco.com b.Telephone Number c.e-mail address 3. Sampling information: 11/5/2020 ~ JWHITEWATER u a.Date Sampled(mm/dd/yyyy) b.Laboratory Name IJAY WADDINGTON c.Analysis Performed By(Name) B. Form Selection 1.Please select Form Type and Sampling Month&Frequency Monitoring Well Data Report-2020 Nov Monthly 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 Massachusetts Department of Environmental Protection Bureau of Resource ProtectionLii - Groundwater Discharge Program 1. Permit Number Groundwater Permit MONITORING WELL DATA REPORT 6452. Tax identification Number 2020 NOV 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 if`<•` 'A 4== f 4.-2 Favi, MW9 Units Well#: 1 Well#: 2 Well#: 3 Well#:4 Well#: 5 Well#: 6 PH 5.3 _115.9 DRY ,5.6 5.4 S.U. STATIC WATER LEVEL 223.8 11245.65 DRY 225.73 213.01 I FEE I SPECIFIC CONDUCTANCE 45.6 147.7 DRY 187 190.8= UMHOS/C mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 fMassachusetts Department of Environmental Protection 645 1. Bureau of Resource Protection-Groundwater Discharge Program 1. Permit Number LGroundwater Permit DISCHARGE MONITORING REPORT 2. Tax identification Number 2020 NOV MONTHLY 3. Sampling Month&Frequency A. Facility Information important:when filling out forms on 1. Facility name,address: the computer, use CISCO SYSTEMS-SITE II only the tab key to a.Name move your cursor- / do not use the 'BEAVER BROOK ROAD return key. b.Street Address •, 11BOXBOROUGH IMA 101719 int c.City d.State e.Zip Code 2. Contact information: IFIFAII 'DONNA COURTNEY a.Name of Facility Contact Person 9789360160 docourtn@cisco.com b.Telephone Number c.e-mail address 3. Sampling information: 111/5/2020 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 Discharge Monitoring Report-2020 Nov Monthly i — 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 Massachusetts Department of Environmental Protection 645 F ,, , y•' Bureau of Resource Protection - Groundwater Discharge Program 1. Permit Number lk�� Groundwater Permit DISCHARGE MONITORING REPORT 2.Tax identification Number 12020 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 BM 10 NS ( NS MG/L TSS 138 NS NS MG/L TOTAL SOLIDS [1400 MG/L AMMONIA-N 18 MG/L NITRATE-N NS NS MG/L TOTAL NITROGEN(NO3+NO2+TKN) NS INS MG/L OIL&GREASE NS INS MG/L FECAL COLIFORM INS NS /100 ML infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 l Massachusetts Department of Environmental Protection 645 Bureau of Resource Protection-Groundwater Discharge Program 1. Permit Number • Groundwater Permit 2.Tax identification Number Facility Information C important:when TI ... CISCO SYSTEMS-SISITE Il filling out forms on a.Name the computer, use only the tab key to !BEAVER BROOK ROAD move your cursor- b. Street Address do not use the BOXBOROUGH MA 01719 return key. c.City d.State e.Zip Code ti fii Certification rab "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 I IMP Al I 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 falsinformation,including the possibilityof fine and imprisonment for knowing violations." ;ELIZABETH BELAIR 12/20/2020 Any person signing a.Signature b.Date(mm/dd/yyyy) a document under 314 CMR 5.14(1)or (2)shall make the Re sorting Packa;a Comments following PUMPING &HAULING:22,500 certification FACILITY WAS IN FULL COMPLIANCE WITH ALL PERMIT REQUIREMENTS FOR THE MONTH 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 • z